摘要
目的了解南昌市社区卫生服务机构的处方质量,为规范其就医行为提供依据。方法采用系统抽样的方法,对南昌市社区卫生服务机构的处方质量进行调查。结果共调查社区卫生服务机构的处方2000份。单处方用药个数平均为2.38个,单处方静脉滴注、抗生素、二联及以上抗生素及激素的使用率分别为42.6%、60.6%、11.3%、3.0%,单处方费用平均为39.70元。社区卫生服务中心除处方费用较社区卫生服务站高外,抗生素、二联及以上抗生素及激素使用率均低于社区卫生服务站,差异均有统计学意义(P<0.05);不同区的社区卫生服务机构的处方质量间差异亦有统计学意义(P<0.05)。结论目前社区卫生服务机构处方质量不高,政府应加强监管、教育与培训、加大财政投入,建立并完善处方质量考核机制、补偿机制、用人机制,确保社区卫生服务健康有序发展。
Objective To investigate the prescription quality of community health service （CHS） organization in Nanchang city to provide an evidence for standardization of medical practice in CHS. Methods The systematie sampling method was used in investigating the prescription quality in CHS organizations of Nanchang city. Results Totally 2000 prescriptions from CHS organizations were investigated. The average number of drugs in single prescription was 2. 38. The utilization rates of intravenous injeetion, antibiotic, two or more antibiotics and steroids in combination were 42. 6%, 60. 6%, 11.3% , and 3.0% respectively. The average expense in single prescription was RMB 39. 70, The utilization rates of intravenous injection, antibiotic, two or more antibiotics and steroids in combination in CHS centers were higher than those in CHS stations （P 〈 0.05 ）, with an exception of the single prescription expense. The prescription quality was different among the CHS organizations （ P 〈 0. 05 ）. Conclusion The prescription quality in Community health services is not very high. The Government should strengthen the su- pervision, education and training, increase financial input; establish and improve mechanisms for assessing the quality of prescription, compensation mechanism, employing mechanisms to ensure a healthy and orderly development of community health services.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第1期33-35,共3页
Chinese General Practice
关键词
社区卫生服务
处方
质量
调查
Community health services
Prescriptions
Quality
Investigation
