黔东南州251家基层医疗机构麻醉药品配备与管理现状调查

Study on the present situation of narcotic drugs equipment and management in 251 primary healthcare institutions from Qiandongnan prefecture

目的了解贵州省黔东南州基层医疗机构麻醉药品配备与管理现状。方法采取问卷调查方法对贵州省黔东南州基层医疗机构的药剂科负责人或医务人员进行调查,对调查结果进行描述性统计分析。结果本次调查的251家医疗机构中,仅有29家医疗机构配备了麻醉药品,占比为11.55%;医疗机构未配备麻醉药品的主要原因在于医疗机构不重视、没有麻醉药品储存条件、认为麻醉药品管理程序复杂和麻醉药品使用量过少等。29家配备了麻醉药品的基层医疗机构均没有对患者用量情况进行监控,占比为100%;均未落实每3个月对患者复诊或者随诊1次的规定,占比为100%。结论卫生健康行政部门应加强基层医疗机构麻醉药品管理,同时加大对基层医疗机构医务人员开展麻醉药品规范管理和临床合理应用等方面的培训力度。

OBJECTIVE To investigate the present equipment and management situation of narcotic drugs in primary healthcare institutions from Qiandongnan prefecture of Guizhou province.METHODS The questionnaire survey was conducted among pharmacy department heads and medical staff from primary healthcare institutions in Qiandongnan prefecture of Guizhou province.Descriptive statistical analysis was conducted on the survey results.RESULTS Of 251 healthcare institutions in this survey,29 healthcare institutions were equipped with narcotic drugs,accounting for 11.55%.The reasons for the narcotic drugs unequipped were mainly as follows:insufficient attention,no storage conditions for narcotic drugs,complex program of narcotic drug management,small amount usage and so on.Among the 29 primary healthcare institutions equipped with narcotic drugs,all of them did not monitor patient usage,accounting for 100%;29 healthcare institutions did not implement a return visit or follow-up every 3 months,accounting for 100%.CONCLUSIONS The health administration departments should strengthen the administration of narcotic drugs in primary healthcare institutions.At the same time,training on standardized management and clinical rational application of narcotic drugs for medical staff in primary healthcare institutions should be enhanced by the health administrative department.