Analysis on prescriptions of two levels health institution on new-type rural cooperative medical system

  Objective   To analysis the existing problems and current situation of the prescription of ou-tpatients in township hospitals and village clinice affter carry ing out CMS, then offer advices for the rational medication in order to further standard behavior of doctors at tow nship and village level to ensure smooth development of new-type rural cooperative medical system.

  Methods   Descriptive statistics analysis and biolo gical staistics analysis were used.

  Results   In the township hospitals and village clinics, the percent of the prescription that including 3~6 drugs was 79.8% and 76.9%, the percent of the prescriptions including antibiotics and hormone in the vilage clinics was higher than the to wnship hospitals(the percent of the prescriptions including antibiotics and hormone in the village clinics was 81% and 32.5% respectively, and the percent in the to wnship hospitals was 77.3% and 20.2% respectively).The percent of the prescriptions that including 3~6 drugs in those patients who participant in CMS was higher than those patients who never participate, the medicine fees and total treatment fees in CMS was higher than that of non-CMS.

  Conclusion   There are unreasonable and unsafe phenomenon in prescription at two level health institution to some extent.The possible reasons were analyzed and some mesures were adopted for standardization of the service behavior; the channel of purchasing medicines; the mechanism of rural doctors reward; medicine applicat ion status.