郴州市城区社会医疗机构门诊处方费用分析

Outpatient Prescription Expenditure of Social Medical Institutions in Chenzhou

目的了解社会医疗机构门诊医生处方费用情况,分析影响门诊费用的主要因素。方法随机抽取郴州市城区105家社会医疗机构106名门诊医生开具的3169张处方,通过处方信息变量赋值,运用多元线性回归分析方法探讨各影响因素与处方费用之间的关系。结果社会医疗机构门诊人均费用为64.51元,每天每张处方平均费用为46.82元;处方用药种数、注射剂、抗菌药使用比例、处方医师职称、患者年龄与处方费用呈正相关,基本药物比例与处方费用呈负相关,非营利性医疗机构处方费用略高于营利性医疗机构。结论社会医疗机构门诊医生单张处方用药品种较多,注射剂、抗菌药使用比例过高,是造成患者处方费用增高的主要因素,应加强监督管理,及时纠正不合理用药行为,确保医疗安全。

Objective To analyze the outpatient prescription expenditure of social medical institutions and its influential factors.Methods Altogether 3139 prescriptions by 106 clinicians were randomly selected from 105 social medical institutions in Chenzhou,and were studied for the correlation between prescription expenditure and its influential factors with multiple linear regression analysis.Results The average outpatient prescription expenditure per day was 46.82 Yuan.Prescription expenditure was positively correlated with the kinds of drugs,the proportion of antibiotics and injection,the professional title of doctors and the age of patients.Meanwhile,there was a negative correlation between prescription expenditure and the proportion of basic drug.Nonprofit-making medical institutions cost slightly higher than profit ones.Conclusions In social medical institutions,usage of more drugs,high proportion of injection and antibiotics in a single prescription are the major causative factors for increased prescription expenditure.Therefore,we should strengthen supervision and management,correct improper use of medicine so as to ensure medical safety.