摘要
Abstract
Objective:To evaluate the effects of pharmaceutical intervention on clinical application of national essential drugs in a children's hospital.Methods:Clinical data of essential drugs in a children's hospital in 2021(before intervention)and 2022(after intervention)were respectively extracted from the hospital information system,including the proportion of varieties of essential drugs purchased,proportion of funds for essential drugs,proportion of prescriptions for essential drugs in outpatients,proportion of prescriptions for application of essential drugs in outpatients,application rate of essential drugs in inpatients and proportion of essential drugs in inpatients.The growth rate of the whole hospital and different clinical departments in 2022 and 2021 were compared.Results:Compared with 2021,the proportion of varieties of essential drugs purchased in 2022 decreased by 1.32％,the proportion of funds for essential drugs increased by 2.26％,the proportion of prescriptions for essential drugs in outpatients increased by 13.82％,the proportion of prescriptions for application of essential drugs in outpatients increased by 11.69％,and the application rate of essential drugs in inpatients remained unchanged,the proportion of essential drugs in inpatients increased by 1.30％.The departments with significant improvement in the assessment indicators of essential drugs included Cardiology,Neonatology,General Medicine,Neurosurgery,Infectious Diseases Department,Neonatal Intensive Care Unit,Otolaryngology,the First Hematology,Surgical Intensive Care Unit and the Second Hematology Department.Conclusion:The application of national essential drugs in our hospital has made some progress after the intervention by clinical pharmacists,yet the proportion of funds for essential drugs and application rate of essential drugs in inpatients still fail to meet the requirements of the provincial performance assessment of tertiary general hospitals.It is necessary for pharmacists and clinicians to actively cooperate with the families of children to carry out essential drugs education and increase the trust for essential drugs,and call on the state to increase the varieties of children's drugs in the National Essential Drugs List,so as to improve the economy and accessibility of children's drugs.关键词
国家基本药物/药学干预/合理用药/儿童医院/临床药师Key words
national essential drugs/pharmaceutical care/rational drug use/children's hospital/clinical pharmacists分类
医药卫生
