泸州地区10家医院门急诊处方评价

Evaluation and Analysis of Outpatients and Emergency Prescriptions in Ten Hospitals of Luzhou Area and Control Measures

目的了解《处方管理办法》在基层医院的执行情况,促进合理用药。方法随机抽取泸州地区10家医院2011年3～6月共6 000张处方,进行7个处方核心指标统计及处方质量评价。结果该地区二、三级医院平均每张处方用药品种数分别为2.59种和2.69种;抗菌药物、注射剂、基本药物、药品通用名使用率分别为37.59%和31.58%;24.21%和28.50%;47.69%和42.92%;83.99%和93.18%;抗菌药物金额占处方总金额的百分率分别为24.52%和20.50%;平均每张处方金额分别为80.75元和127.30元。处方合理率二、三级医院分别为76.46%和83.92%。结论该地区门诊处方基本合理,但仍需加大管理力度,增强医师合理用药意识,减少不合理用药。

Objective To investigate the enforcement of the ＂prescription management method＂ in primary hospitals so as to promote rational drug use.Methods A total of 6 000 outpatients and emergency prescriptions in 10 hospitals of Luzhou area from Mar.to Jun.in 2011 were randomly checked,and seven core indicators were collected for the analysis of prescription quality.Results In Luzhou area,an average of 2.59 and 2.69 kinds of drugs in secondary and tertiary hospital were prescribed respectively in each prescription;the utilization rates of antibacterials,injection,essential drugs,the drugs prescribed in their common names and antibacterials amount accounted for 37.59% or 31.58%,24.21% or 28.50%,47.69% or 42.92%,83.99% or 93.18%,24.52% or 20.50%,respectively in secondary and tertiary hospital.An average consumption sum of 80.75,127.30 Yuan respectively in secondary and tertiary hospital was involved in each prescription.The conformity rate of prescriptions was 76.46% and 83.92% respectively.Conclusion The drug use for the outpatients in these hospitals is rational on the whole,but measures should be taken to tighten control on the drug use by teaching doctors so as to reduce the incidence of irrational drug use.