上海市某区社区卫生服务中心脑梗塞住院病人合理用药分析与模拟监测

Analysis on the Drug Use of the Inpatients with Cerebral Infarction and its Imitated Monitoring in Community Health Service Centers of One District in Shanghai

目的分析2009年上海市某区社区卫生服务中心脑梗塞住院病人用药及模拟监测情况。方法课题组从该区医院信息系统提取了2009年社区卫生服务中心全部脑梗塞出院病人和医生的相关数据,分析用药情况并进行模拟监测。结果 2009年出院的脑梗塞病例1949人,平均药物总费用为2910.67元(占住院费用的35.55%);抗菌药物使用的次数比例为9.52%,基本药物使用的次数比例为59.78%。模拟监测异常率总体为7.87%,各机构、各月份间存在差异。结论该区社区卫生服务中心脑梗塞住院用药基本合理。

OBJECTIVE To analyze the drug use of the inpatients with cerebral infarction and its imitated monitoring in community health service centers of one district in Shanghai in 2009. METHOD The clara related to drug use of the inpatient with cerebral infarction and related to the basic information of these patients and the physicians in community health service centers in 2009 were collected from the HIS of the district and were analyzed. The monitoring of the drug use in the patients with cerebral infarction was simulated for the year of 2009. RESULTS 1 949 patients with cerebral infarction were discharged from community health service centers in 2009. For these inpatients, the average drug cost was 2 910.67 yuans and accounted for 35.55% of the total cost. For the total drug uses, 9.52% were antibiotics and 59.78% were the national essential drugs. The imitation of monitoring for the year of 2009 showed that abnormal rate was 7.87% and that it was varied among different institutions and different months. CONCLUSION The drug use of the inpatients with cerebral infarction in community health service centers of the district was basically reasonable.