Huazhong University of Science and Technology, Wuhan, China.
Health Aff (Millwood). 2012 May;31(5):1075-82. doi: 10.1377/hlthaff.2010.0965.
In appropriate prescribing is a global problem. It is especially salient in China, where drug sales constitute a major portion of health care providers' incomes, price distortions are rampant, and oversight is lax. However, few data exist on the prevalence of inappropriate prescribing in China. This study, the first of its kind in China, examined 230,800 prescriptions written between 2007 and 2009 by 784 community health institutions in 28 cities across China. The data show substantial overprescribing, including twice as many prescriptions for antibiotics as recommended by the World Health Organization and rates of injection that are three times higher than in similar countries. These findings point to the need to integrate rational prescribing into China's ongoing health care reform.
处方不当是一个全球性问题。在中国，这个问题尤其突出，因为药品销售构成了医疗服务提供者收入的主要部分，价格扭曲现象普遍存在，监管也很宽松。然而，关于中国处方不当的流行程度的数据却很少。这项研究是中国此类研究中的首例，它调查了 2007 年至 2009 年间中国 28 个城市的 784 家社区医疗机构开出的 230800 张处方。这些数据显示存在大量的过度处方现象，包括开具的抗生素处方是世界卫生组织推荐量的两倍，注射用药率也比类似国家高出三倍。这些发现表明，中国需要将合理处方纳入正在进行的医疗改革中。
