摘要
目的探索系统管理方案对社区中成药规范应用的作用。方法选取浦东新区3家社区卫生服务中心,检查其2013年1—6月每月2个工作日的门诊中成药处方,对存在的问题进行干预。6个月后再次检查该3家中心2014年1—6月每月2个工作日的门诊中成药处方,比较不合理处方比例及分类指标。结果系统管理前后不合理中成药处方比例从22.80%下降至11.98%,差异有统计学意义(P<0.000 1)。系统管理后,在重复用药、用药与诊断不符合、用量用法不规范以及疗程不合理等方面较管理前均有明显改善,差异有统计学意义(P<0.000 1)。结论中成药系统管理方案能够有效提高中成药的规范应用,建议在社区推广。
OBJECTIVE To conduct a systematic management on the use of Chinese traditional patent medicines in community health service centers and then evaluate its effectiveness. METHODS It selected two working days randomly in each month from January to June in 2013 and found out all the outpatient prescriptions from the information system of 3 community health service centers in Pudong. After the analysis on these prescriptions about the rational use of Chinese traditional patent medicines, management and in- tervention were implemented. Six months later, it selected two working days randomly in each month from January to June in 2014 and compared the results of rational use before and after the intervention. RESULTS Before the systematic management, the ratio of ir- rational prescription of Chinese traditional patent medicine was 22.80%; while the ratio decreased to 11.98%. After the management, the differences were statically significant（P〈0.000 1 ）. After the systematic management, significant improvement was made in the in- conformity between diagnosis and medicines, prescribing two or more Chinese traditional patent medicines with the same therapeutic effect, non-standard use in the dosage and administration as well as irrational course of treatment, showing statistical significance （P〈0.000 1 ）. CONCLUSION The systematic management promotes the standard application of Chinese traditional patent medicines. Key words primary drug policy; Chinese traditional patent medicine; standard application; management scheme
出处
《中国初级卫生保健》
2015年第10期7-8,共2页
Chinese Primary Health Care
基金
上海市卫生和计划生育委员会科技项目(201204490)
关键词
基本药物政策
中成药
规范应用
管理方案
primary drug policy
Chinese traditional patent medicine
standard application
management scheme
