摘要
目的:通过对西部贫困地区乡级医疗机构门诊处方的调查分析,揭示其不合理用药的程度并提出药物合理使用的建议。方法:运用快速评价法、描述性统计分析方法对医疗机构门诊处方情况进行客观分析。结果:乡级医疗机构门诊平均处方费用和平均处方用药数分别为15.62元和2.33种,抗生素的使用率为46.99%,激素的使用率为8.52%,注射使用率为34.53%。结论:西部贫困地区乡级医疗机构不合理用药的状况改善极为有限,建议大力推行农村基本药物政策,完善乡村医生推荐处方,加强医务人员的培训,规范处方用药行为,促进合理用药。
Objective To evaluate the extent of irrational drug use and to put forward suggestionss for rational drug use by analyzing outpatient prescription of township hospitals in western poverty areas. Methods Rapid evaluation method and descriptive study were adopted to analyze outpatient prescriptions. Results In township hospitals, the average expenditure and the average species of drug in a single prescription were 15.62 yuan and 2.33 respectively. The proportion of antibiotics prescribed was 46. 99%, while that of hormone was 8. 52%. And the proportion of iniection was 34.53%. Conclusion Irrational drug use in township hospital is improved within a limited degree. Based on the above, some strategies and suggestions are proposed to solve the problem, such as recommending essential drugs, improving the work for the standard prescription and essential drug directory, promoting legislation and supervision, and so on.
出处
《中国农村卫生事业管理》
2008年第1期42-45,共4页
Chinese Rural Health Service Administration
基金
卫生部-联合国儿童基金会(UNICEF)资助项目
关键词
乡级医疗机构
处方
合理用药
township hospitals
prescription
rational drug use
