上海市金山区延伸处方开展现状  

Current Situation of Extended Prescription Development in Jinshan District of Shanghai

作　　者：冒长青 沈卫华 郭澄[1,2] MAO Changqing;SHEN Weihua;GUO Cheng(Department of Pharmacy,Jinshan Branch of the Sixth People's Hospital of Shanghai,Shanghai,China 201599;Department of Pharmacy,The Sixth People's Hospital of Shanghai,Shanghai,China 200233)

机构地区：[1]上海市第六人民医院金山分院药剂科,上海201599 [2]上海市第六人民医院药学部,上海200233

出　　处：《中国药业》2020年第6期67-70,共4页China Pharmaceuticals

基　　金：上海市药学会科研基金[2018-YY-23];上海市金山区卫生和计划生育委员会科研课题[JSKJ-KTQN-2018-06];上海市金山区卫健系统“优秀青年人才”培养计划[JSYQ201908]。

摘　　要：目的 为延伸处方工作的开展和完善提供理论依据。方法 通过金山卫生信息系统数据库导出2016年1月至2019年6月金山区11家社区卫生服务中心开具的延伸处方中患者每年的就诊数据,随机抽取630张处方,采用回顾性调查方法,收集并分析每张延伸处方中患者的性别、年龄、疾病诊断、就诊日期、取药方法、药品种类、药品名称等信息,根据处方管理办法对处方的规范性、用药适宜性、超常规处方等进行专项点评。结果 金山区延伸处方每年成倍增长,患者年龄以50岁以上为主,邮寄与非邮寄比例相近,处方以单个药品为主;人均处方量最高社区与最低社区相差数十倍;处方对各类病种均有涉及,但仍以常见慢性病为主;处方不合格率为14.60%,主要原因为不规范处方和用药不适宜等。结论 金山区延伸处方工作成效正逐步展现,但仍需不断提高处方质量,探索扩大适宜人群和疾病;不同社区间延伸处方量差异较大,需总结经验并在全区推广应用,促进各社区延伸处方工作均衡发展;应发挥药师审核、规范处方的作用,提高用药合理性,促进延伸处方工作的有效开展。Objective To provide theoretical basis for the development and improvement of extended prescription.Methods The annual visit data of patients with extended prescriptions from 11 community health service centers in Jinshan District from January 2016 to June 2019 were derived through the Jinshan Health Information System database.A total of 630 prescriptions were randomly selected and retrospective survey methods were used to investigate each.The patients’gender,age,disease diagnosis,date of consultation,method of taking medication,drug type,drug name and other information in the extended prescriptions were analyzed;special comments on the standardization of prescriptions,suitability of drugs,and over-the-counter prescriptions according to prescription management methods were conducted.Results The number of extended prescriptions in Jinshan District increased exponentially every year,mainly for patients over 50 years old.The proportion of mailed and non-mailed prescriptions was similar,with single drug as the main prescription;the prescription per capita in different communities varied as much as 10 times;the prescriptions were related to various diseases,but still mainly to common chronic diseases;the unqualified rate of prescriptions was 14.60%.The main reasons were the prescription was not standardized and the medication was not suitable.Conclusion The work of extended prescription in Jinshan District is gradually showing results,but it still needs to continuously improve t0 he quality of extended prescription,while exploring the expansion of suitable population and disease.There are great differences in the amount of extended prescription among different communities,and we should sum up the experience and promote the application of extended prescription work in the whole region;balanced development is the next research direction.In the work of extending prescription,pharmacists should play the role of checking and standardizing prescription,improve the rationality of drug use,and promote the effective develop

关 键 词：延伸处方 合格率 开展现状 药学服务 社区医疗 药事管理 

分 类 号：R95[医药卫生—药学]