摘要
目的揭示不同地区和不同类别的基层医疗机构门诊不合理用药现状,为促进基层合理用药提供参考。方法 2013年4月至5月,随机抽取陕西省3个地市27家基层医疗机构的门诊处方2 340张,回顾性分析不同地区和不同类别基层医疗机构门诊处方的平均用药品种数、平均用药金额、注射剂及抗菌药物使用情况。结果 2 340张处方中,有效处方2 319张,平均用药品种数为3.01种,平均用药金额为34.03元,注射剂使用率为28.76%,抗菌药物使用率为43.94%;不同地区及不同类别医疗机构处方平均用药品种数、处方平均用药金额、注射剂使用情况、抗菌药物使用情况均有显著性差异(P<0.01)。结论基层医疗机构合理用药水平较低,抗菌药物和注射剂滥用情况较严重。应制订合理用药法规制度,加强对抗菌药物和注射剂使用的监管;定期培训基层医疗机构医务人员,提升合理用药水平;积极开展居民健康教育,提升公众对合理用药的认知水平。
Objective To analyze the current situation of drug use in primary health care institutions in Shaanxi Province,and to promote the rational drug use in primary health care institutions. Methods 2 340 outpatient prescriptions were sampled from 27 primary health care institutions of Shaanxi Province from April 2013 to May 2013. The average number of drugs per prescription,the average prescription fee,the percentage of injections and antimicrobial agents were used to analyze the rationality of the prescription. Results 2 319 valid prescriptions were analyzed. The average number of drugs per prescription was 3. 01,the average prescription fee was 34. 03 yuan,the percentage of injections and antimicrobial agents were 28. 76% and 43. 94%,respectively. All the evaluating indexes were statistically different among different regions and different types of health care institutions（ P〈0. 01）. Conclusion Irrational use of drugs extensively existed in primary health care institution and the abuse of injections and antimicrobial agents were extremely serious. Strengthen the supervision of injections and antimicrobial agents would be helpful to improve rational drug use. We also suggested establishing laws and strengthening the education of rural residents and implementing regular training among medical staff in primary health care institutions.
出处
《中国药业》
CAS
2016年第14期1-4,共4页
China Pharmaceuticals
基金
国家自然科学基金项目
项目编号:71473192
美国中华医学基金会OC公开竞标项目
项目编号:14-196
西安交通大学"青年拔尖人才支持计划"项目
西安交通大学青年教师跟踪支持项目
项目编号:2015qngz05
中央高校基本科研业务费专项资金资助项目
项目编号:sk2014041
关键词
基层医疗机构
门诊处方
合理用药
primary health care institutions
outpatient prescriptions
rational drug use
