CAJ | 학술논문

目的：利用区域性数据,探讨处方点评对临床合理用药的作用。方法分析北京市医院管理局对下属医疗机构2次处方点评数据,对比处方合理率、不合理处方组成以及反馈后效果的差异。结果21家医院参与处方点评,经处方点评和结果反馈后,总体处方合格率由89.4%上升至97.1%。2次处方点评中,不合理处方比例最高、继而改善最明显的均为适应证不合理项,占不合理处方的比例由90.7%下降至44.2%。第1次处方点评结果反馈报告中,不合理发生率排在前10名的药物中,9个药物均未出现在第2次处方点评中。结论区域行政性的处方点评能够更有效地提高临床合理用药效果,对临床合理用药起到积极地推动作用。
목적：이용구역성수거,탐토처방점평대림상합리용약적작용。방법분석북경시의원관리국대하속의료궤구2차처방점평수거,대비처방합리솔、불합리처방조성이급반궤후효과적차이。결과21가의원삼여처방점평,경처방점평화결과반궤후,총체처방합격솔유89.4%상승지97.1%。2차처방점평중,불합리처방비례최고、계이개선최명현적균위괄응증불합리항,점불합리처방적비례유90.7%하강지44.2%。제1차처방점평결과반궤보고중,불합리발생솔배재전10명적약물중,9개약물균미출현재제2차처방점평중。결론구역행정성적처방점평능구경유효지제고림상합리용약효과,대림상합리용약기도적겁지추동작용。
Objective To evaluate the effect of prescription review on rational clinical use by means of regional data.Methods Analysis of two prescriptions review data of Beijing municipal hospitals,to compare the rational rate of prescriptions,makeup of irrational prescriptions,and effect variations following feedback.Results Of the 21 hospitals involved,the total rational rate of prescriptions rose from 89.4% to 97.1% following prescription review and feedback of results.In the second review,those found of the highest irrational and the most significant improvements were both irrational indications, with the irrational rate dropping from 90.7% to 44.2%. As reported in feedback for the first prescription review,9 out of 10 druguses found as irrational,have disappeared from the second review. Conclusion The regional administrative prescription reviews can improve the rational clinical drug use, encouraging rational drug use.