Investigation and Analysis of the Effects of Essential Medicine System on Rational Drug Use in Primary Health Care Institutions of Anhui Province

OBJECTIVE:To analyze the rational use of drugs and reflect the status quo of rational drug use in primary medical institution before and after the implementation of national essential medicine system,and to provide suggestions for the improvement of policy.METHODS:100 prescriptions were randomly selected from 5 primary health care institutions of Anhui province in Jun. 2009,Jun. 2010 and Jun. 2011 to study the rational use of essential medicines in terms of the average number of prescription drugs,the proportion of prescription with antibiotics,the number of antibiotic categories,the proportion of prescriptions with injection,the proportion of prescription with hormone,the proportion of prescription with brand name.RESULTS:After the implementation of national essential medicine system,the average number of prescription drugs in 5 primary health care institutions declined,the proportion of prescription with antibiotics,the number of antibiotic categories,the proportion of injection in antibiotic prescription and the proprotion of prescription with injection were all declined.CONCLUSIONS:After the implementation of national essential medicine system,rational use of drugs have been improved to some extent,and there still are some problems as the use of brand name still exists,which should be further standarzied. The proportion of hormone do not change,and the proportion of three generation cephalosporins antibiotics and drug combination have been improved which need to strengthen management.