摘要
目的：了解南昌市社区卫生服务机构的处方质量，为提高医疗质量以及合理用药提供依据。方法采用多阶段抽样法，对2011年南昌市不同辖区社区卫生服务机构[包括社区卫生服务（CHS）中心与CHS站]的处方（共抽取2000份处方）进行调查，调查内容包括用药种数、静脉滴注处方数、抗生素使用处方数、二联及以上抗生素使用处方数、激素使用处方数及处方费用等，并进行统计分析。结果CHS机构抽取的2000张处方中，平均单张处方用药种数为2．59种，其中南昌市D区的CHS机构平均单张处方用药种数最高，与A、B、C和E区比较差异均有统计学意义（均P＜0．05）。南昌市A、B、C和E区CHS机构的抗生素使用率、二联及以上抗生素使用率和激素使用率与D区比较差异均有统计学意义（均P＜0．05）。CHS中心的平均单张处方用药种数为2．79种，CHS站为2．4种。南昌市CHS中心的平均单张处方用药种数、静脉滴注使用率和激素使用率均明显高于CHS站（均P＜0．05）。CHS机构的单张处方费用平均为38．54元，其中CHS中心为51．31元，CHS站为25．77元。南昌市A、B、C、D和E区的CHS中心单张处方费用均明显高于CHS站（均P＜0．05）。南昌市CHS中心50-＞100元的单张处方费用所占比例均明显高于CHS站（均P＜0．05）。结论南昌市CHS机构处方质量不高，政府应加大监管力度，完善相关制度。加强专业技能培训，提高医生业务能力，同时加强居民合理用药的意识，对改善南昌市CHS医疗质量具有重要的意义。
Objective To understand the prescription quality in community health service （CHS）organizations of Nanchang,and to provide the basis for the improvement in medical quality and rational use of medicine.Methods The multi-stage sampling method was used to conduct a survey for the prescriptions（totally 2 000 prescriptions were extracted）from CHS organizations （including CHS centers and CHS stations）in different regions of Nanchang city.The survey con-tent included the numbers of medications,intravenous infusion prescriptions,antibiotic prescrip-tions,multiple antibiotic prescriptions and hormone prescriptions and the costs of prescriptions. The data were statistically analyzed.Results Among the 2 000 prescriptions from CHS organiza-tions,the average number of medications per prescription was 2.59.The number of medications＆amp;nbsp;per prescription in D region was significantly higher than that in A,B,C or E region（P 〈0.05）. The total antibiotic utilization rate,multiple antibiotic utilization rate and hormone utilization rate in D region were significantly different from those in A,B,C or E region（P 〈0.05）.The average number of medications per prescription was 2.79 in CHS centers and 2.4 in CHS stations.The number of medications per prescription and rates of intravenous infusion and hormone use in CHS centers were significanly higher than those in CHS stations（P 〈0.05）.The average cost per pre-scription was 38.54 yuan in CHS organizations,of which the average cost per prescription was 51.31 yuan in CHS centers and 25.77 yuan in CHS stations.The average cost per prescription in CHS centers was significanlty higher than that in CHS stations in A,B,C,D and E regions（P 〈0.05）.In addtion,the proportion of cost per prescription from 50 yuan to more than 100 yuan in CHS centers was significantly higher than that in CHS stations（P 〈0.05）.Conclusion The pre-scription quality is poor in community health service organizations of Nanchang.The government should strengthen the supervision and improve the relevant regimen.Furthermore,the profession-al skill training should be strengthened in doctors and the awareness for rational drug use should be improved in residents to enhance the medical quality of CHS in Nanchang.
出处
《南昌大学学报（医学版）》
CAS
2014年第8期87-90,共4页
Journal of Nanchang University：Medical Sciences
基金
江西省卫生厅科技计划(20123172)
关键词
处方
质量
社区卫生服务
机构
南昌
江西
调查
prescription
quality
community health service
organizations
Nanchang,Jiangxi
investigation
