Torres Gómez Luis Guillermo, Canales Muñoz José Luis
Departamento de Embarazo de Alto Riesgo, Unidad Médica de Alta Especialidad, Hospital de Gineco-Obstetricia, CMNO, IMSS.
Ginecol Obstet Mex. 2006 Aug;74(8):410-7.
Drug prescription is the most frequent medical intervention in Gynecology and Obstetrics; however, studies of prescription profile are limited. In this study, we analyzed differences of expense by drug prescription for gynecologic and obstetrics health problems.
It was performed a cross sectional study for one year analysis in each medical area that shape IMSS western district. We calculated spending and consumption coefficients for each drug and therapeutic groups. User coefficients were ordered to compare consumption differences. Besides the statistical ratio of consumption between drugs groups, we described the differences found and analyzed the prescription profile among medical regions.
Data related to the expenses in each one of the regions show important differences in each one of the drugs and therapeutic groups. The most common expense for drugs is related to the treatment of osteoporosis, menopause and fertility problems. We also found differences in prescription drug preferences in each therapeutic subgroup.
Drug prescription studies are useful as a basis for further specific studies in each pharmacologic subgroup. There are few studies that analyze the drug prescription profile on Gynecology and Obstetrics. In this study it is possible to suppose that medical prescription was not based on known medical evidences; therefore, we must reconsider the need of a permanent actualization and systematic medical evaluation.
药物处方是妇产科最常见的医疗干预措施；然而，关于处方概况的研究有限。在本研究中，我们分析了妇产科健康问题药物处方的费用差异。
对构成IMSS西区的每个医疗区域进行了为期一年的横断面研究分析。我们计算了每种药物和治疗组的支出和消费系数。对使用者系数进行排序以比较消费差异。除了药物组之间的消费统计比率外，我们还描述了发现的差异并分析了各医疗区域的处方概况。
各区域的费用数据显示，每种药物和治疗组都存在重要差异。最常见的药物费用与骨质疏松症、更年期和生育问题的治疗有关。我们还发现每个治疗亚组在处方药偏好上存在差异。
药物处方研究可作为进一步对每个药理学亚组进行具体研究的基础。很少有研究分析妇产科的药物处方概况。在本研究中，可以推测医疗处方并非基于已知的医学证据；因此，我们必须重新考虑持续更新和系统医学评估的必要性。
