湖北省县级公立医疗机构门诊处方合理用药分析  

Analysis of Rational Drug Use of Outpatient Prescriptions in County-Level Public Medical Institutions in Hubei Province

作　　者：张璐 滕彩霞[1,2] 徐陆欣怡 尹适成 孙奕萱 克鑫峰 崔丹 Zhang Lu;Teng Caixia;Xu Luxinyi;Yin Shicheng;Sun Yixuan;Ke Xinfeng;Cui Dan(School of Public Health,Wuhan University;Center for Global Health Research,Wuhan University,Wuhan 430070,China)

机构地区：[1]武汉大学公共卫生学院,武汉430070 [2]武汉大学全球健康研究中心

出　　处：《中国药师》2022年第6期1021-1023,共3页China Pharmacist

基　　金：湖北省卫生健康委科研项目。

摘　　要：目的:以湖北省两县为例分析各级公立医疗机构门诊处方合理用药情况,为促进合理用药提供依据。方法:随机抽取2019-2020年湖北两个县级市16家公立医疗机构的门诊处方,共纳入5 938张,采用WHO/INRUD医疗机构合理用药指标体系及其评价标准,分级别进行统计描述分析。结果:本研究抽样门诊处方A、B两县平均单张处方金额分别为90.99元、67.46元;A县平均单张处方药品数、激素处方率、注射剂处方率、抗菌药物处方率均高于B县(P<0.05),其中A县激素处方率、注射剂处方率、抗菌药物处方率超出WHO标准范围,B县注射剂处方率、抗菌药物处方率超出WHO标准,且抗菌药物联用率较高;A县的基本药物使用率显著低于B县(P<0.05)。结论:湖北省抽样两地区公立医疗机构门诊处方费用合理,A县基层及B县各级医疗机构存在不合理用药,A县等级医院基本药物使用有待加强。Objective: To analyze the rational drug use of outpatient prescriptions in public medical institutions at all levels by taking two counties in Hubei province as examples, and to provide basis for promoting rational drug use. Methods: A total of 5 938 outpatient prescriptions were randomly selected from 16 public medical institutions in two county-level cities of Hubei province during 2019 and 2020. The WHO/INRUD index system and evaluation criteria for rational drug use in medical institutions were used for statistical descriptive analysis at different levels. Results: In this study, the average single prescription amount in A and B counties was 90.99 Yuan and 67.46 Yuan, respectively. The average number of drugs per prescription, hormone prescription rate, injection prescription rate and antimicrobial prescription rate in county A were all higher than those in county B(P<0.05), and the injection prescription rate, hormone prescription rate and antimicrobial prescription rate in county A were all beyond the scopes of the WHO standards, the injection prescription rate and antimicrobial prescription rate in county B exceeded the WHO standards, and its antimicrobial drug combination rate was high;the utilization rate of essential drugs in county A was significantly lower than that in county B(P<0.05).Conclusion: The outpatient prescription fees of public medical institutions in the two sampling areas of Hubei province are reasonable, while unreasonable drug use exists in primary medical institutions of county A and medical institutions at all levels of county B, and the use of essential drugs in secondary and tertiary hospitals of county A needs to be strengthened.

关 键 词：县级公立医疗机构 门诊处方 激素处方率 注射剂处方率 抗菌药物处方率 基本药物 合理用药 

分 类 号：R969.3[医药卫生—药理学]