摘要
目的分析医药分开后对医院门诊中成药使用的监测指标与结果影响。方法抽取某医院HIS系统门诊药品处方185 200张,对其中的中成药处方57 400张处方信息进行分类归纳和统计分析。结果非中医科室中成药处方费用占比超过85%,10个品种的中成药费占总中成药费的28.55%,同一处方中超过1个亚类的处方占比达27.35%,10个单价较高的中成药品种占到了总中成药的10.96%。结论加强医师中成药处方权限的管理和中医"辨证施治"的培训,将中成药使用全程管理纳入医院信息管理系统,提高中成药合理使用水平。
Objective To explore the monitoring indexes and methods of rational use of Chinese tradi- tional patent medicine after the separation fo prescribing from dispensing.Methods 185200 prescriptions at an outpatient pharmacy of the HIS system were retrieved,and 57 400 prescriptions of Chinese traditional patent medicine were classified, summarized and analyzed statistically. Results The cost of non-TCM departments accounted for more than 85% of the total expenses on Chinese traditional patent medicine the cost of ten types of Chinese traditional patent medicine accounted for 28.55% of the total expenses on Chinese traditional patent medicine.Prescriptions in which there were more than one drug of the subclass accounted for 27.35% ,and high-ten types of priced Chinese patent medicines accounted for 10.96% of the total.Conclusion We should exercise strict control over doctors right to prescribe Chinese traditional patent medicine and enhance the training of ＂syndrome differentiation and treatment＂ in Chinese medicine,and in- tegrate the whole-process management of Chinese traditional patent medicine into the hospital information management system to improve the rational use level of Chinese traditional patent medicines.
出处
《解放军药学学报》
CAS
CSCD
2017年第4期379-381,共3页
Pharmaceutical Journal of Chinese People's Liberation Army
基金
中央保健委员会专项基金
No.11BJZ08
关键词
医院门诊
中成药
药物合理使用
监测
医药分开
outpatient
Chinese traditional patent medicine
drug rational use
monitoring
separation of clinic from pharmacy
