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| 2015～2017年上海市松江区15家社区卫生服务中心门诊处方合理用药调研 |
| A Survey on the Rational Drug Use of Outpatient Prescription in 15 Community Health Service Centers in a District of Shanghai |
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| DOI： |
| 中文关键词: 社区卫生服务中心，门诊处方，抗菌药物 合理用药 |
| 英文关键词:Community health service centers Outpatient prescriptions Antibacterial drug Rational drug use |
| 基金项目:2018年上海市临床药学重点专科建设项目[编号：沪卫计药政（2018）9号] |
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| 中文摘要: |
| 摘 要 目的：了解2015～2017年上海市松江区15家社区卫生服务中心门诊处方合理用药总体情况及抗菌药物的使用情况，为促进临床合理用药提供理论依据。方法：收集2015年1月～2017年12月上海市松江区15家社区卫生服务中心54 000张门诊处方信息，参照WHO/INRUD处方指标要求及抗菌药物临床应用监测指标，统计并客观评价合理用药问题。结果：15家社区卫生服务中心平均每张处方用药品种数均值为2.08种；静脉注射剂使用百分率为7.0%；基本药物使用百分率98.33%，合格处方百分率为98%；3年平均抗菌药物占药品总收入比例10.3%，复合年均增长率（CAGR）为-8.45%；门诊就诊患者抗菌药物用药频度为110 110，CAGR为-4.92%；门诊就诊患者抗菌药物的使用强度0.56，CAGR为-1.50%；使用抗菌药物处方百分率为12.56%，CAGR为1.23%,抗菌药物监测指标中除使用抗菌药物处方百分率呈正增长外，其余指标均呈负增长。结论：松江15家社区卫生服务中心处方质量及抗菌药物的合理使用水平明显提高，但仍存在一定的提升空间。 |
| 英文摘要: |
| ABSTRACT Objective: To understand the rational drug use index and antimicrobial use of outpatient prescriptions in 15 community health service centers in Songjiang to provide theoretical basis for promoting rational drug use in clinic. Methods:54 000 outpatient prescriptions of 15 community health service centers between January 2015 to December 2017 were selected and were used to examine drug utilization according to WHO/INRUD index requirment. Results:An average number of drug per prescription in 15 community health service centers was 2.08，percentage of injection was 7.0%; The percentage of essential drugs accounted was 98.33%, qualified prescriptions was 98%; Three year average antibacterial drugs accounted for total drug income ratio was 10.3%, the Compound annual growth rate (CAGR) was -8.45%; The outpatients with antibacterial drugs DDDs was 110 110, the CAGR was -4.92%; The outpatients antibacterial drugs issued per prescription was 0.56, the CAGR was -1.50%; The antibacterial drug usage ratio was 12.56%, the CAGR was 1.23%. The percentage of antimicrobial prescriptions increased positively, while the other indicators increased negatively. Conclusion: The prescribing trends and the use of antibacterial in 15 community health service centers in Songjiang are becoming more and more rational, but there are still some improved space. |
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