甘肃省农村地区医疗用药合理性分析

发布时间：2018-01-17 15:06

  本文关键词：甘肃省农村地区医疗用药合理性分析　出处：《中国公共卫生》2017年03期 　论文类型：期刊论文

  更多相关文章： 处方行为 基层医疗 用药合理性

【摘要】：目的了解甘肃省农村地区医疗机构的处方用药现状,为规范农村地区医生合理用药,提高医疗服务质量提供参考依据。方法采用分层整群抽样方法,调查甘肃省3个县、9个乡、27个村的医疗机构2014年的门诊处方,对抗生素使用、激素使用、处方及药品费用情况等进行统计分析。结果农村基层医疗机构中,门诊处方抗生素使用率在35%~64.58%。抗生素使用处方中,≥4种抗生素联合使用的处方主要见于妇幼保健院、乡镇卫生院和村卫生室,占比分别为0.27%、0.19%和0.14%;静脉滴注处方占比为30.73%,激素使用处方占比为3.07%;门诊处方基本药物、医保/新农合目录药品使用的平均水平分别是80.5%和80.6%。结论甘肃省农村地区在抗生素的使用和给药途径上还存在一定程度的不合理,要控制药品的不合理利用。
[Abstract]:Objective to understand the current situation of prescription drug use in medical institutions in rural areas of Gansu Province, and to provide a reference for standardizing rational use of drugs by doctors in rural areas and improving the quality of medical services. Methods stratified cluster sampling was used. In 2014, the outpatient prescriptions of medical institutions in 3 counties, 9 townships and 27 villages in Gansu Province were investigated. Antibiotics were used and hormones were used. Results in rural primary medical institutions, the rate of antibiotics used in outpatient prescriptions was 35 / 64.58. antibiotics were used in prescriptions. The prescriptions of combined use of 鈮，

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