Quality analysis of outpatient prescriptions at both township and village levels in two counties of Hubei province
10.3760/cma.j.issn.1000-6672.2017.05.019
- VernacularTitle:湖北省两县乡村两级医疗机构门诊处方质量分析
- Author:
Haomiao LI
;
Yingchun CHEN
;
Xiang ZHANG
;
Zhanchun FENG
;
Hongxia GAO
;
Jing WANG
;
Zhiguo ZHANG
;
Juyang XIONG
;
Ping LI
- Keywords:
General primary care reform;
Rural;
Outpatient;
Prescription;
Quality
- From:
Chinese Journal of Hospital Administration
2017;33(5):384-388
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the quality of outpatient prescriptions for patients of different age groups at both township and village level,for the purpose of evaluating the outcomes and problems of the ongoing healthcare reform at primary levels.Methods 100 outpatient prescriptions of April 2015 were mechanically sampled randomly from two township hospitals and 8 village clinics in counties A and B in Hubei province.These prescriptions were analyzed for the drug count per prescription,percentage of intravenous prescriptions,that of antibiotics,that of hormones and average cost per prescription.Results At the township hospitals,the drug count per prescription(2.02)of county A was less than that of county B(3.26),while the percentage of intravenous prescriptions(30.30%),that of antibiotics(47.98%)and hormones(6.57%)of county A were significantly less than those of county B(50.65%,69.08% and 15.13% respectively).At village clinic level,the percentage of intravenous prescriptions(31.05%)of county A was higher than that of county B(20.34%),the average prescription costs(￥29.28)of county A was less than county B(￥31.45);while in terms of children′s prescriptions,average drug count of county A(2.50)was higher than county B(2.09),and its proportion of antibiotics(65.91%)was higher than county B(45.56%).Conclusions General primary care reform is faced with challenges of poor control of intravenous injection and use of antibiotics,particularly at village clinics and pediatric drug use in terms of prescription quality control.Both township and village levels should strengthen the supervision over the drug suppliers,guide the demand side to rationally use drugs and focus on the reasonableness of the medication of village clinics and children.
