Investigation and analysis on the implementation of National Essential Drug system in primary medical institutions

OBJECTIVE To investigate the implementation of 2009 version National Essential Drug system;to provide a reference for the implementation of the 2012 edition of the National Essential Drugs list.METHODS The prescriptions,outpatients' and hospitalized-patients' costs,varieties of drugs,etc before and after the implementation of National Essential Drug system were investigated in primary medical institutions.RESULTS Doctors and nurses in primary medical institutions could grasp the National Essential Drugs system,83.8%of the patients through various channels were able to understand the essential drug system;drug prices decreased by about 35%after the implementation of the essential drug system in primary medical institutions.The drug costs of clinic times decreased 40.2%,single prescription decreased by 20.8%,intravenous rate decreased by 30%,the usage of antimicrobial dropped 45%,hormone usage dropped 41.7%,while there was a shortage of essential drugs varieties,some drugs could not be procured,the lack of full GPs and other issues.CONCLUSION Implementation of national essential drug system reduced the medication burden on residents,and it should further strengthen the public education of National Essential Drug system.The 2009 version of the National Essential Drug list had some limitations,the 2012 version of the National Essential Drug list increased the number of drugs that can relieve the massive medication requirements.