门诊处方不合理用药原因、影响因素分析及解决对策研究

Abstract
Figure/Table
References (20)
Related Citation (15)

Download: PDF (0 KB) HTML (37 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the reasons,influencing reasons and countermeasures of irrational use of drugs in outpatient prescriptions.Methods A total of 240 prescriptions from the numerous prescriptions issued by physicians in the outpatient departments of Gao′an People′s Hospital in Jiangxi Province from December 2016 to March 2019 were randomly selected for this experimental study.The relevant staff involved in this study used a retrospective analysis method to objectively count the proportion of irrational drug prescriptions in 240 outpatient prescriptions based on the Prescription Management Method,comprehensively analyze the types and reasons of irrational drug prescriptions,and completed univariate and multivariate Logistic analysis.Results Among the 240 outpatient prescriptions,there were 30 unreasonable prescription drugs,and the unreasonable drug use rate accounted for 8.00%.The univariate results showed that there was no statistically significant difference in the incidence of irrational outpatient prescriptions under different solvent choices (P＞0.05).There was statistically significant difference in the incidence of unreasonable outpatient prescriptions under administration methods,drug selection,medication interval,combination medication,and medication frequency (P＜0.05).The results of multivariate Logistic analysis showed that the method of administration,drug selection,medication interval,combination medication,and medication frequency were the risk factors for irrational medication use in outpatient prescriptions (P＜0.05).Conclusion There are many factors affecting the unreasonable use of drugs in hospital outpatient prescriptions,such as unreasonable drug administration and unreasonable drug selection.Different factors can interact and affect each other.Relevant hospital departments should further promote the drug system implementation,while focusing on continuously improving the comprehensive technical level and professional ethics of medical personnel,prompting them to be strict in their work positions,conscientious and responsible,so as to continuously improve the rationality of outpatient prescriptions.

Key words： Outpatient prescription Irrational use of drugs Influencing factors Countermeasures

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	GONG Jun
	WU Jian-e

Cite this article:

GONG Jun,WU Jian-e. Analysis of reasons,influencing factors and countermeasures study of irrational use of drugs in outpatient prescriptions[J]. 中国当代医药, 2021, 28(5): 211-214.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I5/211

[1]	官炜.我院门诊不合理用药处方干预效果分析[J].当代医学，2019，25（4）：85-87.
[2]	冯国旗，张广育.评《新编药物学》（第十四版）[J].中国药师，2000，3（2）：125-128.
[3]	中华人民共和国卫生部.抗菌药物临床应用管理办法[J].中华临床感染病杂志，2012，5（4）：193-196.
[4]	中华人民共和国卫生部.处方管理办法（试行）[J].药物不良反应杂志，2004，6（6）：395-397.
[5]	卫生部，总后卫生部.抗菌药物临床应用指导原则[J].中国中医药现代远程教育，2004，7（12）：9-12.
[6]	马诗瑜，杨婉花，徐培红.某院门、急诊常用中药注射液3281张处方点评及用药合理性分析[J].中国医院药学杂志，2018，38（17）：1850-1855.
[7]	韩凤，杨明娜，冯双，等.2017年北京市海淀区52家社区卫生服务中心62492 张门诊药物处方点评与分析[J].中国医院用药评价与分析，2018，18（7）：980-982，986.
[8]	范焕琼，梁凤彩，潘小青，等.佛山地区基层医疗机构2型糖尿病患者门诊用药处方的调查与评价[J].抗感染药学，2018，15（5）：772-775.
[9]	彭晓凤.我院2017年上半年门诊糖皮质激素类药物不合理用药处方点评分析[J].世界最新医学信息文摘，2018，18（47）：152-153.
[10]	拜年，高玉娟，刘冰.对2017年间新疆医科大学第一附属医院门诊处方中不合理用药情况的分析[J].当代医药论丛，2018，16（2）：166-167.
[11]	路淼.运用合理用药监测系统（PASS）对医院门诊处方进行监测的结果分析[J].临床医药文献电子杂志，2017，4（A1）：19 970.
[12]	丁恒生，张军.对某市15所基层医疗机构门诊处方中抗菌药物使用情况的调查分析[J].当代医药论丛，2017，15（23）：161-162.
[13]	王鹏.门诊处方不合理用药现状研究[J].世界中医药，2017，（A2）：114.
[14]	叶红.门诊抗菌药物处方点评与不合理用药处方研究[J].中国医药导刊，2017，19（4）：407-408.
[15]	梁健华，林平，张威，等.北京积水潭医院1223 张门诊不合理处方干预分析[J].临床药物治疗杂志，2017，15（3）：36-40.
[16]	陈子豪，田野，傅孟元，等.北京市东城区2014—2016年社区门诊不合理处方分析[J].中国医院管理，2018，38（12）：74-76.
[17]	隋玉辉.某院2015年门诊处方点评及用药分析[J].中国医疗设备，2017，32（S2）：13-14.
[18]	李茜，王纤汝.品管圈活动在减少某医院门诊中药房不合格处方中的应用[J].西部中医药，2018，31（1）：58-61.
[19]	张玲娣，戴海斌.基于STOPP标准的神经内科门诊老年患者潜在不适当用药分析[J].中国现代应用药学，2019，36（9）：97-100.
[20]	庞会明，周慧娟，倪昌荣，等.某中医院妇科门诊处方用药特点分析[J].中国药师，2018，21（7）：1188-1191.