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目的了解医院基本药物使用情况、进一步深化执行国家基本药物制度、促进临床优先使用基本药物。方法随机抽样门诊处方1200张,将处方信息记录在基本药物专项信息表内并进行处方点评。结果门诊处方合理率为98.2%(1179/1200),不合理处方21张(1.8%),基本药物的处方占43.0%,单张处方使用基本药物的品种数为0.7,基本药物销售金额占9.2%,未优先使用基本药物处方占17.0%。结论医院门诊处方比较规范,临床医师选用基本药物的积极性及控制药物费用的主动性偏低,基本药物使用率尚待提高。
Objective To understand the use of essential medicines in hospitals, further deepen the implementation of the national essential medicines system and promote the priority of clinical use of essential medicines. Methods Random sampling outpatient prescription 1200, the prescription information is recorded in the list of essential drugs and information on prescription reviews. Results The outpatient prescription rate was 98.2% (1179/1200), 21 cases (1.8%) of unreasonable prescriptions, 43.0% prescriptions of essential drugs, the number of varieties of essential drugs used in leaflets was 0.7, and the sales amount of essential drugs accounted for 9.2% %, Preferential use of essential medicines accounted for 17.0% of prescriptions. Conclusion The hospital outpatient prescription is more standardized, the enthusiasm of clinicians for selecting basic drugs and the initiative of controlling drug costs are low, and the utilization rate of essential drugs needs to be improved.