【摘要】 目的构建一套合理高效的处方点评模式,用以提高处方质量,促进合理用药。方法通过建立和完善处方点评组织机构、处方点评制度、处方点评标准和方法,并进行反馈和干预,建立有效的处方点评模式。运用该模式对浙江大学金华医院(以下简称"我院")2011~2012年门诊处方进行点评,统计处方合格率,并与模式建立前的2010年门诊处方进行比较。同时统计我院2010年(模式完善前)及2011、2012年(模式完善后)药品比例、抗生素使用比例,并进行比较。结果处方合格率由模式完善前的58.41%上升到完善后的91.30%。全院药品收入占比从2010年的54.76%下降到2012年的43.29%。抗菌药物金额占比从2010年的23.54%下降到2012年的7.80%。结论该模式在提高门诊处方合格率、降低药品比例和抗菌药物比例等方面取得了明显的成效,对规范处方行为、提高处方质量、提高医院合理用药水平等方面具有重要意义。更多还原

【Abstract】 Objective To establish a rational and efficient prescription evaluation scheme in order to improve prescription quality and promote rational drug use.Methods Effective prescription evaluation scheme was set up based on establishment and improvement of organizational structure,mechanism,standards and methods for prescription evaluation,with combination of feedback and interventions.The prescription evaluation scheme was applied for statistics and comparison of the proportion of drug revenue and antibiotics use in Jinhua Hospital of Zhejiang University( "our hospital" for short) in 2010(before improvement of the prescription evaluation scheme) and 2011 and 2012(after improvement of the prescription evaluation scheme).Results The prescription qualification rate increased from 58.41% before improvement to 91.30% after improvement of the prescription evaluation scheme.The proportion of drug revenue in hospital revenue decreased from 54.76% in 2010 to 43.29% in 2012.The proportion of antimicrobial revenue decreased from 23.54% in 2010 to 7.80% in 2012.Conclusion The prescription evaluation scheme has made significant achievements in improving outpatient prescription qualification rate,and reducing the proportion of drug revenue and the proportion of antimicrobial revenue,which is of great significance for regulating prescription behavior,improving prescription quality,and promoting rational drug use in hospital.更多还原