深圳市罗湖医院集团慢病长处方实施情况调查  

Investigation on the Implementation of Long-term Prescriptions for Chronic Diseases in Shenzhen Luohu Hospital Group

作　　者：宋芳[1] 陈时龙 黄艳平 曹伟灵[1] Song Fang;Chen Shilong;Huang Yanping;Cao Weiling(Department of Pharmacy,Shenzhen Luohu People’s Hospital,Guangdong Shenzhen 518001,China)

机构地区：[1]深圳市罗湖区人民医院药学部,广东深圳518001

出　　处：《中国药师》2021年第5期920-923,共4页China Pharmacist

基　　金：深圳市卫生计生系统科研项目(编号:SZSW2018003)。

摘　　要：目的:评估长处方制度在罗湖区基层社区健康服务中心的实施效果,为进一步推广与完善慢病长处方政策提供基础数据。方法:采用回顾性分析和调查问卷的方法,分别了解长处方的数量占比、金额占比、疾病种类及各类药品品种百分率,以及医务人员对长处方制度的认知程度及建议。结果:2018~2019年区域内长处方的数量占比为0.373‰,金额占比为2.76‰。长处方中疾病种类以高血压、糖尿病、血脂异常和脂蛋白异常血症常见,占比依次为42.15%,20.90%,15.31%;处方用药以高血压用药、糖尿病用药、调脂药物为主,分别占比41.85%,22.11%,14.43%;其中钙通道阻滞药、他汀类调脂药、抗血小板药物位于用药频次前3位。大部分医务人员了解并支持实施慢病长处方制度,认为其对机构和患者有良性影响,但在就诊流程、病种数量、药品目录和随访服务等方面需要进一步改进。结论:长处方实施效果有限,但医务人员有较好的认知度和支持度。需要加大慢病长处方推行力度,并在流程和病种数量、药品目录和随访服务等配套政策方面进行改进。Objective:To evaluate the implementation effect of long-term prescription system in community health service center of Luohu district,and to provide basic data for further promotion and improvement of long-term prescription policy for chronic diseases.Methods:Retrospective analysis and questionnaire were used to understand the situation of long-term prescriptions(the proportion of quantity,the proportion of money,the types of diseases and the percentage of different varieties of drugs),and the cognition and suggestions of medical staff on long-term prescription system.Results:From 2018 to 2019,the number and amount of long-term prescriptions in the region were relatively low,which accounted for 0.373‰and 2.76‰,respectively;the types of diseases were hypertension,diabetes,dyslipidemia and lipoprotein dyslipidemia,which accounted for 42.15%,20.90%and 15.31%,respectively;the prescriptions were mainly composed of high blood pressure drugs,diabetes drugs and lipid regulating drugs,which accounted for41.85%,22.11%and 14.43%,respectively.Among the used drugs,CCB,statins and antiplatelet drugs ranked the top three in the frequency of drug use,which accounted for 15.19%,13.62%and 11.59%,respectively.Most of the medical staff understood and supported the implementation of long-term prescription system for chronic diseases,and believed that it had a positive impact on institutions and patients,and it was recommended to further improve the treatment process,number of diseases,drug list and follow-up service.Conclusion:The implementation effect of long-term prescription is limited,while it has good recognition and support among medical staff.It is necessary to strengthen the implementation of long-term prescription,and improve the supporting policies such as process and number of diseases,drug list and follow-up service.

关 键 词：长处方 慢性病 药物利用 认知度 

分 类 号：R951[医药卫生—药学]