2016—2017年北京市社区卫生服务中心处方集中抽样分析
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摘要
目的汇总分析北京市16个区县近百家社区卫生服务中心的药物处方,总结出各社区处方的基本情况。方法集中抽取北京市16各区县95家社区卫生服务中心2016年和2017年同期全门诊不含草药处方,其中2016年处方总数242 247张,2017年处方290 211张,比较分析两年处方的基本情况。结果北京市共有16个区县,中心城区共6个,对于医保的覆盖率最高的为东城,最低的为延庆区;中心城区医师的处方数相对较远郊区县高;北京市社区卫生服务中心高血压处方居于首位,其次为冠状动脉粥样硬化性心脏病、糖尿病、高脂血症;对于西药的使用,远郊区县略高于中心城区,远郊区县房山西药的使用率最高。结论北京市远郊区县医保的覆盖率应进一步提高,中心城区医师的工作量相对较多,更应注意处方的书写质量。对于药物的使用,"三高"患者相对较多,应加强慢性疾病的管理。
Objective To summarize and analyze the prescriptions of nearly 100 community health service centers in 16 districts and counties in Beijing, and to summarize the basic situations of prescriptions in various communities. Methods Prescriptions from 95 community health service centers in 16 districts and counties in Beijing were selected, which were used in the outpatients during the same period in 2016 and 2017 and did not contain herbals. The total number of the prescriptions in 2016 was 242 247,and the number of the prescriptions in 2017 was 290 211. The basic situations of the 2-year prescriptions were compared and analyzed. Results There were 16 districts and counties in Beijing, and 6 districts and counties in the central district. The coverage rate of medical insurance was the highest in Dongcheng and the lowest in Yanqing; the number of the prescriptions of doctors in the central district was relatively higher than that in the remote suburban counties; the prescriptions of hypertension in the Beijing community health service centers ranked first, followed by those of coronary atherosclerotic heart disease, diabetes and hyperlipidemia. For the use of western medicines, the use rate in the remote suburban counties was slightly higher than that in the central urban areas, and the use rate of western medicines in the remote suburban county of Fangshan was the highest. Conclusion The coverage rate of medical insurance in the remote suburban counties of Beijing should be further improved. The workload of doctors in the central urban areas is relatively heavier, and more attention should be paid to the quality of prescription writing. For the use of drugs, "three high" patients are relatively more, so that we should strengthen the management of chronic diseases.
Objective To summarize and analyze the prescriptions of nearly 100 community health service centers in 16 districts and counties in Beijing, and to summarize the basic situations of prescriptions in various communities. Methods Prescriptions from 95 community health service centers in 16 districts and counties in Beijing were selected, which were used in the outpatients during the same period in 2016 and 2017 and did not contain herbals. The total number of the prescriptions in 2016 was 242 247,and the number of the prescriptions in 2017 was 290 211. The basic situations of the 2-year prescriptions were compared and analyzed. Results There were 16 districts and counties in Beijing, and 6 districts and counties in the central district. The coverage rate of medical insurance was the highest in Dongcheng and the lowest in Yanqing; the number of the prescriptions of doctors in the central district was relatively higher than that in the remote suburban counties; the prescriptions of hypertension in the Beijing community health service centers ranked first, followed by those of coronary atherosclerotic heart disease, diabetes and hyperlipidemia. For the use of western medicines, the use rate in the remote suburban counties was slightly higher than that in the central urban areas, and the use rate of western medicines in the remote suburban county of Fangshan was the highest. Conclusion The coverage rate of medical insurance in the remote suburban counties of Beijing should be further improved. The workload of doctors in the central urban areas is relatively heavier, and more attention should be paid to the quality of prescription writing. For the use of drugs, "three high" patients are relatively more, so that we should strengthen the management of chronic diseases.
引文
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[8]喻革玲.门诊高血压患者降压药物应用情况调查[J].临床合理用药杂志, 2018, 11(32):100-101.
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[11]李露,邵小平.冠心病患者心脏康复的研究进展[J].中西医结合护理(中英文), 2017, 3(7):32-35.
[12]吴青华,李冰涛,涂珺.复方中药治疗糖尿病的研究进展[J].中国中药杂志, 2019, 44(6):1104-1109.
[13]王忠平.探讨高血脂对老年人心脑血管的影响及防治措施[J].中西医结合心血管病电子杂志, 2018, 6(19):61, 64.
[14]许佳音,薛秉玮.医院西药房高警示药品管理现状调查及改进措施分析[J].中国卫生标准管理, 2018, 9(23):83-85.
[15]闫文蓉,王利梅,张晓红.医院中成药应用中存在的问题及分析[J].中国卫生产业, 2018, 15(32):181-183.
[2]孔其芳,赵奇江.处方点评制度执行模式的探讨[J].中国社区医师, 2017, 33(22):12-13, 15.
[3]白莎.医疗保险基金管理存在的问题及解决措施[J].现代营销(下旬刊), 2018(12):179.
[4]仇雨临,王昭茜.以医保为杠杆协同推进“三医联动”改革[J].中国医疗保险, 2018(11):9-12.
[5]杨俐霞,杨艳,董元红.预防老年人骨折对医疗保险支出的影响分析[J].中国药物与临床, 2018, 18(12):2231-2232.
[6]牟志艳.严格处方审核促进合理用药[J].世界最新医学信息文摘, 2018, 18(81):184, 189.
[7]仇雨临,王昭茜.以医保为杠杆协同推进“三医联动”改革[J].中国医疗保险, 2018(11):9-12.
[8]喻革玲.门诊高血压患者降压药物应用情况调查[J].临床合理用药杂志, 2018, 11(32):100-101.
[9]刘洋,刘鑫,李亚利,等.北京市社区高血压长处方患者慢病管理的药学服务模式评价[J].临床药物治疗杂志,2018,16(10):78-80, 89.
[10]彭南昕,陈庆伟,柯大智,等.老年冠心病心脏康复的风险评估与干预策略[J].中华老年病研究电子杂志, 2018, 5(3):13-18.
[11]李露,邵小平.冠心病患者心脏康复的研究进展[J].中西医结合护理(中英文), 2017, 3(7):32-35.
[12]吴青华,李冰涛,涂珺.复方中药治疗糖尿病的研究进展[J].中国中药杂志, 2019, 44(6):1104-1109.
[13]王忠平.探讨高血脂对老年人心脑血管的影响及防治措施[J].中西医结合心血管病电子杂志, 2018, 6(19):61, 64.
[14]许佳音,薛秉玮.医院西药房高警示药品管理现状调查及改进措施分析[J].中国卫生标准管理, 2018, 9(23):83-85.
[15]闫文蓉,王利梅,张晓红.医院中成药应用中存在的问题及分析[J].中国卫生产业, 2018, 15(32):181-183.