四川省各级医疗机构的门诊用药指标实证研究
投稿时间:2017-09-07  修订日期:2017-10-17  点此下载全文
引用本文:朱星月,田燕,周乃彤,胡明.四川省各级医疗机构的门诊用药指标实证研究[J].药学实践杂志,2018,36(1):40~45
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作者单位E-mail
朱星月 四川大学华西药学院, 四川 成都 610041  
田燕 四川大学华西药学院, 四川 成都 610041  
周乃彤 四川大学华西药学院, 四川 成都 610041  
胡明 四川大学华西药学院, 四川 成都 610041 huming@scu.edu.cn 
基金项目:国家自然科学基金(71473170)
中文摘要:目的 采用世界卫生组织/合理用药国际网络(WHO/INRUD)的用药监测指标(SDUIs),通过实证调研评价分析四川省各级医疗机构门诊用药的现状。方法 于四川省共抽取6个样本市,各样本市抽取1~3家三级医院、1~3家二级医院、5家社区卫生服务中心、5家乡镇卫生院的医疗处方。收集样本医疗机构2012年1月-2015年4月,每年1、4、7、10月的每月30张门诊处方。结果 平均每张处方用药的品种数为3.02种,处方药物使用通用名的百分比为90.33%,处方药物含抗菌药的百分比为40.09%,处方药物含注射剂的百分比为14.46%,基本药物占处方用药的百分比为83.27%,基本药物使用百分比为93.05%,平均每张处方金额为66.04元。结论 总体来看,四川省各级医疗机构用药指标在2012-2015年间没有显著变化,部分指标的合理性较好,但仍存在不合理现象。
中文关键词:选择性用药指标  处方指标  医疗机构
 
An empirical study on the rational drug use in outpatients from different levels of health facilities in Sichuan Province
Abstract:Objective To evaluate the current situation of rational drug use in medical facilities at all levels in Sichuan province by means of empirical research via WHO/INRUD selected drug use indicators SDUIs. Methods Six sample cities in Sichuan Province was extracted, in which 1 to 3 tertiary hospitals, 1 to 3 secondary hospitals, 5 community health service centers and 5 township hospitals were selected. Prescription indicators were indicated by collecting outpatient prescriptions from sample medical facilities which contained 30 prescriptions per month of every January, April, July and October from January 2012 to April 2015. Results The average number of drugs was 3.02 per prescription. The percentage of drug generic name used in prescription drugs was 90.33%. The percentage of antimicrobial use was 40.09%. The percentage of injections used was 14.46%. The percentage of essential drugs used among prescription drugs was 83.27%. The percentage of essential drugs used was 93.05%. Average fee amount all prescriptions was 66.04 yuan. Conclusion Some of the indicators was of good rationality, but there were still some unreasonable phenomena.
keywords:selected drug use indicators  prescription indicators  health facilities
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