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在具有不同医疗模式的初级卫生保健机构中对药物处方质量指标进行评估。

Evaluation of drug prescription quality indicators in a primary health care facility with different models of health care.

作者信息

Melo Daniela Oliveira de, Silva Sílvia Regina Ansaldi da, Castro Lia Lusitana Cardozo de

机构信息

Universidade Federal de São Paulo, Instituto de Ciências Ambientais, Químicas e Farmacêuticas, Diadema-SP, Brasil.

Prefeitura Municipal de São Paulo, Secretaria Municipal de Saúde, São Paulo-SP, Brasil.

出版信息

Epidemiol Serv Saude. 2016 Apr-Jun;25(2):259-270. doi: 10.5123/S1679-49742016000200005.

DOI:10.5123/S1679-49742016000200005
PMID:27869944
Abstract

OBJECTIVE

to describe drug prescription indicators in a primary health care facility with different models of health care.

METHODS

this was a descriptive study using secondary data of prescriptions with regard to quality indicators in a health facility that has three health care models: Outpatient Medical Care (OMC), Primary Health Care Unit (PHU) and Family Health Strategy (FHS) in Vila Nova Jaguaré OMC/PHU in São Paulo-SP, Brazil, from July to October 2011.

RESULTS

16,720 prescriptions were studied; the proportion of drugs provided through the Municipal List of Essential Drugs (Remume) was higher for FHS prescriptions (98.9%), compared to PHU (95.6%) and OMC (95.7%); similarly, both the use of the generic name of the drugs and the proportion of drugs provided was higher among ESF prescriptions (98.9% and 96.1%, respectively), compared with PHU (94.4 % and 92.9%) and OMC (94.0% and 92.7 %).

CONCLUSION

all the prescription indicators show better results for FHS.

摘要

目的

描述一家具有不同医疗模式的初级卫生保健机构中的药物处方指标。

方法

这是一项描述性研究,使用了巴西圣保罗州新雅瓜雷市门诊医疗(OMC)/初级卫生保健单位(PHU)中一家卫生机构2011年7月至10月关于质量指标的处方二级数据,该机构有三种医疗模式:门诊医疗(OMC)、初级卫生保健单位(PHU)和家庭健康战略(FHS)。

结果

共研究了16720份处方;与初级卫生保健单位(PHU,95.6%)和门诊医疗(OMC,95.7%)相比,通过市基本药物清单(Remume)提供的药物在家庭健康战略(FHS)处方中的比例更高(98.9%);同样,与初级卫生保健单位(PHU,分别为94.4%和92.9%)和门诊医疗(OMC,94.0%和92.7%)相比,家庭健康战略(ESF)处方中药物通用名的使用和提供的药物比例也更高(分别为98.9%和96.1%)。

结论

所有处方指标显示家庭健康战略(FHS)的结果更好。

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