HU Jue, GAO Yuzhang, ZHANG Baofu, et al. Analysis on the Effect of Prescription Reviews in Community Health Service Center and its Guiding Significance Under Medical Alliance Model[J]. 2020,20(10):1263-1266.
HU Jue, GAO Yuzhang, ZHANG Baofu, et al. Analysis on the Effect of Prescription Reviews in Community Health Service Center and its Guiding Significance Under Medical Alliance Model[J]. 2020,20(10):1263-1266. DOI: 10.14009/j.issn.1672-2124.2020.10.028.
OBJECTIVE: To evaluate the achieved effect of prescription review in Community Health Service Center of Gusu District( hereinafter referred to as "this CHSC") under the medical alliance model
so as to promote the continuous improvement of prescription review
effectively improve the prescription quality and guide rational medication. METHODS: Totally 2 400 outpatient prescriptions were randomly extracted( 100 prescriptions per month)from this CHSC during 2018-2019
and evaluation on rationality of prescriptions was conducted; filled in the"Prescription Review Worksheet"to compare and analyze the review results. RESULTS: Compared with 2018
the rational rate of outpatient prescription in this CHSC had increased by 6%( 92% vs. 86%)
the usage rate of antibiotics had decreased by 5%( 12% vs. 17%)
the usage rate of injections had decreased by 2%( 2% vs. 4%)
the average amount of money had decreased by 5. 26 yuan( 114. 77 yuan vs. 120. 03 yuan); of the extracted prescriptions
the proportions of nonstandard prescriptions and improper medication prescriptions had decreased by1. 17%( 1. 67% vs. 2. 83%) and 4. 83%( 6. 33% vs. 11. 17%)
respectively. CONCLUSIONS: The prescription review has achieved good results in this CHSC under the medical alliance model. General practitioners and pharmacists participate in the prescription review together
guidance provided by hospital pharmacy expert
intervening measures like review feedback and review results associated with performance appraisal have played an important role in the processing of prescription review. This community health service center will continue to promote prescription review to improve rational drug application in primary medical care.
关键词
医联体社区卫生服务中心处方点评效果分析合理用药
Keywords
Medical allianceCommunity health service centerPrescription reviewEffectiveness analysisRational drug application