某结核病专科医院门诊处方基本指标评价及用药合理性分析  

Evaluation of basic indicators of outpatient prescriptions and analysis of rationality in drug use in a specialized hospital

作　　者：洪健 潮蓉 张云玲 李影 贺思勋 HONG Jian;CHAO Rong;ZHANG Yunling;LI Ying;HE Sixun(Anhui Provincial Chest Hospital,Hefei,Anhui 230022,China)

机构地区：[1]安徽省胸科医院药剂科,安徽合肥230022

出　　处：《安徽医药》2019年第3期625-628,共4页Anhui Medical and Pharmaceutical Journal

摘　　要：目的通过对某结核病专科医院门诊处方进行点评,评价结核病专科医院门诊处方用药指标和合理用药情况,进一步促进临床合理用药。方法抽取医院2013年9月至2014年8月门诊处方2 400张进行点评,对相关指标进行回顾性汇总分析。结果 2 400张门诊处方中结核诊断处方1 913张,占79.71%,非结核诊断处方487张,占20.29%;在1 913张结核病处方中,含有护肝药物的处方占结核病处方的61.58%,含有其他辅助用药的处方占结核病处方的15.58%。2 400张门诊处方中,每张处方平均用药品种数为3.08种,每张处方平均金额为310.24元,基本药物使用率55.28%,处方通用名使用率为100%,抗菌药物使用率和注射剂使用率分别为6.92%和4.67%。2400张门诊处方中,合理处方1 969张(82.04%),不合理处方431张(17.96%);不合理处方中,不规范处方320张(74.25%),用药不适宜处方111张(25.75%),超常处方0张(0.00%)。结论结核病专科医院门诊处方,病种相对单一,单张处方药物品种多,药量大,金额高,特别是结核病辅助用药金额占比高;抗菌药物和注射剂使用率低;门诊处方不合理现象普遍,不规范处方比率较高,应加强监督,针对性干预,进一步规范医生处方行为,提高门诊的合理用药水平。Objective The drugs use indicators and rationality of outpatient prescriptions in a specialized hospital were evaluated in order to further promote the rational use of clinical drug.Methods The relevant indicators were retrospectively analyzed by 2400 outpatient prescriptions comments from Sep.2013 to Aug.2014.Results The total number of outpatient prescriptions was 2 400,of which were divided into 1 913 prescriptions of tuberculosis diagnosis and 487 prescriptions of non-tuberculosis diagnosis,and the rate of outpatient prescriptions was 79.71%and 20.29%,respectively.The rate of hepatoprotective drugs and other adjuvant drugs in 1913 of tuberculosis prescriptions was 61.58%and 15.58%,respectively.The average number of drugs of each prescription was 3.08.The average drug cost was 310.24 Yuan per prescription.The percentages of prescribed antibiotics and injection were 6.92%and 4.67%.The rate of drugs prescribed from essential drugs was 55.28%.The percentages of drugs prescribed in generic names were 100%.The number of qualified and irrational prescriptions was 431(17.96%).In the irrational prescriptions,the non-standard prescriptions were 320(74.25%),the irrational drug use prescriptions were 111(25.75%)and the off-label use prescriptions were 0(0.00%).Conclusion The varieties of diseases are relatively single,however,the large amount of drugs and high costs were in tuberculosis specialized hospital outpatient prescription.The antibiotics and injection have low utilization rate.The outpatient prescriptions are irrational widely,non-standard prescriptions rate is higher.Therefore,it is important to strengthen supervision.The targeted intervention should be taken and doctors′prescribing behavior should be regulated for improving the rational use of outpatient levels.

关 键 词：门诊处方 处方点评 用药分析 

分 类 号：R197.5[医药卫生—卫生事业管理]