某医院门诊合理用药国际指标调查与评价  

Investigation and Evaluation of International Rational Drug Use Index in a Hospital

作　　者：李素华[1] 杨悦[2] 李姗[2] 

机构地区：[1]大连大学附属中山医院药剂科,大连市116001 [2]沈阳药科大学工商管理学院,沈阳市110016

出　　处：《中国药房》2011年第20期1845-1847,共3页China Pharmacy

摘　　要：目的:对某医院门诊科室的处方用药状况进行调查和点评,提高其合理用药水平。方法:抽取某医院2009年7、9、11月28个科室的门诊处方共8009张,发放现场患者调研问卷360张,通过对2组数据进行统计分析,以世界卫生组织制定的合理用药国际指标为标准,评价该院合理用药水平。结果:该医院门诊每张处方平均用药品种数为2.26种;药品通用名使用占处方用药的90.38%;抗菌药使用率为30.18%;注射剂使用率为22.30%;基本药物使用率为54.96%;处方平均金额为216.16元;平均就诊时间为7.72min;平均发药交代时间为30s;调配药物率为100%;药品标签标示完整率为100%;患者了解正确用药方法率为95.36%。结论:该医院门诊处方在处方平均用药品种数、药品通用名使用率、抗菌药使用率、平均就诊时间、实际调配药物率、药品标签标示完整率、患者了解正确用药方法率等方面均符合合理用药标准。但在注射剂使用率、基本药物使用率、处方平均金额、平均发药交待时间等方面不符合合理用药标准,尚需采取切实有效的干预措施。OBJECTIVE： To investigate and review prescription drug use in the outpatient department of a hospital, and to promote rational drug use. METHODS： 8 009 outpatient prescriptions and 360 on-spot questionnaires among patients were conducted in a certain hospital in July, September and November in 2009 of 28 departments. Compared with WHO standard, the data of rational drug use was analyzed statistically to evaluate rational drug use index. RESULTS： Prescription index： 2.26 kinds of drugs were used in each prescription averagely; generic name of drugs accounted for 90.38%; antibiotics, injections and essential drugs accounted for 30.18%, 22.30%, and 54.96%, respectively; the average amount of drugs was 216.16 yuan. Patient care index： average visiting time was 7.72 min and average explanatory time was 30 secs; the percentage of drug dispensing was 100%; 100% drugs were labeled; the percentage of patients, who understood the drugs usage, accounted for 95.36%. CONCLUSION： Results of survey show that the outpatient-prescriptions from the hospital have met medication standard in the following aspects： the average number of drugs in each prescription; the percentage of generic name of drugs; the percentage of antibiotics use; average visiting time; the percentage of the factual drug dispensing; the percentage of the complete drugs label; correct drug use methods being familiar with patients. However, it still needs improvement in following aspects： the percentages of injections and essential drugs, average explanatory time. The survey has pointed out the factors which influence the rational drug use in the hospital and provided evidence for further pragmatic intervention measures in use of injections and essential drugs and the average explanatory time.

关 键 词：合理用药 国际指标 现场调研 

分 类 号：R95[医药卫生—药学]