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目的:了解上海市郊区二级医院合理用药状况,探讨促进合理用药水平提高的措施。方法:随机选择上海市郊区6家二级医院6个月的门诊处方和一个月内的门诊就医患者,现场调查WHO推荐的合理用药指标。结果:处方指标中平均用药品种数为2.7种,抗菌药物的使用比例为43%,针剂的使用比例为25.4%,医院药品目录使用比例为66.6%。患者关怀指标中平均就诊时间为8.67min,药品平均调配时间为24.9s,药物标示完整率为89.2%,患者了解药品正确用法率为88·3%,患者对医疗全过程的满意率为79.2%。结论:上海市郊区二级医院处方平均用药数、抗菌药物使用比例偏高,合理用药水平有待提高,医师、药师对患者的交流关怀有待进一步加强。使用合理用药国际指标来评价和比较不同医疗单位用药状况具有可操作性。
Objective: To understand the rational use of drugs in the suburban secondary hospitals in Shanghai and explore measures to promote the rational use of drugs. Methods: Six outpatient prescriptions at 6 secondary hospitals in Shanghai suburbs and outpatients in one month were randomly selected. The WHO recommended reasonable medication index was investigated on site. Results: The average number of prescription drugs in prescriptions was 2.7, the use of antimicrobials was 43%, the dosage of injections was 25.4%, and the proportion of hospital medicines was 66.6%. The mean time of patient care was 8.67min, the average time of drug deployment was 24.9s, the rate of drug labeling was 89.2%, and the patients’ correct usage rate was 88.3%. The satisfaction rate of patients to the whole process was 79.2% . Conclusion: The average number of prescriptions and the use of antimicrobial agents in the secondary hospitals in Shanghai suburbs are high, and the rational use of drugs should be improved. The exchange and care of patients and physicians need to be further strengthened. The use of international indicators of rational drug use to evaluate and compare the medical status of different medical units is workable.