Status and influencing factors of the application of informatization tools for antimicrobial stewardship in Chinese county hospitals
- VernacularTitle:我国县级医院抗菌药物管理信息化工具应用现状及影响因素分析
- Author:
Yuqi FU
1
;
Xin LI
2
;
Ying LI
3
;
Hongwei WU
4
;
Zhixin FAN
5
;
Jinru LIU
5
;
Xi CHEN
1
;
Yuxiang XIA
1
;
Qiang SUN
6
;
Yingbo ZHAO
1
Author Information
1. National Institute of Hospital Administration/National Center for Medical Quality Control in Pharmaceutical Management，Beijing 100044，China
2. Dept. of Pharmacy，Second Hospital of Jilin University，Changchun 130041，China
3. Institute of Antibiotics，Huashan Hospital，Fudan University，Shanghai 200040，China
4. Dept. of Pharmacy，The First Affiliated Hospital of Guangdong Pharmaceutical University，Guangzhou 510080，China
5. Dept. of Social Medicine and Health Management，School of Public Health，Cheeloo College of Medicine，Shandong University，Jinan 250012，China;Key Laboratory of Health Economics and Policy Research，National Health Commission（Shandong University），Jinan 250012，China;Center for Health Management and Policy Research，Shandong University（Shandong Province Key New Type Think Tank），Jinan 250012，China
6. Dept. of Social Medicine and Health Management，School of Public Health，Cheeloo College of Medicine，Shandong University，Jinan 250012，China;Key Laboratory of Health Economics and Policy Research，National Health Commission（Shandong University），Jinan 250012，China;Center for Health Management and Policy Research，Shandong University（Shandong Province Key New Type Think Tank），Jinan 250012，China;China National Health Development Research Center，Beijing 100044，China
- Publication Type:Journal Article
- Keywords:
informatization tools;
county hospitals;
antimicrobial stewardship;
Questionnaire survey;
Influencing factors
- From:
China Pharmacy
2026;37(16):2084-2089
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To investigate the current status of informatization tools applied to antimicrobial stewardship in county hospitals in China， and to provide a reference for promoting the informatization development of antimicrobial stewardship in county hospitals.METHODS From August to September 2025， an online questionnaire survey was conducted among 1 007 county hospitals across 31 provinces（autonomous regions， and municipalities） in China. The survey focused on the application of four types of informatization tools：the real-time monitoring system for antimicrobial use， the pre-prescription review system， the irrational use warning system， and the electronic prescription evaluation system（hereinafter referred to as the “monitoring system”“review system”“warning system”“evaluation system”，respectively）. Correlation analysis and binary Logistic regression analysis were employed to explore the influencing factors.RESULTS Of the county hospitals， 80.83% were equipped with at least one type of informatization tool for antimicrobial stewardship， while 19.17% had no relevant tool. Only 18.87% of the hospitals were equipped with all four types of tools. The monitoring system exhibited the highest equipped rate （70.80%）， whereas the warning system was equipped in only 33.96% of the hospitals. Four types of tools are evenly and adequately deployed in the eastern region， the central and western regions have far lower deployment rates of intervention tools including review system and warning system， accompanied by prominent intra-provincial gaps. The total number of the health technicians， hospital grade， and prescription review rate of outpatient antibacterial drug were significantly and positively correlated with the deployment rates of the four informatization tools （ P ＜0.05）. The results of the Logistic regression model fitting indicated that the model of the review system was rated “excellent” [area under the receiver operating characteristic curve （AUC）＝0.81]， and the model of the warning system was rated “further improvement” （AUC＝0.67）. The total number of health technicians was significantly positively correlated with the deployment rates of all four types of informatization tools （all P ＜0.05）.CONCLUSIONS The informatization of antimicrobial stewardship in county hospitals in China remains in the initial stage of transitioning from “passive statistics” to “active prevention and control”， with challenges such as structural imbalance and regional disparities. In the future， differentiated support strategies should be implemented， the allocation of resources should be optimized， to enhance the level of refined antimicrobial stewardship.
