Journal of Shandong University (Health Sciences) ›› 2017, Vol. 55 ›› Issue (12): 88-94.doi: 10.6040/j.issn.1671-7554.0.2017.870

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Changes in prescriptions for upper respiratory tract infections in Z county of Shandong Province:a panel data analysis of 8 village clinics

YANG Ding1,YANG Peng2, LI Yubo2, SUN Qiang1   

  1. 1. School of Health Care Management, Shandong University;
    Key Laboratory of Health Economics and Policy Research NHFPC(Shandong University), Jinan 250012, Shandong, China;
    2. Zhucheng Center for Disease Control and Prevention, Zhucheng 262200, Shandong, China
  • Online:2017-12-20 Published:2022-09-27

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Abstract: Objective To analyze prescription patterns of patients with upper respiratory tract infections(URTIs)at village clinics in Shandong Province and to provide references to promote rational use of drugs in rural areas. Methods Probability-proportional-to-size sampling method was used to select prescriptions with URTIs(n=4 359)from 8 village clinics in Z county in Shandong Province between March 2015 and February 2017. Prescription patterns and trends were analyzed using linear regression model. Results Among the 4 359 prescriptions with URTIs, the proportion of antibiotic prescriptions decreased(β=-0.009, P<0.001). And the rate of third-generation cephalosporins revealed gradual increase(β=0.001, P=0.038). The proportion of Chinese Patent Medicine prescriptions was increased(β=0.003, P=0.028). The proportion of antibiotic prescriptions decreased in four age groups: under 15 years, 16 to 44 years, 45 to 59 years and above 60 years. Meanwhile, the proportion of prescribing non-steroidal anti-inflammatory drugs 山 东 大 学 学 报 (医 学 版)55卷12期 -杨丁,等.基于面板数据的村卫生室上呼吸道感染处方用药变化规律——以山东省Z县8个村卫生室为例 \=-and corticosteroids to patients under 15 years old and above 60 years old decreased. Conclusion Antibiotic prescriptions for URTIs decreased notably, while Chinese Patent Medicine prescriptions increased. However, the rate of antibiotics use was still high, especially of broad spectrum antibiotics.

Key words: Antibiotics, Upper respiratory tract infections, Trend, Shandong Province, Village clinics

CLC Number: 

  • R951
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