高境镇社区卫生服务中心2017-2023年延伸处方药物使用情况调查分析

Survey and analysis of extended prescription drug use in Gaojing Community Health Service Center from 2017 to 2023

目的:对上海市宝山区高境镇社区卫生服务中心2017—2023年的延伸处方药物进行调查分析。方法:通过宝山区高境镇社区卫生服务中心的医院管理信息系统查询并采集2017—2023年间开具的延伸处方药物名称、分类、规格、价格和使用数量等信息,并进行汇总分析。结果:宝山区高境镇社区卫生服务中心开具延伸处方的患者人数排名前3位的年度依次为2020年、2019年、2021年,延伸药物种类数量排名前3位的年度依次为2019年、2020年、2021年,延伸处方总金额排名前3位的年度依次为2020年、2019年、2021年,延伸处方药物单价最高的年度为2017年。2017—2023年延伸处方药物总DDDc排名前5位的依次为琥珀酸美托洛尔缓释片、盐酸二甲双胍片、吡格列酮二甲双胍片、瑞舒伐他汀钙片、硫酸氢氯吡格雷片,2017—2023年延伸处方药物总DDDc为(11.89±10.97)。结论:宝山区高境镇社区卫生服务中心的延伸处方服务需求日益增长,应及时在药物管理与制度上进行优化,并动态调整社区集采药物目录,同时开展规范化延伸处方药学服务,以满足签约居民的合理用药需求。

Objective:To conduct a survey and analysis of the use of extended prescription drugs at Gaojing Community Health Service Center in Baoshan District,Shanghai from 2017 to 2023.Methods:Information of the names,classifications,specifications,prices,and quantities of extended prescription drugs issued between 2017 and 2023 were retrieved and collected through the hospital management information system of Gaojing Community Health Service Center to conduct a summary analysis.Results:The top three years in terms of the number of patients who had issued extended prescriptions at Gaojing Community Health Service Center in Baoshan District were 2020,2019,and 2021,respectively,the top three years in terms of the number of extended drug types were 2019,2020,and 2021,respectively,the top three years for the total amount of money of extended prescriptions were 2020,2019,and 2021,respectively,the top five in the total DDDc ranking of extended prescription drugs from 2017 to 2023 were metoprolol succinate sustained-release tablets,metformin hydrochloride tablets,pioglitazone metformin tablets,rosuvastatin calcium tablets,and clopidogrel hydrogen sulfate tablets,and the total DDDc of extended prescription drugs from 2017 to 2023 was(11.89±10.97).Conclusion:The demand for extended prescription services at Gaojing Community Health Service Center in Baoshan District is increasing day by day,timely optimization of drug management and systems should be carried out,and the community’s centralized drug procurement catalog should be dynamically adjusted,and simultaneously standardized pharmaceutical services for extended prescriptions is carried out to meet the rational medication needs of contracted residents.