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[按需诊所的处方质量:初步检查]

[Quality of prescription at an on-demand clinic: a preliminary examination].

作者信息

Asencio García V M, García Navarrete F J, Alcántara Mata J, Carrión del Pino L

机构信息

Servicio de Pediatría, Centro de Salud Puerto de la Torre, Málaga.

出版信息

Aten Primaria. 1998 Jan;21(1):3-7.

PMID:9557350
Abstract

OBJECTIVES

To analyse the qualitative composition of medication prescribed to paediatric patients, in function of the intrinsic value of the medication and active principles used, and to evaluate risks run by children through being exposed to medication.

DESIGN

An observational, descriptive, crossover study.

SETTING

Paediatrics service of Puerto de la Torre Health Centre (Málaga); serving a fundamentally urban population, with rural areas round about.

PARTICIPANTS

All the patients seen during two consecutive weeks of November 1994. 15 cases of the 457 seen were excluded. The unit of analysis was a visit.

MAIN MEASUREMENTS

Age, reason for consultation and medication prescribed at each attendance were recorded. Four age groups were defined: A (0-12 months), B (12-36 months), C (36-60 months) and D (> 60 months). On the basis of the initial records, the following quantitative variables per visit were broken down: number of drugs; number of drugs with high intrinsic value (HIV); number of drugs with low intrinsic value (LIV); number of active principles; number of HIV active principles; and number of LIV active principles.

RESULTS AND CONCLUSIONS

The incidence of medical prescription in the attendance sample was 85.1%. It was highest in group C and lowest in group A. Average medication per attendance was 1.36 +/- 0.08. Group C was identified as the group with the highest average of drugs prescription, HIV drugs, active.

摘要

目的

根据药物的内在价值和所使用的活性成分,分析开给儿科患者的药物的定性组成,并评估儿童因接触药物而面临的风险。

设计

一项观察性、描述性交叉研究。

地点

托雷港健康中心(马拉加)的儿科服务部门;主要服务城市人口,周边有农村地区。

参与者

1994年11月连续两周内就诊的所有患者。457名患者中有15例被排除。分析单位是一次就诊。

主要测量指标

记录每次就诊时的年龄、就诊原因和所开药物。定义了四个年龄组:A组(0 - 12个月)、B组(12 - 36个月)、C组(36 - 60个月)和D组(> 60个月)。根据初始记录,对每次就诊的以下定量变量进行细分:药物数量;高内在价值药物(HIV)数量;低内在价值药物(LIV)数量;活性成分数量;HIV活性成分数量;以及LIV活性成分数量。

结果与结论

就诊样本中的药物处方发生率为85.1%。在C组中最高,在A组中最低。每次就诊的平均用药量为1.36 +/- 0.08。C组被确定为药物处方、HIV药物、活性成分平均用量最高的组。

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