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目的:了解我院门诊超量取药处方的实际情况。方法:统计2015年7月1~31日门诊超量取药处方共计1 107张,采用回顾性研究方法分析评价超量取药处方的实际情况。结果:共调查16 063张处方,超量取药处方1 107张,占总处方的6.89%。涉及902例患者,存在同一患者在同一天开具多张超量处方的情况。随着年龄的增加,患者的人数也在逐渐增加。处方金额在101~200元之间的处方数量最多,占所有超量取药处方的34.51%。按医嘱数排名前10位的药品与排名前10位的诊断基本相符。且这10种药品中,中成药有5种。结论:超量取药处方是医保制度下政策的产物,超量取药处方的管理不应是单纯药物数量的叠加,应根据疾病、药物以及患者的特点,个体化制定策略,达到更合理的管理策略,其最终目标是让患者获益,使医疗资源分配更加合理。
Objectives: To understand the actual situation of outpatient overdose prescription in our hospital. Methods: A total of 1 107 oral prescriptions were collected from July 1 to July 31, 2015. The retrospective study was conducted to evaluate the actual situation of overdose prescriptions. Results: A total of 16 063 prescriptions were investigated, and 1 107 prescriptions for overdose were taken, accounting for 6.89% of the total prescriptions. Of the 902 patients involved, the same patient had multiple excess prescriptions on the same day. With age, the number of patients is gradually increasing. Prescription amount between 101 to 200 yuan in the largest number of prescriptions, accounting for 34.51% of all overdose prescriptions. According to the number of doctors ranked the top 10 drugs with the top 10 diagnosis basically consistent. And of these 10 kinds of medicines, there are 5 kinds of proprietary Chinese medicines. Conclusion: Excess drug prescriptions are the product of the policy under the Medicare system. The management of overdose prescriptions should not be the superposition of pure drug quantity. The strategies should be formulated according to the characteristics of diseases, drugs and patients, so as to achieve more reasonable Management strategy, the ultimate goal is to benefit patients, make the allocation of medical resources more reasonable.