中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
1期
33-35
,共3页
李钟捷%章洪光%高礼成%周小军
李鐘捷%章洪光%高禮成%週小軍
리종첩%장홍광%고례성%주소군
社区卫生服务%处方%质量%调查
社區衛生服務%處方%質量%調查
사구위생복무%처방%질량%조사
Community health services%Prescriptions%Quality%Investigation
目的 了解南昌市社区卫生服务机构的处方质量,为规范其就医行为提供依据.方法 采用系统抽样的方法,对南昌市社区卫生服务机构的处方质量进行调查.结果 共调查社区卫生服务机构的处方2 000份.单处方用药个数平均为2.38个,单处方静脉滴注、抗生素、二联及以上抗生素及激素的使用率分别为42.6%、60.6%、11.3%、3.0%,单处方费用平均为39.70元.社区卫生服务中心除处方费用较社区卫生服务站高外,抗生素、二联及以上抗生素及激素使用率均低于社区卫生服务站,差异均有统计学意义(P<0.05);不同区的社区卫生服务机构的处方质量间差异亦有统计学意义(P<0.05).结论 目前社区卫生服务机构处方质量不高,政府应加强监管、教育与培训、加大财政投入,建立并完善处方质量考核机制、补偿机制、用人机制,确保社区卫生服务健康有序发展.
目的 瞭解南昌市社區衛生服務機構的處方質量,為規範其就醫行為提供依據.方法 採用繫統抽樣的方法,對南昌市社區衛生服務機構的處方質量進行調查.結果 共調查社區衛生服務機構的處方2 000份.單處方用藥箇數平均為2.38箇,單處方靜脈滴註、抗生素、二聯及以上抗生素及激素的使用率分彆為42.6%、60.6%、11.3%、3.0%,單處方費用平均為39.70元.社區衛生服務中心除處方費用較社區衛生服務站高外,抗生素、二聯及以上抗生素及激素使用率均低于社區衛生服務站,差異均有統計學意義(P<0.05);不同區的社區衛生服務機構的處方質量間差異亦有統計學意義(P<0.05).結論 目前社區衛生服務機構處方質量不高,政府應加彊鑑管、教育與培訓、加大財政投入,建立併完善處方質量攷覈機製、補償機製、用人機製,確保社區衛生服務健康有序髮展.
목적 료해남창시사구위생복무궤구적처방질량,위규범기취의행위제공의거.방법 채용계통추양적방법,대남창시사구위생복무궤구적처방질량진행조사.결과 공조사사구위생복무궤구적처방2 000빈.단처방용약개수평균위2.38개,단처방정맥적주、항생소、이련급이상항생소급격소적사용솔분별위42.6%、60.6%、11.3%、3.0%,단처방비용평균위39.70원.사구위생복무중심제처방비용교사구위생복무참고외,항생소、이련급이상항생소급격소사용솔균저우사구위생복무참,차이균유통계학의의(P<0.05);불동구적사구위생복무궤구적처방질량간차이역유통계학의의(P<0.05).결론 목전사구위생복무궤구처방질량불고,정부응가강감관、교육여배훈、가대재정투입,건립병완선처방질량고핵궤제、보상궤제、용인궤제,학보사구위생복무건강유서발전.
Objective To investigate the prescription quality of community health service (CHS) organization in Nanchang city to provide an evidence for standardization of medical practice in CHS.Methods The systematic sampling method was used in investigating the prescription quality in CHS organizations of Nanchang city.Results Totally 2000 prescriptions from CHS organizations were investigated.The average number of drugs in single prescription was 2.38.The utilization rates of intravenous injection,antibiotic,two or more antibiotics and steroids in combination were 42.6%,60.6%,11.3%,and 3.0% respectively.The average expense in single prescription was RMB 39.70,The utilization rates of intravenous injection,antibiotic,two or more antibiotics and steroids in combination in CHS centers were higher than those in CHS stations (P<0.05),with an exception of the single prescription expense.The prescription quality was different among the CHS organizations(P<0.05).Conclusion The prescription quality in Community health services is not very high.The Government should strengthen the supervision,education and training,increase financial input;establish and improve mechanisms for assessing the quality of prescription,compensation mechanism,employing mechanisms to ensure a healthy and orderly development of community health services.
