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目的通过研究2004版《医保目录》调整对医院抗菌药物使用倾向的影响,为《医保目录》的修订提供建议。方法分析2004版《医保目录》调整前后的广州市部分医疗机构抗菌药物的使用情况,本文分析采用频度分析方法、对应分析统计方法。结果《医保目录》调整后总的趋势是医院更倾向于选择医保用药,特别是医保乙类药物。结论医院选择抗菌药物的倾向受《医保目录》的影响,《医保目录》对医疗行为的引导性作用应引起重视。
Objective To study the impact of the revision of the 2004 Medicare Catalog on the use of antimicrobial agents in hospitals and to provide suggestions for the revision of the Medicare Catalog. Methods The use of antibacterials in some medical institutions in Guangzhou City before and after the 2004 Medicare Catalog was analyzed. The frequency analysis method and corresponding statistical method were used in this study. As a result, the overall trend after the “Medicare catalog” adjustment is that hospitals are more likely to choose Medicare, especially Medicare B drugs. Conclusion The tendency of hospitals to choose antibacterials is affected by the “Medicare directory”, and the guiding role of “Medicare catalogs” on medical behaviors should be taken seriously.