摘要
目的减少社区不合理处方,促进基层医疗机构合理用药。方法采用回顾性研究方法,集中点评北京市4个社区2018年11月-2018年12月的7 700张社区处方,并对处方不合理情况进行汇总分析。结果 7 700张社区处方中,临床诊断以高血压、2型糖尿病和冠心病为主,分别为1 580张(占20.52%)、1 309张(占17.00%)和1 142张(占14.83%);不合理处方共770张(占10.00%),其中不规范处方28张(占0.36%)、用药不适宜处方671张(占8.71%)、超常处方71张(占0.92%)。结论社区不合理处方较为常见,应采取有效防范措施,提高基本医疗机构合理用药的水平。
Objective To reduce unreasonable prescriptions in community and promote rational use of drugs in primary medical institutions. Methods A retrospective study was conducted to evaluate 7 700 community prescriptions from November 2018 to December 2018 in four communities in Beijing, and to summarize and analyze the unreasonable prescriptions. Results Among 7 700 community prescriptions, 1 580(20.52%), 1 309(17.00%) and 1 142(14.83%) were clinically diagnosed as hypertension, type 2 diabetes and coronary heart disease respectively;770(10.00%) were unreasonable prescriptions. Among them, 28 prescriptions were irregular(0.36%), 671 prescriptions were unsuitable(8.71%), 71 prescriptions were abnormal(0.92%). Conclusion The prescription reviews should do well in community,analyze no therapy management prescription,which should provide probable clause for guiding clinical application.
作者
游涛
周桂丹
YOU Tao;ZHOU Guidan(Department of Pharmacy,Shougang Hospital,Beijing University,Beijing 100144,China)
出处
《中国卫生标准管理》
2020年第9期7-10,共4页
China Health Standard Management
关键词
社区处方
处方点评
临床诊断
合理性
规范
合理用药
community prescription
prescription review
clinical diagnosis
rationality
standardization
medication therapy management
