安徽省不同级别医院抗菌药物管理情况调查分析
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篇名: 安徽省不同级别医院抗菌药物管理情况调查分析
TITLE:
摘要: 目的:为促进医院抗菌药物管理水平提升提供参考。方法:选取安徽省县级“二甲”综合性医院、市级“三甲”综合性医院、省级三级医院(2家“三甲”综合性医院、1家三级专科医院)各3家,分别纳入A、B、C组。采用现场调查方式,以调查表对3组医院抗菌药物管理情况进行调查和评分,并进行统计和分析。结果: A、B、C组抗菌药物管理总体得分率分别为65.33%、89.34%、86.67%,A组显著低于B、C组(P<0.001)。A、B、C组抗菌药物管理基本情况指标得分率分别为90.46%、95.25%、95.25%,3组间比较差异均无统计学意义(P>0.05)。A、B、C组抗菌药物管理相关工作开展情况指标得分率分别为58.33%、88.90%、86.10%,A组显著低于B、C组(P<0.001)。A、B、C组抗菌药物管理信息化建设情况指标得分率分别为50.00%、83.33%、77.79%,A组显著低于B、C组(P≤0.001)。3组内抗菌药物管理信息化建设情况指标得分率均显著低于管理基本情况指标得分率(P<0.05);A、C组组内抗菌药物管理相关工作开展情况指标得分率均显著低于管理基本情况指标得分率(P<0.05)。结论:安徽省市级“三甲”综合性医院、省级三级医院抗菌药物管理水平相当,县级“二甲”综合性医院总体水平相对较低;不同级别医院均应进一步加强抗菌药物管理相关工作和信息化建设,尤以县级“二甲”综合性医院需要更为迫切。
ABSTRACT: OBJECTIVE: To provide reference for promoting the management of antibiotics in the hospitals. METHODS: Each 3 hospitals from county second grade class A general hospitals, municipal third grade class A general hospitals and provincial third grade hospitals (including 2 third grade class A general hospitals and one third grade special hospital) in Anhui province were selected and respectively included into group A, B, and C. By on-site survey mode, questionnaires were used to investigate and score the situation of antibiotics management in hospitals of 3 groups, and then analyzed statistically. RESULTS: Scoring rate (SR) of overall situation on antibiotics management were 65.33%, 89.34% and 86.67% in group A, B and C respectively; group A was statistically significantly lower than group B and C (P<0.001). SR of basic situation indicator on antibiotics management were 90.46%, 95.25% and 95.25% in group A, B and C, respectively and there was no statistically significant difference among 3 groups (P>0.05). SR of development indicator of antibiotics management were 58.33%, 88.90% and 86.10%, respectively in group A, B and C; group A was significantly lower than group B and C (P<0.001). SR of information construction indicator of antibiotics management were 50.00%, 83.33% and 77.79% respectively in group A, B and C; group A was significantly lower than group B and C (P≤0.001). SR of information construction indicator of antibiotics management in 3 groups were all significantly lower than SR of basic situation indicator (P<0.05). SR of development indicator of antibiotics management in group A and C were all significantly lower than SR of basic situation indicator (P<0.05). CONCLUSIONS: The antibiotics management of municipal third grade class A general hospital is equal to that of provincial third grade hospital, and that of county second grade class A general hospital is in relatively low level. Different levels of hospitals should further strengthen the related antibiotics management work and information construction, especially for county second grade class A general hospitals.
期刊: 2017年第28卷第12期
作者: 叶根深,忻志鸣,杨阳,王蕾,朱文君,陈慧颖,宦娣
AUTHORS: YE Genshen,XIN Zhiming,YANG Yang,WANG Lei,ZHU Wenjun,CHEN Huiying,HUAN Di
关键字: 安徽省;不同级别;医院;抗菌药物;管理;调查
KEYWORDS: Anhui province; Different levels; Hospitals; Antibiotics; Management; Investigation
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