Effects of national essential medicine systemon primary medical institutions in Xi'an
Objective To analyze the related data,clinical indicators and changes of basic medical institutions during 2010-2013,to summarize the effects and problems of the National Essential Medicine System,and to provide reference for further implementation of the policy.Methods The relevant statistical forms and prescription data of grassroots medical institutions in Xi'an in the past 3 years were retrospectively reviewed with SPSS17.0 software.The variety of drugs,drug income,percentage of drugs,sum of prescriptions,drug costs in outpatient,emergency and hospitalized treatment,prescription of infusion,hormone and antimicrobial drugs were analyzed.Results The number of outpatients,medical income and drug income grew by 25.56%,17.16%,and 30.51%,respectively.The number of inpatients decreased by 12%.The average outpatient expenditure decreased by 2.89%,hospitalization costs increased by 15.05%,outpatient drug costs increased by 6.99%,hospitalization drug costs increased by 29.78%.The average prescription drugs in 2013 was 2.79.The prescription of antibiotics,hormones and infusions was 28.80%,1.19%and 21.18%,respectively,which was rational.Conclusion The National Essential Medicine System has positive effects.The use of drugs is more reasonable.The ratios of antibiotics,hormones and infusions have been improved.More efforts are needed to further implement the system.