Injection Overuse Situation in Health Service Settings in Rural Area of Midwest Part of China_Chinese Journal of Evidence-Based Medicine

Authors：

SUN Yi ¹ , FU Wei ² , JIA Cuiping ¹ , LU Zuxun ¹

1.Departmant of Social Medicine; Tongji Medical College; Huazhong University of Science and Technology; Wuhan 430030; China2.The Rural Health Management Division; Monitory of Health of China; Beijing 100044;

Corresponding author：

Keywords：

Injection overuse; Rate of prescription injection use; Average prescription fee; Correspondence analysis

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Objective 　To explore the serious situation of injection abuse, and its influence to average prescription fee.
Methods　The subjects of this study were health service settings in rural area of 9 provinces/cities in Midwest of China. The treatment prescription indicators of county and village health service settings were calculated.
Results 　Prescription injection rates of health care facility in rural area of Midwest provinces/cities of China (25.8% to 62.2%,mean: 45.1%) were higher than the standard of WHO (13.4% to 24.1%), and the injection abuse situation was serious. Injection bause caused the increase of prescription fee. Excess usage of injection in health service settings was related to the economic level of the on-site county or village, and also related to the size and load of health service facilities.
Conclusion 　Suggestions are proposed to the government health agency according to the results of the study: enhancing the lawmaking, establishing the related policy and effective measure, training the medical personnel, promoting the mass health education, investigating the effective injection management model in rural area, and reducing the rate of injection.

Citation： SUN Yi,FU Wei,JIA Cuiping,LU Zuxun. Injection Overuse Situation in Health Service Settings in Rural Area of Midwest Part of China. Chinese Journal of Evidence-Based Medicine, 2005, 05(5): 394-399. doi: Copy

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1. 祖述宪. 注射的滥用、危险与安全[J]. 中国农村卫生事业管理,1997; 17(3): 31～35.
2. 欧爱华,刘天祥,龙淑材. 农村地区村卫生室处方用药及费用分析[J]. 中国初级卫生保健, 2001; 15(1): 15～17.
3. Michelle Kermode. Unsafe injections in low-income country health settings: need for injection safety promotion to prevent the spread of blood-borne viruses[J]. Health Promotion International, 2004; 19( 1): 95-103.
4. Zhu SX.The abuse, danger and safety of injection[J]. Chinese Country Health Care Management,1997; 17(3): 31-35.
5. Liu Yg, Liu G, Wang J, Liu M , Gao J. Basic Health Service Project: Report of Phase One Review[Z]. Beijing: Foreign Loan Office of the Ministry of Health, 2002.
6. World Health Organization. Promoting rational use of medicines: core components. WHO Policy Perspectives on Medicines[Z]. World Health Organization, Geneva, Sep.2002.(WHO/EDM/2002.3).
7. Simonsen L, Kane A, Lloyd J, Zaffran M, Kane M. Unsafe injections in the developing world and transmission of bloodborne pathogens: a review[Z]. Bulletin of the World Health Organization, 1999; 77: 789-800.
8. Author unknown. Reducing Risks, Promoting Healthy Life[Z]. The World Health Report 2002. Available at http://www. who.int/whr/2002/en.
9. Miller MA, Pisani E. The cost of unsafe injections[Z]. Bulletin of the World Health Organization, 1999; 77: 808-811.
10. Ou AH, Liu TX,Long SC. The treatment prescription indicators and cost analysis of village health service[J].Chinese Primary Health Care, 2001; 15(1): 15-17.

Chinese Journal of Evidence-Based Medicine

Injection Overuse Situation in Health Service Settings in Rural Area of Midwest Part of China

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