Meta-analysis of the Effects of National Essential Medicine System on the Utilization Rate of Hormone Drugs in Primary Medical Institutions
10.6039/j.issn.1001-0408.2018.02.26
- VernacularTitle:实施国家基本药物制度对我国基层医疗卫生机构激素类药物使用率影响的Meta分析
- Author:
Yan TIAN
1
;
Yifen JIANG
;
Jianpei HU
;
Chuan PU
;
Li ZHANG
Author Information
1. 重庆医科大学公共卫生与管理学院
- Keywords:
National Essential Medicine System;
Primary medical institution;
Hormone drug;
Utilization rate;
Meta-analysis
- From:
China Pharmacy
2018;29(2):254-258
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To evaluate the effects of the implementation of National Essential Medicine System on the utilization rate of hormone drugs in primary medical institutions in China systematically.METHODS:Retrieved from CJFD,Wanfang database and VIP,the literatures about the use of hormone drugs were collected before and after the implementation of National Essential Medicine System.Meta-analysis was performed by using Stata 13.0 software after utilization rate dam extraction and quality evaluation with Cochrane system evaluator manual 5.1.0.RESULTS:A total of 20 literatures were included.Results of Meta-analysis showed that utilization rate of hormone drugs after the implementation of National Essential Medicine System was significantly lower than before implementation,with statistical significance [RD =-0.03,95 ％ CI (-0.05,-0.02),P＜ 0.001].Results of subgroup Meta-analysis of utilization rate of hormone drugs in different areas before and after the implementation of National Essential Medicine System showed that the utilization rate of hormone drugs in eastern areas was significantly lower after the implementation of National Essential Medicine System than before [RD=-0.06,95％ CI(0.09,-0.03),P=0.001] with statistical significance.There was no statistical significance in the utilization rate of hormone drugs in middle area [RD=-0.02,95 ％ CI(0.06,0.02),P=0.235] or western area [RD=-0.01,95％ CI (-0.02,0),P=0.122] before and after the implementation of National Essential Medicine System.CONCLUSIONS:The implementation of National Essential Medicine System reduces the utilization of hormone drugs in primary medical institutions.The effect of the eastern area is more obvious than in middle and western area.
