Analysis of Drug Docking Situation of Chronic Diseases in Medical Alliance

Abstract：Objective To describe the drug docking situation between community hospital and the core hospital at the early stage of construction of medical alliance,to discuss the differences between community hospital drug types and chronic disease management demand,and to explore the key point to further improve the medical alliance drug docking.Methods 21 first-level community hospitals in the Middle East Medical Alliance of Haidian District of Beijing,in which Peking University Third Hospital was the core hospital,were selected as the research objects.The docking compliance rates on drug supplies in 4 diseases of hypertension,diabetes,coronary heart disease and cerebrovascular disease were analyzed within sub-community hospitals and college-hospitals.Results In the hospitals of medical alliance,docking compliance rate of on drug supplies in the four major chronic diseases were low (compliance on or over 60％ drugs).There were significant differences in the rate of compliance among the four major chronic diseases as comparing the data between of sub-community hospitals and of college-hospitals.Among them,the compliance rate in hypertension in sub-community hospitals was 85.7％,while in college-hospitals was only 21.4％.The difference was statistically significant (P=0.016).Conclusion It's essential to strengthen the management of community hospital on chronic disease and enhance the drug docking rate.Coronary heart disease,cerebrovascular disease and university hospital should be the focus of attention.