頁籤選單縮合
題名 | 高血壓用藥型態及問題處方之分析=Study of Prescribing Patterns and Inappropriate Prescriptions for Hypertension |
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作 者 | 吳思筠; 李佳利; | 書刊名 | 北市醫學雜誌 |
卷期 | 12:4 2015.12[民104.12] |
頁次 | 頁322-332 |
分類號 | 418.221 |
關鍵詞 | 高血壓; 問題處方; 重複用藥; 交互作用; Hypertension; Inappropriate prescription; Duplicated medication; Drug-drug interaction; |
語文 | 中文(Chinese) |
中文摘要 | 目的:分析高血壓病人的用藥型態與趨勢,以及了解高血壓用藥之問題處方,並藉此對本院現況提出品質促進方案,增進病人用藥安全。方法:以本院民國102年1~12月門診健保申報檔,擷取診斷碼前3碼為401至405之門診個案為研究對象。藥物統計採用ATC分類系統,問題處方主要為重複用藥及交互作用。結果:本研究共納入44,294筆處方,年齡層以40-79歲為主。藥物使用以血管緊縮素拮抗劑為最多,佔28.95%。每張處方平均藥品費用為564.13±386.13元,採用單一藥物治療的有26.06%,合併治療的有73.94%。問題處方方面,重複用藥發生率為0.37%,交互作用發生率為1.58%。結論:本研究呈現高血壓門診問題處方之現況,希望提供院方決策者有效的資訊,以制訂用藥相關策略,以提升高血壓病人用藥安全。 |
英文摘要 | Objectives: Analysis of the pat terns of prescription and inappropriate prescriptions for patients with hypertension. Methods: A retrospective and cross-sectional analysis was performed. The data was collected from the outpatient services of Taipei City Hospital in 2013. The study subjects were identified by major diagnoses of ICD-9-CM codes 401. xx-405.xx. Inappropriate prescriptions were defined as duplicate medications and evidence of drug-drug interactions. Results: A total of 44,294 prescriptions were collected. Most of these patients were in the age stratum of 40-79 years. The most popular agent prescribed was angiotensin receptor blocker (ARBs, 28.95%). Expenditure analysis showed that the average cost of antihypertensive drugs in each prescription was 564.13.13±386.13 dollars; 26.06 % patients received monotherapy, and 73.94% received combination therapy. For inappropriate prescriptions, the frequency of duplicate medications and drug-drug interactions were 0.37% and 1.58%, respectively. Conclusions: This study demonstrated a picture of inappropriate prescriptions for HTN in 2013. The information may be used by policy-makers to enact relevant policies to ensure prescription safety for HTN patients. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。