目的 調研和評價天津市基層醫(yī)療衛(wèi)生機構基本藥物使用情況。方法 采用分層抽樣的方法，根據(jù)地理區(qū)域和經(jīng)濟發(fā)展水平等因素，選取天津市14家基層醫(yī)療衛(wèi)生機構，共調研得到14家醫(yī)療機構的總體經(jīng)營數(shù)據(jù)、580種基層使用藥品的銷售數(shù)據(jù)和5 304張藥品處方數(shù)據(jù)，進行了數(shù)據(jù)統(tǒng)計分析。結果 14家調查單位不同程度地配備和使用了基本藥物，但也存在目錄外藥品配備和使用比例較高等問題。結論 要合理規(guī)劃，保證財政補貼及時到位，動態(tài)調整《國家基本藥物目錄》，加強用藥監(jiān)督和指導，促進基本藥物制度持續(xù)良性地實施。

Objective To investigate and evaluate the essential drug usage in community-level medical and health institutions in Tianjin. Methods Fourteen community-level medical and health institutions were selected using the stratified sampling method. The business data of 14 community-level medical and health institutions, the sales data of 580 drugs, and the information of 5 304 drug prescriptions were collected for statistical analysis. Results Essential drugs were allocated and used in every community-level medical and health institution. But the problems such as high percentage of supplying and using medicines out of the essential drug list still exited. Conclusion For the sustainable development of national essential medicine system, related departments should provide the reasonable plan, ensure the fiscal subsidies in place in time, adjust the essential drug list dynamically, and strengthen the supervision and coaching.