辽宁省基层卫生机构不合理用药的原因及干预措施  

The Analysis on the Reasons of Irrational Use of Medicines and Intervention Strategies in Rural Hospitals of Liaoning Province

作　　者：杨月明[1] 肖爱丽[2] 耿凤英[1] 程刚[2] 魏晶[1] 马辉[1] 金丹[1] 杨华[1] 王瑜歆[1] 杜晓曦[2] 

机构地区：[1]辽宁省药品不良反应监测中心,辽宁沈阳110003 [2]国家食品药品监督管理局药品评价中心,北京100045

出　　处：《中国药物警戒》2010年第3期188-192,共5页Chinese Journal of Pharmacovigilance

基　　金：十一五国家科技支撑计划项目"药品安全关键技术研究与应用"(编号:2006BAI14B04)中子课题"常见药品安全事故的主要原因和对策研究;建设国家药品安全网"第三部分中"城市社区及乡镇卫生院的基本用药调查"

摘　　要：目的通过对辽宁省城市社区卫生服务中心、乡镇卫生院处方情况的调查,分析基层卫生机构不合理用药原因,为促进临床合理用药提供详实的数据和对策建议。方法随机抽取基层卫生机构中2007年处方,抄录在调查表中,按照世界卫生组织(WHO)合理用药指标进行分析。结果基层医疗机构存在平均处方用药数、平均处方费用偏高,基本药物使用比例偏低,抗菌药、激素、注射剂使用不合理,存在多药联用等用药不规范、不合理的现象,乡镇卫生院这些现象更为严重。结论应进一步提高基层医疗机构合理用药水平,保障基层公众安全、有效、经济用药的目的。Objective Based on a survey of the prescriptions of community health service centers in some cities and some rural hospitals of Liaoning Province and an analysis of grassroots of irrational drug use of some health institutions, this report tries to provide accurate data and countermeasures to promote the rational clinical application of drugs.Methods The report conducts the research using the following methods： extracting prescriptions of health institutions randomly in 2007, and transcribing them in the survey forms, and then analyzing the rational drug use according to WHO（World Health Organization） index. Results The following problems exist in health institutions： the number and costs of average prescribed medicines are high; the use of basic drugs is low; the use of antibiotics, hormones, injections is not rational; there exists the irregular and irrational phenomena of combination of various drugs, among which the phenomenon in rural hospitals is more serious. Conclusion The health institutions shall further enhance the rational drug use level to ensure the public of their secure, economic and effective drug use.

关 键 词：基层卫生机构 合理用药 干预措施 

分 类 号：R954[医药卫生—药学]