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目的:调查门诊患者药品利用率以及影响因素。方法:通过访谈形式进行问卷调查,了解门诊患者药品利用情况,应用统计学方法对调查结果和影响因素进行分析。结果:被调查者中有29%的患者药品利用率低于50%;82%家庭有过期药品,其中治疗急性病药品占64%。急性病药品利用率低于慢性病药品利用率。公费医疗患者药品平均利用率低于自费患者。结论:门诊患者药品利用率不高;药品过期浪费现象较为严重。影响因素主要是医保制度存在缺陷、医师开大处方、药品大包装、药师与患者沟通及患者缺乏依从性差等。
Objective: To investigate outpatient drug utilization rate and influencing factors. Methods: A questionnaire survey was conducted to understand the utilization of outpatients’ medicines and the results of the investigation and the influencing factors were analyzed by using statistical methods. RESULTS: 29% of respondents reported less than 50% drug use; 82% of households had expired drugs, 64% of which were acute therapies. Acute disease drug utilization rate is lower than the chronic disease drug utilization rate. The average utilization rate of medicines in public medical patients is lower than that of patients who pay for their own expenses. Conclusion: Outpatient drug utilization rate is not high; drug overdue waste phenomenon is more serious. The main influencing factors are the defects of the medical insurance system, the doctor prescribing large packages, the big package of medicines, the communication between pharmacists and patients and the lack of patient compliance.