目的 了解社区医院门诊处方用药指标状况,促进合理用药水平的提高.方法 结合世界卫生组织(WHO)推荐的合理用药国际指标,抽查2010年四川省宜宾市级社区医院门诊处方和120例门诊患者进行调查.结果 处方指标为平均用药2.77种,药品通用名使用率为98.52%,基本药物使用率为94.76%,抗菌药物使用率为38.30%,注射剂使用率为15.57%.患者关怀指标为平均就诊时间5.84 min,平均调配时间2.12 min.实际药品调配率90.83%,药物指示完整率87.64%,患者了解药品正确用药率为90.15%.平均就诊药品费80.48元,结论采用合理用药国际指标评价门诊处方的合理用药具有可操作性和有效性.社区医院合理用药水平较低,有待提高.%Objective To understand the status of the drug use indicators of outpatient prescriptions in the community hospitals to promote the level of rational drug use. Methods Combing with the international standards of rational drug use recommended by WHO, the outpatient prescriptions in 2010 were sampled and 120 outpatients were investigated. Results In the prescription indicators, average 2.77 kinds of drugs were used per prescription, the use rate of generic names was 98. 52%, the use rate of basic drugs was 94. 76%, the use rates of antibiotics and injections were 38. 30% and 15. 57% respectively. In the patient care indicators, the average seeing - doctor time and the average drug dispensing time were 5. 84 min and 2. 12 min respectively, the practical drug dispensing rate was 90. 83%, the complete rate of drug instruction was 87. 64% , the rate of patient's correctly understanding drug use was 90. 15% , and the average drug costs for seeing - doctor was 80.48 Yuan. Conclusion Evaluating the rational drug use of outpatient prescriptions by the international indicators has operability and effectiveness. The level of rational drug use in community hospitals is lower, which needs to be increased.
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