基本藥物制度背景下山東省鄉(xiāng)鎮(zhèn)衛(wèi)生院慢性病患者處方合理用藥情況分析
發(fā)布時(shí)間：2018-11-20 11:33
【摘要】：目的探討基本藥物制度背景下山東省鄉(xiāng)鎮(zhèn)衛(wèi)生院慢性病患者處方合理用藥情況。方法 2013年8月對(duì)基本藥物制度實(shí)施前后山東省37家鄉(xiāng)鎮(zhèn)衛(wèi)生院的慢性病患者處方進(jìn)行收集,對(duì)其單張?zhí)幏接盟幤贩N數(shù)、抗生素處方、注射劑處方以及處方書(shū)寫(xiě)清晰性和完整性等合理用藥情況進(jìn)行比較分析,并運(yùn)用秩和比(RSR)與聚類(lèi)分析相結(jié)合的方法對(duì)慢性病患者處方用藥合理性進(jìn)行綜合評(píng)價(jià)。結(jié)果基本藥物制度實(shí)施后,抗生素處方比例由34.0%(50/147)降至20.5%(60/292)、書(shū)寫(xiě)清晰處方比例由79.6%(117/147)升至90.4%(264/292),差異均有統(tǒng)計(jì)學(xué)意義(P0.05);而雖然單張?zhí)幏剿幤贩N數(shù)超過(guò)5種的處方比例由21.1%(31/147)降至18.5%(54/292)、注射劑處方比例由33.3%(49/147)降至27.4%(80/292)、書(shū)寫(xiě)完整處方比例由20.4%(30/147)升至28.4%(83/292),但差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。在得分聚類(lèi)中,慢性病患者處方的用藥合理性大部分得分在"中"及以上(RSR用藥≥0.399),共占79.4%(232/292)。結(jié)論基本藥物制度實(shí)施后,鄉(xiāng)鎮(zhèn)衛(wèi)生院慢性病患者處方合理用藥情況有所改善,并且處方用藥合理性總體較為合理,但仍需進(jìn)一步提升。
[Abstract]:Objective to explore the rational use of prescription for chronic patients in township health centers in Shandong province under the background of essential drug system. Methods the prescriptions of chronic diseases were collected from 37 township health centers in Shandong province before and after the implementation of the essential drugs system in August 2013. The rational drug use such as injection prescription, clarity and completeness of prescription writing were compared and analyzed, and the rationality of prescribing prescription of chronic disease patients was evaluated synthetically by using rank sum ratio (RSR) and cluster analysis. Results after the implementation of the essential drug system, the proportion of prescriptions for antibiotics decreased from 34.0% (50 / 147) to 20.5% (60 / 292), and the proportion of clearly written prescriptions rose from 79.6% (117 / 147) to 90.4% (264 / 292). The difference was statistically significant (P0.05). And while the proportion of prescriptions with more than five prescriptions on a single prescription fell from 21. 1% (31 / 147) to 18. 5% (54 / 292), the proportion of prescriptions for injections fell from 33. 3% (49 / 147) to 27. 4% (80 / 292). The proportion of complete prescription was increased from 20.4% (30 / 147) to 28.4% (83 / 292), but the difference was not statistically significant (P0.05). In score clustering, most of the scores of prescription rationality of chronic disease patients were "medium" or above (RSR 鈮，
本文編號(hào)：2344804
[Abstract]:Objective to explore the rational use of prescription for chronic patients in township health centers in Shandong province under the background of essential drug system. Methods the prescriptions of chronic diseases were collected from 37 township health centers in Shandong province before and after the implementation of the essential drugs system in August 2013. The rational drug use such as injection prescription, clarity and completeness of prescription writing were compared and analyzed, and the rationality of prescribing prescription of chronic disease patients was evaluated synthetically by using rank sum ratio (RSR) and cluster analysis. Results after the implementation of the essential drug system, the proportion of prescriptions for antibiotics decreased from 34.0% (50 / 147) to 20.5% (60 / 292), and the proportion of clearly written prescriptions rose from 79.6% (117 / 147) to 90.4% (264 / 292). The difference was statistically significant (P0.05). And while the proportion of prescriptions with more than five prescriptions on a single prescription fell from 21. 1% (31 / 147) to 18. 5% (54 / 292), the proportion of prescriptions for injections fell from 33. 3% (49 / 147) to 27. 4% (80 / 292). The proportion of complete prescription was increased from 20.4% (30 / 147) to 28.4% (83 / 292), but the difference was not statistically significant (P0.05). In score clustering, most of the scores of prescription rationality of chronic disease patients were "medium" or above (RSR 鈮，
本文編號(hào)：2344804
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