肿瘤医院病人退药现象的分析

Analysis of Return Drugs Phenomenon After Buy Drugs in the Hospital Patients

目的 :分析医院病人退药现象。方法 :收集山西省肿瘤医院 2 14例退药资料 ,采用u检验 ,按治疗科室类型和医生职称分析退药特点和相关性。结果 :退药主要集中在手术科室和内科系统 ,占退药构成比的 77.73% ,以副主任医师以下的医生为主 ,占退药构成比的 92 .99%。退药发生率主治医师与主任医师比较有显著性差异 (P <0 .0 0 1) ,与副主任医师比较无显著差异 (P >0 .0 5 )。病人用药后发生不良反应、病人拒用和药费过高是主要退药原因。结论 :应从管理抓起 ,避免退药现象的发生。

Objective: To study return drugs phenomenon after buy drugs in our hospital.Method: 214 return drugs phenomenon data after buy drugs in our hospital were collected, correlativity and characteristic of the return drug according to diffecent clinical treatment departments and every doctor's level by u-test.Result: The return durgs phenomenon after buy drugs occured mainly in the operative department and internal medicine department(accounted for 77.73%).The return drugs phenomenon occured mainly in doctors under associate director(accounted for 92.99%).The incidence of return drugs phenomenon in doctors and visiting doctors was significant higher than chief physicians, and was not significant compared with associate chief physicicons.The side effects,use-refused by patients, and the economic problem are primary reasons of return drugs.Big prescription and patients death indicated the administrative problems. Conclusion: The return drugs after buy drugs may be avoided by the strict administration.