周　萍，张小萍(江苏省中医院药学部，江苏 南京　210005)



江苏省中医院门诊中药饮片处方分析

周萍*，张小萍#(江苏省中医院药学部，江苏 南京210005)

DOI10.14009/j.issn.1672-2124.2016.03.039

摘要目的：了解门诊中药饮片处方单剂金额、味数、剂数三个方面的情况，为政府部门及医院制订相关政策提供一些数据支持。方法：调取江苏省中医院(以下简称“我院”)2014年6—9月门诊所有中药饮片处方，4个月处方数分别为90 574、103 930、101 435、103 459张，合计399 398张，对其处方单剂金额、味数以及剂数进行统计分析与讨论。结果：我院单剂金额在10～19元区间的处方数最多，为177 945张，占总处方数的44.55%；单剂金额均值为19.48元，味数12～14味区间的处方数最多，为98 365张，占总处方数的24.63%；剂数为14的的处方数最多，为158 267张，占总处方数的39.63%。结论：我院中药饮片处方的单剂金额、味数、剂数相对比较合理，处方饮片味数需从各专科层面进一步分析并加强管理。

关键词中药饮片处方； 单剂金额； 味数； 剂数

Analysis and Investigation on Outpatient Prescriptions of Traditional Chinese Medicine Decoction Pieces in Jiangsu Traditional Chinese Medicine Hospital

ZHOU Ping, ZHANG Xiaoping(Dept.of Pharmacy, Jiangsu Traditional Chinese Medicine Hospital, Jiangsu Nanjing 210005, China )

ABSTRACTOBJECTIVE：To investigate the outpatient prescriptions of traditional Chinese medicine decoction pieces in terms of single dosage cost, rasasankhya and number of dosage, so as to provide data support for the formulation of related policy by the government and hospital. METHODS: All of the outpatient prescriptions of traditional Chinese medicine decoction pieces in Jiangsu Traditional Chinese Medicine Hospital(hereinafter referred to as “our hospital”) from Jun. to Sept. 2014 were extracted, respectively 90 574, 103 930, 101 435 and 103 459, totally 399 398 prescriptions. Statistically analysis and discussion was conducted in terms of single dosage cost, rasasankhya and number of dosage. RESULTS: Prescriptions of single dosage cost within 10-19 yuan took the lead, totally 177 945(44.55%), and the average single dosage cost was 19.5 yuan. Rasasankhya within 12-14 took the lead, totally 98 365 prescriptions(24.63%). Meanwhile, the number of dosage in 14 were the most, totally 158 267 prescriptions(39.63%). CONCLUSIONS: The outpatient prescriptions of traditional Chinese medicine decoction pieces in terms of single dosage cost, rasasankhya and number of dosage were basically rational, yet the rasasankhya still needs the further analysis from the specialized level and optimization.

KEYWORDSTraditional Chinese medicine decoction pieces; Single dosage cost; Rasasankhya; Number of dosage

医院中成药、西药施行零差价政策后，部分省份医保对中药饮片处方实行限药、限价规定，江苏省中医院(以下简称“我院”)中药饮片处方单剂金额、味数、剂数实际情况如何？产生大金额处方的原因是什么？为此笔者对我院2014年6—9月份门诊中药饮片处方从单剂销售金额、味数、剂数3个方面进行统计分析，为政府部门及医院制订相关政策提供一些数据支持。

1资料与方法

1.1资料来源

调取我院2014年6—9月门诊所有中药饮片处方，6、7、8、9月处方数分别为90 574、103 930、101 435、103 459张，合计399 398张，对其处方单剂金额、味数以及剂数进行统计分析。

1.2方法