上海市松江区公立医院门诊处方合理用药调查  

Investigation of prescription evaluation at public hospitals in Songjiang district, Shanghai

作　　者：陈坚[1] 方维军 陆青 柴新华[3] 华雪蔚[4] 

机构地区：[1]上海市松江区中心医院,201600 [2]上海市松江区乐都医院 [3]上海市松江区泗泾医院 [4]中国医药工业信息中心

出　　处：《中华医院管理杂志》2012年第9期687-690,共4页Chinese Journal of Hospital Administration

摘　　要：目的了解上海市松江地区21家公立医疗机构门诊用药现状，促进临床合理用药。方法采用多中心、随机、平行研究方法，选择松江地区21家二级医院和社区卫生服务中心2008年1月～2010年12月的门诊处方75600张，按照处方评价指标进行统计分析。结果21家医院平均每张处方用药品种数为2．35，抗菌药物使用率为35．77％，注射剂使用率为17．40％，零差率基本药物品种数占处方用药总品种数的41．91％，平均每张处方金额为85．99元。社区卫生服务中心的注射剂使用率、抗菌药物使用率、平均每张处方金额及零差率基本药物占比，明显好于二级医院，且逐年好转，差异有统计学意义。结论松江区21家公立医院的临床用药水平总体合理，尤其是社区卫生服务中心的临床合理用药水平3年来有较明显改善。Objective To learn and evaluate the present prescriptions from outpatient departments of 21 public hospitals in Songjiang district,and to promote rational drug use. Methods A total of 75, 600 outpatient prescriptions from 21 public hospitals in Songjing district were collected monthly from January 2008 to October 2010 and analyzed statistically using indexes for prescription evaluation. Results of the 75, 600 prescriptions, the types of drugs in each prescription averaged 2.35, the ratio of antibiotics use and injection agents use were 35.77% and 17.40%, respectively. The percentage of essential drugs without added profit accounted for 41.91% of the total drug use, and the average drug cost per prescription was RMB 85.99. Comparison of indexes for prescription evaluation showed that the ratio of antibiotics use and injection agents use as well as the average cost per prescription in secondary hospitals were significantly higher that those in community health centers （P〈0. 01）, while the percentage of essential drugs without added profit and the average number of drugs in each prescription were statistically smaller than those in community health centers （P 〈0.01 ）. Conclusion Drug use in outpatient departments of 21 public hospitals was rational in general, especially noteworthy is the significant improvement made at community health centers in recent three years.

关 键 词：松江区 处方评价 合理用药 调查 

分 类 号：R95[医药卫生—药学]