利用电子处方信息分析门诊医师处方行为

Research on prescription behavior using electronic prescription data

目的研究电子处方信息在门诊医师处方行为分析中的应用。方法采集某区级中心医院消化内科2010年全年疾病诊断为消化道溃疡的电子处方信息进行分析,运用SPSS18.0进行统计检验和分析。结果中级职称的医师处方总金额和处方中国产药品金额与初、高级职称相比存在显著性差异,自费患者的处方总金额、处方品种总数和国产药品金额均高于医保患者,处方总金额与患者费别、患者年龄段、处方中进口药品品种构成比、处方中自费药品品种构成比和金额构成比存在线性相关。结论中级职称医师应当是该院门诊药品消费控制干预的重点人群,医保政策无法干预医师对自费药品的处方行为,电子处方信息可结合疾病诊治规范解释处方行为差异。

Objective To investigate the application of electronic prescriptions data in prescribing behavior research. Methods 2010 annual electronic prescription information diagnosis of peptic ulcer were collected in a district-level central hospital, SPSS （ version18.0 ） was used to statistical analysis. Results Total amount of prescription prescribed by attending physicians were significantly different with residencies and chief physicians; Total amount and the total number of prescription without medical insurance were higher than those with medical insurance; there was a linear relationship among prescription total amount and medical insurance, patient age, the number constituent ratio of imported drugs, the number constituent ratio of own-expense drugs, the amount constituent ratio of own-expense drugs. Conclusion Attending physicians should be the focus group by outpatient consumption control interventions, medical insurance policies could not restrict at own-expense medicines prescription, electronic prescriptions data could be used in prescribing behavior research combined with treatment guidelines.