天津市某区基层医疗卫生机构门诊处方合理用药国际指标分析

Analysis of International Indicator for Rational Drug Use in Outpatient Prescriptions of Primary Medical Institutions from a District of Tianjin

目的:促进基层医疗卫生机构合理用药。方法:抽取天津市某区全部共9家基层医疗卫生机构2013年1-10月的门诊处方共7 240张,根据世界卫生组织推荐的合理用药国际指标,分析其合理用药水平。结果:所抽查门诊处方的平均每张处方用药品种数为1.8种,药品通用名使用率为100%,抗菌药物使用率为20.69%,注射剂使用率为26.57%,国家基本药物使用率为53.10%,平均处方金额为86.26元。结论:抽查处方的平均每张处方用药品种数、药品通用名使用率、抗菌药使用率等指标较为合理,注射剂使用率及平均每张处方金额偏高,国家基本药物使用率较低,有待干预。

OBJECTIVE： To promote rational use of drugs in primary medical institutions. METHODS： According to interna-tional rational drug use indicators （RDUIs） recommended by WHO, 7 240 outpatient prescriptions were selected from 9 primary medical institutions in the district of Tianjin during Jan.-Oct. in 2013, and then statistically analyzed in respect of rational drug use. RESULTS： The average number of drug varieties per prescription was 1.8; generic drug name percentage of prescription was 100% ; the percentage of antibacterial drugs, injections and essential drugs were 20.69%, 26.57% and 53.10%. The average cost of prescription was 86.26 yuan. CONCLUSIONS ： The average number of drug varieties per prescription, the percentage of generic drug name and antibacterial drugs are rational relatively in prescription, but the percentage of injections and the average cost of pre-scription are relatively in a high level; the percentage of national essential drugs is in a low level. They need to be improved.