中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2012年
9期
687-690
,共4页
陈坚%方维军%陆青%柴新华%华雪蔚
陳堅%方維軍%陸青%柴新華%華雪蔚
진견%방유군%륙청%시신화%화설위
松江区%处方评价%合理用药%调查
鬆江區%處方評價%閤理用藥%調查
송강구%처방평개%합리용약%조사
Songjiang district%Prescription evaluation%Rational drug use%Investigation
目的 了解上海市松江地区21家公立医疗机构门诊用药现状,促进临床合理用药.方法 采用多中心、随机、平行研究方法,选择松江地区21家二级医院和社区卫生服务中心2008年1月～2010年12月的门诊处方75 600张,按照处方评价指标进行统计分析.结果 21家医院平均每张处方用药品种数为2.35,抗菌药物使用率为35.77％,注射剂使用率为17.40％,零差率基本药物品种数占处方用药总品种数的41.91％,平均每张处方金额为85.99元.社区卫生服务中心的注射剂使用率、抗菌药物使用率、平均每张处方金额及零差率基本药物占比,明显好于二级医院,且逐年好转,差异有统计学意义.结论 松江区21家公立医院的临床用药水平总体合理,尤其是社区卫生服务中心的临床合理用药水平3年来有较明显改善.
目的 瞭解上海市鬆江地區21傢公立醫療機構門診用藥現狀,促進臨床閤理用藥.方法 採用多中心、隨機、平行研究方法,選擇鬆江地區21傢二級醫院和社區衛生服務中心2008年1月～2010年12月的門診處方75 600張,按照處方評價指標進行統計分析.結果 21傢醫院平均每張處方用藥品種數為2.35,抗菌藥物使用率為35.77％,註射劑使用率為17.40％,零差率基本藥物品種數佔處方用藥總品種數的41.91％,平均每張處方金額為85.99元.社區衛生服務中心的註射劑使用率、抗菌藥物使用率、平均每張處方金額及零差率基本藥物佔比,明顯好于二級醫院,且逐年好轉,差異有統計學意義.結論 鬆江區21傢公立醫院的臨床用藥水平總體閤理,尤其是社區衛生服務中心的臨床閤理用藥水平3年來有較明顯改善.
목적 료해상해시송강지구21가공립의료궤구문진용약현상,촉진림상합리용약.방법 채용다중심、수궤、평행연구방법,선택송강지구21가이급의원화사구위생복무중심2008년1월～2010년12월적문진처방75 600장,안조처방평개지표진행통계분석.결과 21가의원평균매장처방용약품충수위2.35,항균약물사용솔위35.77％,주사제사용솔위17.40％,령차솔기본약물품충수점처방용약총품충수적41.91％,평균매장처방금액위85.99원.사구위생복무중심적주사제사용솔、항균약물사용솔、평균매장처방금액급령차솔기본약물점비,명현호우이급의원,차축년호전,차이유통계학의의.결론 송강구21가공립의원적림상용약수평총체합리,우기시사구위생복무중심적림상합리용약수평3년래유교명현개선.
Objective To learn and evaluate the present prescriptions from outpatient departments of 21 public hospitals in Songjiang district,and to promote rational drug use.Methods A total of 75,600 outpatient prescriptions from 21 public hospitals in Songjing district were collected monthly from January 2008 to October 2010 and analyzed statistically using indexes for prescription evaluation.Results of the 75,600 prescriptions,the types of drugs in each prescription averaged 2.35,the ratio of antibiotics use and injection agents use were 35.77％ and 17.40％,respectively.The percentage of essential drugs without added profit accounted for 41.91％ of the total drug use,and the average drug cost per prescription was RMB 85.99.Comparison of indexes for prescription evaluation showed that the ratio of antibiotics use and injection agents use as well as the average cost per prescription in secondary hospitals were significantly higher that those in community health centers (P＜0.01),while the percentage of essential drugs without added profit and the average number of drugs in each prescription were statistically smaller than those in community health centers (P＜0.01).Conclusion Drug use in outpatient departments of 21 public hospitals was rational in general,especially noteworthy is the significant improvement made at community health centers in recent three years.
