摘要
目的分析2020年至2022年某三级甲等医院西药门诊药房基本药物的使用现状。方法通过医院信息系统和处方点评系统调取2020年至2022年西药门诊药房基本药物使用数据,并进行统计与分析。结果3年间,医院西药门诊药房在用基本药物品种数分别为354种、365种、362种,基本药物品种占比逐年上升(39.64%,41.15%,41.37%),基本药物配备率分别为51.68%,53.28%,52.85%;其中化学药品和生物制品类基本药物的配备率分别为70.74%,72.66%,71.94%,远高于中成药类的22.01%,23.13%,23.13%。3年间,基本药物使用金额占比呈下降趋势(分别为39.06%,36.74%,34.96%)。3年间,基本药物使用率保持稳定(均约为67%);处方量排名第一的化学药品和生物制品类基本药物均为阿司匹林肠溶片,中成药均为百令胶囊。随机抽取的门诊处方中未发现无正当理由不首选国家基本药物的处方。结论该院西药门诊药房基本药物(除中药饮片外)的整体配备率尚未达标,应继续调整药品目录结构,尤其要增加中成药类基本药物的品种数,进一步提高基本药物占比。
Objective To analyze the current status of the use of essential drugs in outpatient pharmacy of western medicines in a grade A-tertiary hospital from 2020 to 2022.Methods The data related to the use of essential drugs in outpatient pharmacy of western medicines from 2020 to 2022 in the hospital information system and prescription review system were collected and analyzed.Results There were 354,365 and 362 kinds of essential drugs in use in the outpatient pharmacy of western medicines in the hospital from 2020 to 2022 respectively.The proportion of essential drug varieties in 2020 was 39.64%,which increased to 41.15%in 2021 and 41.37%in 2022.The supply rate of essential drugs from 2020 to 2022 was 51.68%,53.28%,52.85%respectively,in which the supply rate of essential chemical drugs and biological products was 70.74%,72.66%,71.94%respectively,which was far higher than 22.01%,23.13%,23.13%of Chinese patent medicines.The proportion of consumption costs of essential drugs in 2020 was 39.06%,which decreased to 36.74%in 2021 and 34.96%in 2022.The usage rate of essential drugs remained stable from 2020 to 2022(around 67%).The top one essential chemical drug and biological product with the largest prescription quantity in the three years was the Aspirin Enteric-Coated Tablets,and the Chinese patent medicine was the Bailing Capsules.No prescription for not selecting national essential drugs firstly without justifiable reasons was found in the randomly selected outpatient prescriptions.Conclusion The overall supply rate of essential drugs(except for traditional Chinese medicine decoction pieces)in the outpatient pharmacy of western medicines in the hospital dose not reach the standard.Therefore,the hospital should continue to adjust the drug catalogue structure,especially increase the varieties of essential Chinese patent medicines,and increase the proportion of essential drugs.
作者
曹灿
戴根苗
夏泉
CAO Can;DAI Genmiao;XIA Quan(Department of Pharmacy,The First Affiliated Hospital of Anhui Medical University·Third-Grade Pharmaceutical Chemistry Laboratory of National Administration of Traditional Chinese Medicine,Hefei,Anhui,China 230022)
出处
《中国药业》
CAS
2024年第12期24-28,共5页
China Pharmaceuticals
基金
国家卫生健康委药政司政府购买服务项目。
关键词
国家基本药物
三级甲等医院
门诊药房
配备率
药事管理
national essential drug
grade A-tertiary hospital
outpatient pharmacy
supply rate
pharmaceutical care
