XU HƯỚNG TIÊU THỤ THUỐC VÀ MỘT SỐ YẾU TỐ LIÊN QUAN TẠI BỆNH VIỆN HUYỆN AN BIÊN, TỈNH KIÊN GIANG NĂM 2018-2020

Abstract

The research aims to: (1) describe the current situation of drug consumption at An B district hospital in the period of 2018-2020 and (2) analyze the relationship between the disease pattern and drug consumption of district hospital. Methods: analysis of available data from health insurance reporting forms (according to the form of MOH), reports of the Drugs and Treatment Council in 2018, 2019 and 2020. Total analyzed 127363 cases in 2018, 116139 cases in 2019 and 107747 cases in 2020 in all clinical departments in the hospital (under An B district health center). The results show that the drug consumption trend here is quite complicated, but irrational trends prevail: decrease in consumption of essential drugs, increase in consumption of non-essential drugs: Imported western medicine in number volume increased from 68 items to 95 items; The amount of drugs increased gradually but not significantly (19%, 30% and 21.8%), with the number of new drugs in the country increasing from 248 to 344 items, but the increase was not significant (64.8. % to 69.5%) Traditional medicine and herbal medicine also increased the number of entries (73 to 103) but the amount tended to decrease slightly (5.7% to 4.8%). The drug group with the highest consumption (A) in terms of items only accounted for 13.1% to 17.6%, but the matrix of the amount of drugs in the AV group (most needed and used drugs) increased from 39.4 % up 53%; essential drugs of group AE tend to decrease gradually from 53.9% to 33.6%; AN group (not essential but consuming a lot) also tended to increase from 9.2% to 21.7%. The group of diseases with the highest expenditure and the highest expenditure rate are metabolic endocrine diseases. The malformation diseases had the lowest rate of drug expenditure. Conclusion: The evolution of drugs and drug consumption is quite complicated, the trend of increasing use of AV drugs but decreasing in AE group. Drug consumption is quite stable by disease group.