摘要
目的:了解某院门诊患者合理用药基本情况,为制订不合理用药的干预措施提供科学依据。方法:参照世界卫生组织的国际指标及我国的《处方管理办法》《医院处方点评管理规范(试行)》,对2012年该院门诊的处方指标和患者关怀指标进行调查,采用Microsoft Excel进行统计、分析。结果:门诊处方指标中,就诊人均用药品种数为3.26种,抗菌药物使用率为23.73%,注射药物使用率为16.38%,基本药物使用率为27.78%,药品通用名使用率为100%,就诊人均药费为167.81元;门诊患者关怀指标中,平均就诊时间为8.45 min,平均发药交代时间为28.50 s,药品实际调配率为100%,药品标签标示完整率为100%,患者了解正确用药百分率为87.00%。该院门诊合理用药情况基本达到国际指标,但离发达国家的合理用药水平还有一定差距。结论:该院门诊患者合理用药各项监测指标总体较合理,但仍存在就诊人均用药品种数稍多、人均药费偏高、基本药物使用率较低、缺少对患者关怀等方面的问题,需加以改进。
OBJECTIVE： To investigate the basic information of rational drug use in outpatient prescription in a hospital, and to provide scientific evidence for intervention measures of irrational drug use. METHODS： According to international index, devel- oped by WHO, Prescription Management and Management Regulations for Hospital Prescription Comment （trial）, the prescription indicators and patient care indicators in outpatient prescriptions of the hospital in 2012 were investigated and analyzed statistically by using Microsoft Excel. RESULTS ： Among prescription indexes, the average types of drug was 3.26 types of drugs, and applica- tion rates of antibiotics, injection and essential medicine were 23.73%, 16.38% and 27.78%. The utilization rate of generic name was 100%, and the average drug cost per capita was 167.81 yuan. Among inpatient care index, the average time of consultation was 8.45 rain, the average time of drug dispensing was 28.50 s, the actual drug procurement rate was 100%, the rate of complete drug sign was 100%, and the rate of patients knowing about correct drug usage was 87.00%. Rational drug use in outpatient pre- scription in the hospital met the international indicators while was far away from that in developed countries. CONCLUSIONS： Most of the indicators about outpatient prescriptions are rational on the whole; but the number of drug types is a little more, drug cost per capita is higher, utilization rate of essential medicine is lower and patient care is absent. These problems should be im- proved.
出处
《中国药房》
CAS
CSCD
2013年第42期3949-3952,共4页
China Pharmacy
关键词
合理用药
国际指标
调查
Rational drug use
International indicators
Survey
