CAJ | 학술논문

目的：…依托该院医师合理用药驾照式管理模式，结合临床药师技术支持及干预用药，探讨其驾照式管理对该院用药情况的影响。方法…分别选取该院用药费用排名前10位药品驾照式管理干预前即2013年1月～8月和干预后即2014年1月～8月其药占比、不合理用药率的构成并进行比较、分析。结果…该院药占比、门急诊处方用药不合理率和住院医嘱用药不合理率在实施驾照式管理后较之前有较明显的下降，且用药金额排名前10位药品构成得到明显改善，转变为以治疗用药为主。结论…驾照式管理与临床药师的技术支持相结合，实现了临床医师用药精细化管理，较大程度地提高了合理用药水平。
목적：…의탁해원의사합리용약가조식관리모식，결합림상약사기술지지급간예용약，탐토기가조식관리대해원용약정황적영향。방법…분별선취해원용약비용배명전10위약품가조식관리간예전즉2013년1월～8월화간예후즉2014년1월～8월기약점비、불합리용약솔적구성병진행비교、분석。결과…해원약점비、문급진처방용약불합리솔화주원의촉용약불합리솔재실시가조식관리후교지전유교명현적하강，차용약금액배명전10위약품구성득도명현개선，전변위이치료용약위주。결론…가조식관리여림상약사적기술지지상결합，실현료림상의사용약정세화관리，교대정도지제고료합리용약수평。
Purpose Relying on the driver’s license type management mode of rational drug use of physicians in the hospital, combined with the technical support and intervention medicine of clinical pharmacists, the impact of the driver’s license type management on the drug use in the hospital is discussed about.Methods The Top 10 drugs with the largest consumption sum in the hospital are selected. The medicine proportion and irrational drug use rate before (from January to August 2013) and after (from January to August 2014) the driver’s license type management intervention is compared and analyzed.Results The hospital’s medicine proportion and the rate of irrational prescription drugs for outpatient and emergency obviously drops after the implementation of the driver’s license type management. The composition of the Top 10 drugs with the largest consumption sum is markedly improved. The drugs for treatment are mainly changed.Conclusion The driver's license management and the technical support of clinical pharmacists are combined to achieve the ifne management of drug use of the doctors and greatly improve the level of rational drug use.