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江苏省三级儿童医院药品配备使用情况分析
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| 篇名： | 江苏省三级儿童医院药品配备使用情况分析 |
| TITLE： | Analysis of the drug inventory and use data from tertiary-level children’s hospitals in Jiangsu province |
| 摘要： | 目的 为有关部门完善儿童医院药品配备、进一步落实儿童合理用药临床管理工作提供参考。方法利用2012－2023年江苏省4家样本三级甲等儿童医院的药品采购数据，围绕医院配备使用药品数量、医院用药集中度、配备使用国家基本药物以及儿童临床诊疗指南推荐用药情况、临床用药规范性，对儿童医院药品配备使用情况进行梳理与分析。结果4家样本儿童医院2023年临床配备使用的药品按品种计有922种、按品规计有1401个，显著低于当前已上市的儿童药品总数；各医院间用药集中度不高，仅1家医院配备使用的药品品种数、药品品规数占比分别在40%、50%左右。现阶段，样本儿童医院配备使用的药品中，国家基本药物占比基本维持在30%～40%，儿童可以安全并有效使用的药品占比约为60%，此外40%左右的儿童临床诊疗指南推荐用药品种也已用于临床治疗；但目前仍有30%～40%的药品为医生经验用药，儿童禁忌用药和非儿童人群用药现象依旧存在。结论我国儿童临床用药数量虽然有限但医院整体用药选择存在较大差异，临床用药的科学性、合理性和规范性也有待进一步加强。 |
| ABSTRACT： | OBJECTIVE To provide reference for relevant departments to improve the drug provision in children’s hospitals and further implement clinical management practices for rational drug use in pediatric patients. METHODS According to the drug purchasing statistics of four sample class A tertiary children’s hospitals in Jiangsu province from 2012 to 2023， this study systematically reviewed and analyzed the drug provision and utilization in children’s hospitals， including the number of pharmaceuticals procured and used in hospitals， the concentration of drug usage among different hospitals， the situation of drugs recommended by the National Essential Medicine List and children’s clinical diagnosis and treatment guidelines， and the standardization of clinical medication. RESULTS In 2023， the number of commonly used drugs in 4 tertiary children’s hospitals was 922 varieties and 1 401 specifications， which was significantly lower than the total number of currently marketed children’s drugs. However， the concentration of drug usage among different hospitals was not high， with the proportion of drugs supplied and used in only one hospital accounting for approximately 40% and 50% respectively in terms of drug variety and specification. At present， among the drugs procured and used in sample children’s hospitals， the proportion of national essential medicines basically maintained between 30% and 40%， while drugs which could be safely and effectively used for children was about 60%. In addition， around 40% of the drug varieties recommended in pediatric clinical practice guidelines had also been applied in clinical treatment. Nevertheless， about 30% to 40% of prescription behavior was dependent on doctors’ personal experience and the phenomena of drugs prohibited and unsuitable use for children still existed. CONCLUSIONS Although the number of clinical medications for children in China is limited， there are significant differences in the overall medication choices made by hospitals. The scientific， rational and standardized use of clinical medications also needs to be further strengthened. |
| 期刊： | 2025年第36卷第11期 |
| 作者： | 杜雯雯；徐伟 |
| AUTHORS： | DU Wenwen，XU Wei |
| 关键字： | 儿童用药；药品配备；江苏省；三级甲等儿童医院；药品采购数据；基本药物；合理用药 |
| KEYWORDS： | drug use for children； drug provision； Jiangsu province； class A tertiary children’s hospitals； drug purchasing |
| 阅读数： | 5 次 |
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