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公医费用居高不下已成为国家财政的一大负担。近几年来,尽管采取了许多措施和办法遏制其增长速度,但仍难以得到控制。为了切实贯彻“因病施治、合理检查、合理用药”的原则,找出门诊公费医疗经费支出的影响因素,我们抽查3000张门诊处方进行研究。在3000张处方中符合用药原则的有1542份,占51.4％;发现问题的有1458份,占48.6％。主要问题有:1、不符合医疗原则,主治方向不明的有989张,占处方总数的33％。其典型例子是某处方开列扑尔敏、脑心舒、冬虫夏草精、感冒清、氟脈酸5种药。2、同类药重叠使用的有98张,占处方总数的3％。其典型例子是某处方治风湿痛,同时
The high cost of public medical services has become a major burden on the state finance. In recent years, despite many measures and methods to curb its growth rate, it is still difficult to control. In order to effectively implement the principles of “disease treatment, reasonable inspection, and rational drug use” and find out the influencing factors of outpatient medical expenses, we sampled 3,000 outpatient prescriptions for research. Among the 3,000 prescriptions, 1542 were in compliance with the principle of medication, accounting for 51.4%; 1458 were found in the prescription, accounting for 48.6%. The main problems are: 1. Incompatible with medical principles, there are 989 unclear directions, accounting for 33% of the total number of prescriptions. A typical example is a prescription for chlorpheniramine, brain diastolic, cordyceps sinensis, cold clear, and fulvic acid. 2. There are 98 overlapping drugs of the same type, accounting for 3% of the total number of prescriptions. A typical example is a prescription for rheumatic pain while