Prescription pattern and its influencing factors in Chinese county hospitals: a retrospective cross-sectional study.
Prescription pattern and its influencing factors in Chinese county hospitals: a retrospective cross-sectional study.
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DOI：
10.1371/journal.pone.0063225
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Feng Z
中科院分区：
文献类型：
--
作者：
Wang H;Li N;Zhu H;Xu S;Lu H;Feng Z
本研究旨在调查中国县级医院处方模式及其影响因素。采用WHO/INRUD提出的5项指标评价处方质量。本课题组设计了一份针对医生的调查问卷。调查对象为安徽省10所县级医院的内科、外科、妇产科、儿科医生。对2011年5月至2012年4月的处方进行分析。337名医生完成了有效问卷，并对5099张处方进行了分析。处方平均用药数为3.52±2.31张，仿制药、抗生素、注射剂和国家基本药物目录用药比例分别为96.12%、29.90%、20.02%和48.85%。最终学历和专业的差异导致所有五个处方质量指标的差异。年龄较大的医生倾向于使用更多的抗生素。受教育程度高、接受合理用药培训多、医学知识掌握较好的医生，处方仿制药的比例较低。此外，医生对国家基本药物政策的态度越支持，开仿制药的比例就越高。医学知识水平越高，从基本药物清单中开出的药物比例越高。加强对医生的医学知识教育，加强对医生合理用药的宣传，开展医生绩效考核，是提高县级医院处方质量的有效途径。
This study aimed to investigate prescription patterns and influencing factors in Chinese county hospitals. Prescription quality was evaluated by five indicators proposed by WHO/INRUD. A questionnaire for doctors was designed by our research group. All internists, surgeons, obstetricians, gynecologists and pediatricians from 10 county hospitals in Anhui province were asked to fill the questionnaire. Their prescriptions from May 2011 to April 2012 were analyzed. Three-hundred and thirty-seven doctors completed valid questionnaires, and 5099 prescriptions were analyzed. The average number of drugs per prescription was 3.52±2.31; the average percentage of generic drugs, antibiotic usage, injection drug usage, and drugs prescribed from the national essential drug list were 96.12%, 29.90%, 20.02% and 48.85%, respectively. Differences in final academic degree and specialty led to differences in all of the five prescription quality indicators. The older doctors tended to use more antibiotics. Doctors with more education, more training on rational drug use, and better acquisition of medicine knowledge prescribe a lower percentage of generic drugs. Moreover, the more supportive the doctor’s attitude to national essential medicine policy, the higher the percentage of generic drugs were prescribed. A higher level of medical knowledge was associated with a higher percentage of drugs prescribed from the essential drugs list. Promoting the education of medical knowledge on doctors, reinforcing the publicity of rational drug use to doctors, and initiating the performance evaluation for doctors are effective ways for improving prescription quality in Chinese county hospitals.
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影响因子：
0.8
作者：
Mahajan R;Singh NR;Singh J;Dixit A;Jain A;Gupta A
通讯作者：
Gupta A
影响因子：
3.2
作者：
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作者：
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影响因子：
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通讯作者：
Sondergaard, Jens
影响因子：
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作者：
GREENHALGH, T
通讯作者：
GREENHALGH, T