The analyses on utilization and accessibility of drug for Zhuanqiao Community itinerant medical outpatient clinics in Minhang District of Shanghai
Objective Retrospectively analyze prescription data of patients in Zhuanqiao Community itinerant medical outpatient clinics in Minhang District of Shanghai from 2019 to 2022,to evaluate the utilization of drugs and accessibility of commonly used drugs in itinerant medical outpatient clinics over the years,in order to further meet the medication needs of the community's diseased population,enhance the service capabilities of family doctor teams.Methods Extract and analyze data on the types of medical insurance,disease distribution,drug costs,types of medication,and frequency of medication for itinerant medical outpatient clinics patients from 2019 to 2022 through the Zhuanqiao Community medical and health information system in Minhang District.Results From 2019 to 2021,the number of itinerant medical prescriptions accountd for more than 30%of the total prescriptions in Zhuanqiao Community of Minhang District.In 2022,due to the COVID-19,compared to 2021,the proportion has decreased by 40.84%.From 2019 to 2022,the outpatient prescription average drug cost ranged from 155.36 to 178.54 yuan;Chronic diseases such as hypertension,coronary heart disease,diabetes,and sleep disorders accounted for more than 49%of the total number of patient visits.Compared between 2019 to 2022,there were significant differences in the proportion of prescription person times of medical insurance types(including ordinary medical insurance,other residents,medical assistance for the poor,the uninsured elderly,and other types)(χ2=1 881.168,P=0.000),and the proportion of prescription person times of disease types(hypertension,coronary heart disease,diabetes,sleep disorders,and other diseases)(χ2=3 255.282,P=0.000).The proportion of disease composition among patients in Zhuanqiao Community's itinerant medical outpatient clinics was constantly changing;the top 10 drug varieties in terms of single product amount ranking and DDDs ranking were constantly changing.In 2019,among the top 10 single variety DDDs ranked drugs,the DDC value ranged from 0.33 to 2.93 yuan,while in 2020 it was 0.26 to 2.93 yuan.In 2021 and 2022,the DDC value were both less than 6.0 yuan.Conclusion The medication needs and community drug supply of itinerant medical outpatient clinics are constantly adjusting and changing,but itinerant medical has become an important way for community patients to seek medical treatment.The new service model is beneficial for residents and family doctors to maintain long-term contracted service relationships,and is conducive to chronic disease health management,demonstrating a positive role in practice.The DDC value of drugs in Zhuanqiao Community's itinerant medical outpatient clinics has remained at a relatively low level for the past four years,and the accessibility of drugs to the people has been improved.
Itinerant medical outpatient clinicsUtilization of drugDDD valueDDC valueAccessibility of drug
万方数据
维普
