摘要
目的:按国际上规范方法,对辽宁省8个县13个乡镇卫生院和34个村卫生室处方进行抽样调查,研究辽宁省农村不合理用药主要问题及其原因。方法:采用世界卫生组织(WHO)《医疗单位合理用药调研方法与评价指标》中处方指标及补充指标,由专家根据处方的诊断及其药物治疗的标准,对处方中的基本指标(性别、年龄、疾病种类)、是否有诊断和每处方药物总数,处方中是否含有抗生素、注射剂和激素,每处方肌肉注射总数、静脉注射总数、口服药总数、用药方式、用药剂量和处方费用等情况进行了分类,运用描述性统计和多因素分析方法进行研究,对农村乡村两极卫生机构不合理用药的主要表现、严重程度和差异进行分析。结论:通过对处方的统计和分析,在辽宁省农村乡、村两级医疗机构中,发现有抗生素、激素和输液剂滥用等问题,村卫生室比乡镇卫生院更为突出;其中,抗生素的滥用直接导致了处方药费的增加。
Aim： In order to explore the problems and reasons of the irrational use of drugs , the investigation carried out for analyzing prescriptions with the WHO prescription indicators, the sample included 13 township hospitals and 34 village health stations in Liaoning Province. Methods： With WHO prescription indicators, and the checking of a chief physician and a chief pharmacist, the information in prescription including gender, age, disease, diagnosis, total drugs number, antibiotic number, injection number, infusion number, oral medication number, manipulation cost, drug cost, drugtaken way, dosage, combinability, writing and prescription cost are statistically sorted and analyzed with multifactor analysis to fine the problems, their way and extent of irrational use of drugs, and the difference between town and village. Conclusion： With the result of analysis, irrational us of antibiotics, hormone and infusion are all serious in both township and village health facilities in the province, and the irrational use of antibiotics directly resulting into the high prescription cost, among which the village health stations are even worse. With that we give out three advices.
出处
《中国卫生经济》
2006年第1期67-71,共5页
Chinese Health Economics
关键词
不舍理用药
农村
乡镇卫生院
村卫生室
irrational use of drugs, rural, township hospital, village health station
