摘要
目的评价成都市零售药店电子处方用药现状和合理性,为进一步改善零售药店处方药销售和提高合理用药水平提供参考。方法随机抽取市场占有率排名前3位的第三方平台(市场占有率共计93.75%)所签约的远程执业医师在线开具的7200张样本电子处方,由4名临床药师组成2个电子处方点评小组,交叉对电子处方的基本情况、用药情况和用药合理性进行回顾性评价。结果来源于私立医疗机构的处方最多(3543张,49.21%),患者年龄以中青年居多,疾病分类主要为呼吸系统疾病(38.24%)、循环系统疾病(17.11%)等。平均处方药品数为1.60种,抗菌药物处方比例为65.25%,国家基本药物使用率为34.92%,处方合理率为95.21%。结论药品零售企业电子处方服务模式顺应了“互联网+药品流通”发展趋势,遵循了合理就诊引导和用药的规律,但尚存在优质医疗资源不足、处方来源结构亟待优化等问题,并需加强对抗菌药物和国家基本药物的管理。
Objectives To evaluate the current situation and rationality of electronic prescription in retail pharmacies in Chengdu,so as to provide references for further improving the sales of prescription drugs in retail drugstores and the level of rational drug use.Methods A set of evaluation index system was constructed,and a prescription review group was set up.Eventually,7200 sample electronic prescriptions were collected for retrospective analysis and evaluation.Results Prescriptions from private medical institutions constituted the majority(3543,49.21%),and the majority of patients were junior and middle-aged,primarily respiratory diseases(38.24%)and circulatory diseases(17.11%),etc.The average quantity of drugs was 1.60 per prescription,percentage of antimicrobial use was 65.25%,percentage of essential medicines used was 34.92%,and reasonable rate of prescription was 95.21%.Conclusions Electronic prescription services mode for retail pharmacy follows with the trend of“Internet+drug circulation”and complies with the rules of reasonable medical guidance and medication.However,optimizations are required,such as the lack of high-quality medical resources and the urgent need to optimize structure of prescription,and it is still essential to strengthen the management of antibacterial drugs and national essential medicines.
作者
王静
肖桂荣
孙国锐
黄真
胡明
WANG Jing;XIAO Guirong;SUN Guorui;HUANG Zhen;HU Ming(West China School of Pharmacy,Sichuan University,Chengdu 610041,P.R.China;Clinical Research Institute,the Affiliated Hospital of Southwest Medical University,Luzhou 646000,P.R.China;West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Market Supervision Administration of Chengdu Municipality,Chengdu 610041,P.R.China)
出处
《中国循证医学杂志》
CSCD
北大核心
2020年第11期1274-1279,共6页
Chinese Journal of Evidence-based Medicine
基金
四川省科技厅重点项目(编号:2020JDR0055)。
关键词
零售药店
电子处方
合理用药
Retail pharmacies
Electronic prescriptions
Rational drug use
