2008-2015年上海市松江区21家公立医院门诊处方分析  

Analysis of outpatient prescriptions of 21 public hospitals in Shanghai Songjiang District from 2008 to 2015

作　　者：杨志文[1] 陆青 王海银 陈坚[1] YANG ZhiWen;LU Qing;WANG HaiYin;CHEN Jian(Department of Pharmacy,Central Hospital of Shanghai Songjiang District,Shanghai 201600,China;Department of Pharmacy,Ledu Hospital of Shanghai Songjiang District,Shang hai 201600,China;Shanghai Research and Development Center of Hygiene and Health,Shanghai 200030,China)

机构地区：[1]上海市松江区中心医院药剂科,上海201600 [2]上海市松江区乐都医院药剂科,上海201600 [3]上海市卫生和健康发展研究中心,上海200030

出　　处：《药学服务与研究》2018年第3期214-217,共4页Pharmaceutical Care and Research

基　　金：上海市卫生和计划生育委员会项目(201440452)

摘　　要：目的:了解2008-2015年上海市松江区公立医院门诊药房药品的使用情况,为临床合理用药提供理论依据与参考。方法:对2008-2015年上海市松江区全部公立医疗机构(7家二级医院,14家社区卫生服务中心)进行抽样,每家医院以系统随机法上报100张/月门诊处方,共201 600张。根据卫生部及WHO颁布的有关文件评价其中不合理用药情况。结果:2015年,平均每张处方用药金额和用药品种数分别为113.36元和2.05种;抗菌药物处方比例和注射剂处方比例分别为16.71%和9.58%;基本药物占处方用药比为88.32%,用通用名开具药品比例达到100%。社区卫生服务中心的抗菌药物和注射剂处方比例以及每张处方用药金额明显低于二级医院。结论:在医疗监管部门以及临床药师的干预下,上海市松江区公立医疗机构门诊药房合理用药水平显著提高,2015年抗菌药物和注射剂使用比例已达到卫生部和WHO的要求。Objective：To investigate drug use in outpatient pharmacies of 21 public hospitals in Songjiang District of Shanghai from 2008 to 2015,so that theoretical evidences and reference could be provided for proper clinical medication.Methods：A sample survey was made in all the public medical facilities in Songjiang District of Shanghai from 2008 to 2015,including 7 secondary hospitals and 14 community health service centers.One hundred outpatient prescriptions per month were submitted by system random sampling method,totaling 201 600 prescriptions.Irrational use of drugs was evaluated by using related documents issued by the Ministry of Health of China and WHO.Results：In 2015,the average drug cost and average number of drugs per prescription were 113.36 yuan（RMB）and 2.05,respectively.The percentages of prescriptions using antibacterials and injections were 16.71% and 9.58%,respectively.The percentage of basic drugs prescribed from an essential drug list was 88.32% and the percentage of drugs prescribed by generic name was 100%.In addition,the percentages of prescriptions using antibacterials and injections and cost per prescription in community health service centers were significantly lower than those in secondary hospitals.Conclusion：Through intervention by supervising medical authorities and clinical pharmacists,rational use of drugs in outpatient pharmacies of public medical facilities has been significantly improved,and the percentages of antibacterials and injections in 2015 have met the demands of the Ministry of Health of China and WHO.

关 键 词：门诊处方 处方分析 二级医院 社区卫生服务中心 上海 

分 类 号：R969.3[医药卫生—药理学]