{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T04:00:43Z","timestamp":1765080043770,"version":"3.46.0"},"reference-count":41,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["71774034 and 71373182"],"award-info":[{"award-number":["71774034 and 71373182"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,7,31]]},"published-print":{"date-parts":[[2024,11]]},"abstract":"\n Objective<\/jats:title>\n To analyse the rational prescription of medicines by village clinics following China\u2019s implementation of the New Healthcare System Reform (NHCSR).<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Retrospective study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Village clinics in a province in eastern China.<\/jats:p>\n <\/jats:sec>\n \n Primary and secondary outcome measures<\/jats:title>\n \n Our evaluation was based on the core drug use indicators reported in the study \u2018\n How to Investigate Drug Use in Health Facilities: Selected Drug Use Indicators<\/jats:italic>\n \u2019.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The level of rational use of medicines (RUMs) in village clinics improved in 2018 compared with 2009; the average number of drugs per prescription decreased from 3.66 to 2.77, the percentage of prescriptions including antibiotics decreased from 65.40% to 46.00%, and the percentage of prescriptions including injections decreased from 55.75% to 37.48% (all p<0.01), whereas the percentage of drugs prescribed from the list of essential medicines increased from 66.50% to 80.34%, and the percentage of drugs prescribed by generic names increased from 61.29% to 70.65% (all p<0.01).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The level of RUMs improved after the implementation of the NHCSR, however, it was found that there was still a gap between the level of RUMs in 2018 and the international reference value. Financial investments, electronic prescription systems, improved supervision and regular training are essential actions that must be implemented.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-081908","type":"journal-article","created":{"date-parts":[[2024,11,2]],"date-time":"2024-11-02T23:06:06Z","timestamp":1730588766000},"page":"e081908","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Analysis of rational prescription of medicines by village clinics: a repeated cross-sectional study of a province in eastern China"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3198-715X","authenticated-orcid":false,"given":"Chunyan","family":"Song","sequence":"first","affiliation":[{"name":"School of Public Health, Shandong Second Medical University, Weifang, Shandong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9378-6676","authenticated-orcid":false,"given":"Zhongming","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Management, Shandong Second Medical University, Weifang, Shandong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenqiang","family":"Yin","sequence":"additional","affiliation":[{"name":"School of Management, Shandong Second Medical University, Weifang, Shandong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhiqiang","family":"Feng","sequence":"additional","affiliation":[{"name":"China National Health Development Research Center, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoning","family":"Hao","sequence":"additional","affiliation":[{"name":"China National Health Development Research Center, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,11,2]]},"reference":[{"key":"2025120618305369000_14.11.e081908.1","doi-asserted-by":"crossref","unstructured":"Aaserud M , Austvoll-Dahlgren A , Sturm H , et al . 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