In the context of grading diagnosis and treatment, the list of basic drug products is gradually aligning with the top three, and many drugs can return to the grassroots. However, with the expansion of the use of primary medicines, the supervision of prescription behavior has not kept up, which will make many of the strict supervision systems for the top three face a large gap, and ultimately fail to achieve the effect of the policy. Taking the limit resistance order as an example, the infusion of inpatients in large hospitals is gradually decreasing and gradually canceling the transition to the future, but the management of antibiotic use in the primary health care system is still very weak.
A major core challenge in medication safety is the use of antibiotics. There have been media reports, "The State Food and Drug Administration survey shows that the proportion of unreasonable use of antibiotics in China exceeds 46%, and antibiotics account for 10 of the top 15 drugs in terms of usage and sales." The use of antibiotics in rural areas is even more serious. It has been reported that “78.5% of rural residents take antibiotics when they have a cold, and in a similar study in Germany, only 10.5% of rural residents take antibiotics.â€
The short-term manifestation of antibiotic abuse is to increase unnecessary medical expenses and increase the burden of medical insurance and personal care. However, the long-term effects of antibiotic abuse will be greater. Once drug resistance occurs, it means that the difficulty of treatment increases, the course of disease may become longer, and the cost of treating chronic diseases will multiply. Moreover, the long-term impact is not as direct as the digital display, but it adds to the burden of payment to a greater extent.
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