Performance Evaluation of Primary Healthcare System Reform in Xinjin County, Chengdu City: Ⅶ. Use of Essential Medicines in Primary Healthcare System from 2009 to 2011_Chinese Journal of Evidence-Based Medicine

Authors：

 WANGLi ,  LIXiao ,  LIYou-ping , SHICheng-hu , YANGZong-xia , LICui-cui , SHENJian-tong , WANGYing-qiang

Chinese Evidence-Based Medicine Centre, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

LIYou-ping, Email: yzmylab@hotmail.com

Keywords：

Xinjin county; Primary healthcare system; Health reform; Essential medicine

DOI：

10.7507/1672-2531.20140066

Video：

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Objectives To investigate the utilization of essential medicines and antibiotics in primary healthcare system of Xinjin county of Chengdu city from 2009 to 2011. Methods The data of utilization of all the medicines, essential medicines and antibiotics was collected from 17 hospitals of Xinjin primary healthcare system. Microsoft Excel 2003 was used to analyze the data. Results Compared with 2009, the total costs of medicines and essential medicines increased by 72.27% and 135.4% respectively in 2010. After the implementation of essential medicine policy in 2010, the proportion of essential medicines accounted for more than 90% in community healthcare centers (CHCs) and township hospitals (THs) and over 50% in county-level hospitals in 2011. In 2010, the average cost per prescription among outpatients increased by 3.51% in total, but deceased by 16.23% in CHCs/THs (RMB 15.09 yuan per prescription). In July of 2011, the policy to control the use of antibiotics was implemented in Xinjin county. The use of antibiotics decreased, but still accounted for over 30% in 9 out of 13 CHCs/THs. The use of bigeminy antibiotics and trigeminy antibiotics accounted for 0.42 to 5.56% and 0 to 0.44%, respectively. Conclusions The use of essential medicines increases in Xinjin county and met the national requirements. The average cost per prescription among outpatient decreases in THs and CHCs. After controlling the use of antibiotics, the proportion and cost of antibiotics is still very high, and irrational use of antibiotics probably still exists. The training and guide for evidence-based rational use of medicine should be enhanced in future.

Citation： WANGLi, LIXiao, LIYou-ping, SHICheng-hu, YANGZong-xia, LICui-cui, SHENJian-tong, WANGYing-qiang. Performance Evaluation of Primary Healthcare System Reform in Xinjin County, Chengdu City: Ⅶ. Use of Essential Medicines in Primary Healthcare System from 2009 to 2011. Chinese Journal of Evidence-Based Medicine, 2014, 14(4): 380-384. doi: 10.7507/1672-2531.20140066 Copy

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5. 王莉, 沈建通, 李幼平, 等.成都市新津县公益性基层医疗卫生服务体系改革绩效评估系列之一:新津县基层医疗卫生服务现况调查.中国循证医学杂志, 2014, 14(1):2-6.
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Chinese Journal of Evidence-Based Medicine

Performance Evaluation of Primary Healthcare System Reform in Xinjin County, Chengdu City: Ⅶ. Use of Essential Medicines in Primary Healthcare System from 2009 to 2011

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