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目的:通过“阳光用药”监察系统监测电子处方药品使用情况,结合处方点评制度、基本药物制度、抗菌药物分级使用制度及医疗质量监控制度,评价在构筑公立医院医德医风长效监察机制方面所取得的成效。方法:抽取2013年—2015年3年度电子处方,分析处方用药的规范性和合理性,以及分析抗菌药物、基本药物使用情况和患者平均次就诊治疗用药品费用。结果:2015年与2013年相比,处方合格率提升4.26%,门诊基本药物使用率增至56%,住院基本药物使用率增加3倍,门诊抗菌药物使用率降低36%,住院抗菌药物使用率降低8%,门诊用药均次药费降低15%,住院用药均次药费降低8%。结论:处方用药监察工作进一步提高了处方书写和药品使用的合理性,为降低医疗成本,预防医疗腐败,推动优质医疗管理和服务质量起到了积极的作用。
OBJECTIVE: To monitor the use of electronic prescription drugs through the “Sunshine Drug” monitoring system, and to evaluate the long-term efficiency monitoring mechanism of medical ethics in public hospitals by combining with the prescription review system, the basic drug system, the grading system of antimicrobial drugs and the medical quality monitoring system The results achieved in the area. Methods: The electronic prescriptions of 2013-2015 were drawn to analyze the normativeness and rationality of prescription drugs, as well as to analyze the usage of antimicrobial drugs, the use of essential drugs and the average cost of medical treatment for patients. Results: Compared with 2013, the passing rate of prescription increased by 4.26%, the rate of outpatient use of essential medicines increased to 56%, the rate of inpatient use of basic medicines increased threefold, the outpatient use of antibacterials decreased by 36%, and the rate of hospital use of antibacterials Reduce 8%, outpatient medication are 15% lower drug charges, hospital drug charges were reduced by 8%. Conclusion: The prescription drug monitoring work has further improved the rationality of prescription writing and drug use, playing a positive role in reducing medical costs, preventing medical corruption, and promoting quality medical management and service quality.