处方评价方法对处方质量的影响探讨  

Effect of Evaluation Method on Quality of Prescription

作　　者：周陶然[1] 祝德秋[1] 王开明[1] 

机构地区：[1]同济大学附属同济医院,上海市200065

出　　处：《中国药房》2009年第34期2719-2720,共2页China Pharmacy

摘　　要：目的:考察并比较用不同的处方评价方法进行处方管理时的效果。方法:每月同时以我院自订的方法(方法一)和《处方管理办法》指定的方法(方法二)进行审方(12个月共24000张),行政部门根据处方评价结果干预医师的处方行为,对比2种方法各自指标数据12个月的变化情况。结果:方法一中,除了用法用量问题数有较小斜率的上升趋势外,其他不合理问题数都有较大斜率的下降趋势;方法二中,除平均品种数有小斜率的下降趋势外,其他指标均有小斜率的上升趋势。结论:方法一的评价及干预效果较方法二明显。OBJECTIVE： To investigate the effect of evaluation method on management of prescription. METHODS： A total of 24 000 prescriptions of 12 months were evaluated with both method 1 devised by our hospital and method 2 specified in ordinance of Management of prescription. The administration department intervened physicians＇ prescription behaviors ac- cording to the evaluation results. The change of data in method 1 was compared with that in method 2. RESULTS： In method 1, the problems of usage and dosage increased a little while other irrational problems lessened largely. In method 2, the average amount of drug categories reduced a little while the other data increased a little. CONCLUSION： The effect of evaluation and intervention in method 1 are superior to those in method 2.

关 键 词：处方 评价 处方管理办法 

分 类 号：R95[医药卫生—药学]