山西省乡村医疗机构药物使用调查的分析.pdfVIP

Analysis on Drug Use Practices of CountrysideVillage Medical Institutions in SHANXI Province Abstract OBJECTIVE：The study intended to evaluate the effect of the project’practice and to provide the theoretical foundation for intervention in Countryside＆Village Medical Institutions of SHANXI Province which ale project areas of HealthⅧproject by surveying the quality of prescription；The aim was to find out the problem in prescribing depending Oil investigating the physicians’prescribing behavior． METHODS：2760 Outpatient prescriptions were random chosen from Countryside＆ Village Medical Institutions which are project areas of HealthⅧProject Counties in SHANXI Province during the period of January to June in 2001 and in 2005，and the information was collected on a specifically designed form．The calculation of indicators referred to the methods and standard in《How to Investigate Drug Use in Health Facilities·Selected Drug Use Indicators}，which Was designed by WHO／INRUD．Statistics analysis carried out Excel 2003 and SPSS 1 1．5 statistical package and statistical methods used t test and Z test et al， RESULTS：l、the analysis of prescribing on quality：Percentage of prescription qualification Was 18．5％and OJ3％in 2005 and in 2001．respectively；Among the prescription head part,textand tail part qualified were 52．4％、26．5％、31．6％in 2005。19．8％、14．7％、 6．0％in 2001．respectively,there Was significant difference between two groups(，O．01)． 2、the analysis of prescription indicator：The average number of drugs per encounter in 2005 and in 2001 was 3．0 and 3．8 respectively,there Was significant difference between two groups (产8．699，PO．001)：86．1％and 76．4％ofdrugs were prescribed by generic name in 2005 and in 2001 respectively，there Was significant difference between two groups(z2=128．159， PO．001)：Percentage of encounters with an antibiotic prescribed in 2005 and 2001 Was 47．9％and 67．7％respectively．there Was significant difference between two groups (Xe=100．223，PO．001)：Percentage ofencounters with