贫困地区乡镇卫生院处方质量分析  

Analyse Quality of Prescription of town-hospital in depressed areas

作　　者：张翔[1] 冯占春[1] 张亮[1] 张洁欣[1] 

机构地区：[1]华中科技大学同济医学院,湖北武汉430030

出　　处：《中国农村卫生事业管理》2003年第12期33-35,共3页Chinese Rural Health Service Administration

摘　　要：目的　促使乡镇卫生院处方规范和合理用药。方法　随机抽取 2 0 0 2年卫 项目地区 2省 (市 ) 4个县 (区 ) 8个卫生院 979张有效处方。结果　处方书写规范率 55.0 6% ;项目基本药物 (项目地区推行的基本药物目录 )的使用率为 69.97% :抗生素的使用率为 68.3 4 % ;激素的使用率为 19.5% :平均单张处方用药数 4.2 2种 ;平均单张处方药品费用 19.44元。结论　项目地区处方规范率有很大提高 ;基本药物政策的实施 ,不合理用药行为有所遏制。但是 ,抗生素、激素滥用现象依然存在 ,单张处方药品种数和药品费用居高不下。建议　继续规范处方书写质量管理 ;继续实施基本药物目录 ,规范用药行为 ;重视“软件”建设 ;Objective Progressing quality of prescription and avoiding drug abuseMethod 976 prescriptions be brought from eight township hospitals included foursections or counties of two provinces which are project areas of Health Ⅷ Project.Result there are 55.06 percents canonical prescriptions in those descriptions. Theaverage number of medical kind is 4.22 and the average price is 19.44 yuan inspot-checked prescriptions.Conclusion on the one hand, the rate of canonicalprescriptions has been heightened and the basic medical policy put in practice hasbeen reducing the drug abuse. On the other hand, the antibiotic and cortin abusedby township hospital has been being. The number of average medical kinds and averageprice has been being high. Suggestion the quality of prescriptions and drug abuseshould be reinforced management. The basic medical policy should be put in practice.At seam time, we should make a point of constructing 'software' and reinforcingmonitor.

关 键 词：贫困地区 乡镇卫生院 处方规范 合理用药 

分 类 号：R197.62[医药卫生—卫生事业管理]