江西基层抗菌药用量减少

2017-08-28 徐雅金 健康报

日前,江西省卫生计生委印发全省2016年基层医疗卫生机构处方点评工作情况通报。

日前,江西省卫生计生委印发全省2016年基层医疗卫生机构处方点评工作情况通报。通报显示,该省基层医疗卫生机构门急诊含抗菌药物处方占比、激素使用率分别为33.6%和2.84%,较2015年的44.95%和3.53%有所下降,表明抗菌药物和激素使用量在基层医疗卫生机构得到控制,基层平均单张处方金额为39.41元,患者医疗费用明显降低。

通报指出,去年,江西省卫生计生委组织督查组对全省11个设区市的22个县(市、区)卫生计生部门和44个基层医疗卫生机构,采用查阅资料的方法,对处方点评制度建设、组织实施、结果应用等方面的工作进行检查;同时,采用合理用药软件系统对随机抽取的处方从书写规范性、基本药物使用情况、用药合理性等方面进行点评,重点对抗菌药物、注射剂及激素的使用进行分析。检查结果表明,以不规范处方、用药不适宜处方及超常处方为判定标准,基层医疗卫生机构门急诊处方合理处方比例为40.62%,以用药不适宜处方为判定标准,合理处方比例为82.17%。在不合理处方中,以不规范现象最为严重;其次是用药不适宜,其中以用法用量不准确、给药途径不符、配伍禁忌现象较多,而药物相互作用、重复用药问题较少。全省基层医疗卫生机构门急诊抗菌药物静脉输液率为36.74%,表明基层医疗卫生机构门诊抗菌药物静脉输液现象较为普遍。含有注射剂处方的比例达到46.19%,较2015年的30.32%有明显上升,超过理想参考值≤24.1%,表明注射剂使用在全省基层医疗卫生机构呈上升趋势。

针对发现的问题,江西省卫生计生委要求加强处方点评管理法律法规知识培训,建立处方点评与合理用药培训相互促进机制。加强基层抗菌药物临床应用管理,引导基层减少抗菌药物静脉输液。

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    2017-08-30 lhlxtx
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    2017-08-29 lovetcm

    应该与限抗有关

    0

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    2017-08-29 189****7206

    学习了谢谢分享

    0

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    2017-08-28 131****1460

    学习了受益匪浅.

    0

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