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南非两个省份公立和私立卫生机构的药物处方习惯。

Drug prescription habits in public and private health facilities in 2 provinces in South Africa.

机构信息

Health Systems Development Unit, Human Sciences Research Council, Pretoria, South Africa.

出版信息

East Mediterr Health J. 2010 Mar;16(3):324-8.

Abstract

The aim of this study was to explore drug prescription habits using WHO standard indicators in public hospitals and 36 private surgeries in 2 provinces in South Africa. A high mean number of drugs were prescribed per patient (3.2 versus 2.8) in public hospitals and by general practitioners (GPs) respectively andc generic prescribing rates were low (45.2% versus 24.5%). The rates of prescribing in public hospitals and by GPsa were 8.3% versus 23.3% for injections, 68.1% versus 31.9% for antibiotics and 92.6% versus 68.5% for drugs from the essential drugs list. Drug prescribing in both sectors needs to be regulated, especially the use of antibiotics, essential drugs and generic prescribing.

摘要

本研究旨在探索南非两个省份的公立医院和 36 家私人诊所的药物处方习惯,使用世界卫生组织(WHO)的标准指标进行评估。结果显示,公立医院和全科医生(general practitioners,简称 GP)为每位患者开出的平均药物数量较高(分别为 3.2 和 2.8 种),且通用名药物的处方率较低(分别为 45.2%和 24.5%)。公立医院和 GP 开出的注射剂处方率分别为 8.3%和 23.3%,抗生素处方率分别为 68.1%和 31.9%,基本药物清单中的药物处方率分别为 92.6%和 68.5%。这两个领域的药物处方都需要进行规范,特别是抗生素、基本药物和通用名药物的使用。

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