东莞市桥头医院2012—2015年门诊处方分析

Analysis of outpatient prescription from 2012 to 2015 in Qiaotou Hospital of Dongguan

目的通过调查东莞市桥头医院近4年门诊处方,了解和掌握处方基本情况,以提高处方质量,保障患者用药安全、有效、经济。方法抽取2012年1月至2015年12月东莞市桥头医院每月门诊处方1000张,处方覆盖所有科室,对处方金额、药品品种数、是否使用注射剂、抗菌药物使用率、合理性等进行分析。结果 2012—2015年东莞市桥头医院处方平均用药品种数由2.83种下降为2.38种,处方平均金额由89.01元下降为70.83元,注射剂使用率由24.40%下降为21.40%,基本药物总收入占药品总收入比例由37.40%上升到45.3%,不合理处方比例由10.40%下降为5.00%。结论该院门诊处方质量逐年提高,保障临床用药安全、有效、经济,但仍有不足,在今后的工作中需积极改进。

Objective By investigating outpatient prescriptions in our hospital over the past four years,understanding and mastering the basic situation of prescription,to improve prescription quality,guarantee the safety, effectiveness and economical efficiency of drug use.Method By drawing out 1000 outpatient prescriptions over January 2012~December 2015 from all sections.Results Over 2012—2015,the average category of prescription drug decreased from 2.38 to 2.83,the average expense dropped from RMB 89.01 to RMB 70.83,24.8%usrage rate of injection fell to 21.40%total revenue of essential drugs raised from 37.40% to 45.30%,while irrational prescriptions fell from 10.40% down to 5.00%.Conclusion Outpatient prescriptions quality gradually increase by year,ensuring the safety,effectiveness and economical efficiency of drug use.However something can be better improved in future work.