北京市海淀区52家社区医院医改前后门诊处方点评与分析  

Review and Analysis on Outpatient Prescriptions in 52 Community Hospitals in Beijing Haidian District Before and After Health Care Reform

作　　者：韩凤 杨明娜 陈世财[2] HAN Feng;YANG Mingna;CHEN Shicai(Dept.of Pharmacy, Zhongguancun Hospital of Chinese Academy of Sciences,Beijing100190,China;Dept.of Pharmacy,Beijing Luhe Hospital Affiliated to Capital Medical University,Beijing101149,China)

机构地区：[1]中国科学院中关村医院药剂科,北京100190 [2]首都医科大学附属北京潞河医院药剂科,北京101149

出　　处：《中国医院用药评价与分析》2018年第11期1555-1557,共3页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：2016年度首都卫生发展科研专项项目(No.首发2016-3-7082)

摘　　要：目的:了解北京市海淀区52家社区医院医改前后门诊处方情况,为提高处方质量和合理用药水平提供参考。方法:随机选取2016年10月至2017年9月北京市海淀区52家社区医院门诊处方62 690张,其中医改前(2016年10月至2017年3月)31 285张,医改后(2017年4月至2017年9月)31 405张,按照处方点评标准进行点评与分析,比较医改前后各项数据变化情况。结果:医改后,北京市海淀区52家社区医院门诊处方平均用药品种数为(1.84±0.04)种,明显少于医改前的(1.92±0.04)种;平均注射剂使用率为(2.26±0.58)%,明显低于医改前的(3.09±0.54)%;上述差异均有统计学意义(P<0.05)。医改前后,北京市海淀区52家社区医院门诊处方平均金额、平均抗菌药物使用率、国家基本药物使用率和处方不合理率的差异均无统计学意义(P>0.05)。用法与用量不合理处方占不合理总处方数的比例最高,约为52%,且医改前后的差异无统计学意义(P>0.05)。结论:通过比较医改前后门诊处方情况,可提高对门诊处方质量及加强合理用药水平的重视程度,以便及时发现问题,进而有针对性地制定相关措施,促进临床合理用药。OBJECTIVE:To investigate the outpatient prescriptions in52community hospitals in Beijing Haidian District before and after health care reform,so as to provide reference for improvement of prescriptions quality and rational drug use.METHODS:62690prescriptions in52community hospitals in Beijing Haidian District from Oct.2016to Sept.2017were randomly extracted,among which31285prescriptions were before health care reform(from Oct.2016to Mar.2017)and31405prescriptions were after health care reform(from Apr.2017to Sept.2017).Review and analysis were conducted according to the prescription review criteria,and changes of various data were compared before and after health care reform.RESULTS:After health care reform,the average number of outpatients prescriptions in52community hospitals in Beijing Haidian District was1.84±0.04,significantly less than that before health care reform(1.92±0.04);the average use rate of injections was(2.26±0.58)%,significantly lower than that before health care reform[(3.09±0.54)%],the above differences were statistically significant(P<0.05).Before and after health care reform,There was no significant difference in the the average cost,average use rate of antibiotics,use rate of national essential drugs and irrational rate of prescriptions among52community hospitals in Beijing Haidian District(P>0.05).Prescriptions with irrational usage and dosage accounted for the highest proportion of total irrational prescriptions,about52%,and the difference was not statistically significant before and after health care reform(P>0.05).CONCLUSIONS:By comparing the outpatient prescriptions before and after health care reform,the importance of the quality of outpatient prescriptions and the strengthening of rational drug use levels can be improved,so that problems can be discovered in time,and relevant measures can be formulated to promote the clinical rational drug use.

关 键 词：社区医院 处方点评 合理用药 

分 类 号：R97[医药卫生—药品]