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Iranian Journal of Public Health، جلد ۴۷، شماره ۱، صفحات ۲۴-۳۲
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عنوان انگلیسی The Impact of the National Essential Medicines Policy on Rational Drug Use in Primary Care Institutions in Jiangsu Province of China
چکیده انگلیسی مقاله Abstract Background: Essential medicine policy is a successful global health policy to promote rational drug use. The aim of this study was to evaluate the impact of the National Essential Medicines Policy (NEMP) on the rational drug use in primary care institutions in Jiangsu Province of China. Methods: In this exploratory study, a multistage, stratified, random sampling was used to select 3400 prescriptions from 17 primary care institutions who implemented the NEMP before (Jan 2010) and after the implementation of the NEMP (Jan 2014). The analyses were performed in SPSS 18.0 and SPSS Clementine client. Results: After the implementation of the NEMP, the percentage of prescribed EML (Essential Medicines List) drugs rose significantly, the average number of drugs per prescription and average cost per prescription were declined significantly, while the differences of the prescription proportion of antibiotics and injection were not statistically significant. BP (Back Propagation) neural network analysis showed that the average number of drugs per prescription, the number of using antibiotics and hormone, regional differences, size of institutions, sponsorship, financial income of institutions, doctor degree, outpatient and emergency visits person times were important factors affecting the prescription costs, among these the average number of drugs per prescription has the greatest effect. Conclusion: The NEMP can promote the rational use of drugs in some degree, but its role is limited. We should not focus only on the EML but also make comprehensive NEMP.
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نویسندگان مقاله jianqian chao | jianqian chao
key laboratory of environmental medicine engineering of ministry of education, school of public health, southeast university, nanjing, jiangsu, china


jiangyi gu | jiangyi gu
key laboratory of environmental medicine engineering of ministry of education, school of public health, southeast university, nanjing, jiangsu, china


hua زانگ | hua zhang
key laboratory of environmental medicine engineering of ministry of education, school of public health, southeast university, nanjing, jiangsu, china


huanghui chen | huanghui chen
key laboratory of environmental medicine engineering of ministry of education, school of public health, southeast university, nanjing, jiangsu, china


zhenchun wu | zhenchun wu


نشانی اینترنتی http://ijph.tums.ac.ir/index.php/ijph/article/view/12042
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/86/article-86-568422.pdf
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Original Article(s)
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