干预前后焦作市第二人民医院用药合理性分析及降低药占比成效初探

Analysis on Drug Use Rationality and Elementary Effects of Reducing Drug Cost Ratio in Jiaozuo Municipal the Second People's Hosipital Before and After Intervention

目的:了解干预前后焦作市第二人民医院(以下简称"我院")用药合理性情况,探讨实施干预后降低药占比的成效。方法:对我院2013年(干预前)和2014年(干预后)的归档病历中导致药占比偏高的不合理用药问题进行回顾性分析并进一步制定干预措施。结果:干预后,超剂量用药、超浓度用药、无适应证用药、未首选国家基本药物、超疗程用药、联合用药不适宜等问题比干预前明显改善,差异有统计学意义(P<0.05)。但干预后选药档次偏高问题与干预前比较,差异无统计学意义(P>0.05)。结论:我院对不合理用药问题实施的干预措施可促使药占比进一步降低,提高合理用药水平。

OBJECTIVE：To investigate the drug use rationality in Jiaozuo Municipal the Second People＇s Hosipital（hereinafter referred to as＂our hospital＂） before and after intervention,and to probe into the effects of reducing drug cost ratio after intervention.METHODS：Irrational drug use problems which resulted higher proportion of drug cost ratio during 2013（before intervention） and 2014（after intervention） were analyzed retrospectively,and the further intervention measures were developed.RESULTS：After intervention,problems like over-dose,over-concentration,non-indicated,improper selection of national essential drugs,over-long course,inappropriate combination medication had been improved compared with before intervention,with statistically significant difference（P 0.05）;however,there was no significant difference in problems of drug selection for high grade compared with before intervention（P 0.05）.CONCLUSIONS：A series of intervention measures for irrational drug use in our hospital can contribute to further reduce the drug cost ratio,and improve level of rational drug use.