某疗养院门诊处方点评及结果分析

Result Analysis and Evaluation of Outpatient Prescriptions in a Sanatorium

目的了解某疗养院门诊处方质量。方法选取某疗养院2010-01～2010-04门诊处方1200张,用《医院处方点评管理规范(试行)》的处方点评工作表进行回顾性分析。结果该院门诊处方合理率为69.00%;单张处方平均用药品种数为2.97种;抗感染药物使用率为27.67%;注射剂使用率为8.00%;国家基本药物使用率为32.66%;通用名使用率为98.40%;人均处方金额为110.11元。其中不同门诊之间处方合理率比较、不同职称医师之间处方合理率比较以及抗菌药物在18岁以下年龄组中的使用率与其他年龄组比较均有显著性差异(P<0.01)。结论该院门诊处方基本合理,但存在国家基本药物使用率和城区门诊A处方合理率偏低,儿科患者抗菌药物使用率和初级职称医师处方不合理率偏高等问题,有待干预。

Objective To investigate the quality of outpatient prescriptions in a sanatorium.Methods A total of 1 200 outpatient prescriptions were selected from January to April in 2010 for a statistical analysis in accordance with the ＂Evaluation of Prescription Practice （Trial）＂ by retrospectively reviewed.Results The percentage of reasonable prescriptions was 69.00%;2.97 kinds of drugs per prescription were used on average.The percentage of patients receiving antibacterials,injections,national essential drugs and the utilization rate of generic names was 27.67%,8.00%,32.66% and 98.40% respectively.The average cost of drugs for each patient was $110.11.There were significant differences in the reasonable rates of prescription among different outpatient clinics and among different professional titles.The utilization rate of antibacterials between the ﹤18 years group and ﹥18 years groups were also significantly different （P0.01）.Conclusion Outpatient prescriptions in this sanatorium were reasonable on the whole.However,the utilization rate of the national essential drug and reasonable rate of prescription in Urban Outpatient A were relatively low;the percentage of Pediatric patients receiving antibacterials and unreasonable rate of prescriptions from junior doctors were relatively high.The potential issues require intervention.