某三甲医院干休所离退休干部门诊用药分析及医疗保健对策

纪晖; 舒丽芯; 王晓璐

doi:10.3969/j.issn.1006-0111.2019.06.019

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

x 关闭永久关闭

重要提示

《药学实践与服务》杂志不接收生物战剂、毒剂相关内容的稿件。对于涉军信息类论文如需投稿，请务必投稿前电话或邮箱咨询。联系电话：021-81871323，邮箱：yxsjzzs@163.com。敬请谅解，谢谢配合！

《药学实践与服务》编辑部

免责声明

《药学实践与服务》杂志目前不收取审稿费、版面费、加急费等费用，如收到邮件声称是编辑部X编辑，要求加作者微信的，请谨防财产损失！编辑部用于作者校稿时微信绑定的邮件是通过yxsjzzs@163.com发送的，标题是《药学实践与服务》XML数字出版服务微信绑定，请区分开！

某三甲医院干休所离退休干部门诊用药分析及医疗保健对策

纪晖, 舒丽芯, 王晓璐

文章导航 > 药学实践与服务 > 2019 > 37(6): 571-576

纪晖, 舒丽芯, 王晓璐. 某三甲医院干休所离退休干部门诊用药分析及医疗保健对策[J]. 药学实践与服务, 2019, 37(6): 571-576. doi: 10.3969/j.issn.1006-0111.2019.06.019

引用本文:

纪晖, 舒丽芯, 王晓璐. 某三甲医院干休所离退休干部门诊用药分析及医疗保健对策[J]. 药学实践与服务, 2019, 37(6): 571-576. doi: 10.3969/j.issn.1006-0111.2019.06.019

JI Hui, SHU Lixin, WANG Xiaolu. Analysis on the outpatient medication of retired cadres in a third-A-grade hospital[J]. Journal of Pharmaceutical Practice and Service, 2019, 37(6): 571-576. doi: 10.3969/j.issn.1006-0111.2019.06.019

Citation:

JI Hui, SHU Lixin, WANG Xiaolu. Analysis on the outpatient medication of retired cadres in a third-A-grade hospital[J]. Journal of Pharmaceutical Practice and Service, 2019, 37(6): 571-576. doi: 10.3969/j.issn.1006-0111.2019.06.019

某三甲医院干休所离退休干部门诊用药分析及医疗保健对策

doi: 10.3969/j.issn.1006-0111.2019.06.019

1.
海军后勤部直属保障大队, 北京 100841
2.
海军军医大学药学院, 上海 200433
3.
北部战区总医院卫勤部, 沈阳 110015

Analysis on the outpatient medication of retired cadres in a third-A-grade hospital

1.
Direct Subsidiary Security Brigade of the Naval Logistics Department, Beijing 100841, China
2.
College of Pharmacy, Naval Medical University, Shanghai 200433, China
3.
Department of Medical Service, Northern Theater General Hospital, Shenyang 10015, China

摘要: 目的探讨军队离退休干部门诊用药的一般规律。方法用结构化查询语言（SQL）提取上海某三级甲等医院2015年军队离退休干部全部门诊电子处方数据，进行数据清洗、分类汇总；应用SPSS 19.0，对样本进行统计描述和Kruskal-Wallis非参数检验，对与处方金额相关的因素进行多元线性回归分析。结果 2015年，共有383名军队离退休干部在该三甲医院门诊就诊，平均年龄（83.99±4.22）岁，平均每人就诊（34.48±22.69）次；使用药品835种（含同品种不同规格），药品消费支出666.20万元，人均消费（17394.29±14706.94）元；其中化学药和生物制剂消费477.10万元（占71.83%），中成药消费187.68万元（占28.17%）；人均药品消费金额与老干部职级（X₂）、单位（X₃）、就诊次数（X₄）存在线性相关，标准化回归方程为Y=0.458X₄+0.422X₂+0.252X₃。结论离退休干部门诊药品消费与疾病谱基本一致，门诊药品消费未受卫生经费保障标准限制，但直属单位和联勤保障单位离退休干部药品消耗的差异具有统计学意义；离退休干部门诊人年均药品消费金额与多种因素有关；离退休干部长期超量用药的问题需要引起关注。
- 离退休干部 /
- 门诊用药 /
- 用药特征 /
- 因素分析
Abstract: Objective To explore the general rule of medication usage in retired military personnel in the sanatorium. Methods The SQL statement was used to extract the electronic prescription data of all outpatients of 2015-retired military personnel of a third-A-grade hospital in Shanghai for data cleaning and classification.SPSS 19.0 was used to describe the samples and Kruskal-Wallis nonparametric test.The multiple linear regression analysis of factors related to the amount of prescription was performed. Results In 2015,a total of 383 retired military personnel visited the outpatient clinic of this third-A-grade hospitals,with an average age of 83.99±4.22 years old,with an average of 34.48±22.69 clinic visit times per person,and with 835 type of drugs (including different specifications of the same variety).The expenditure on pharmaceutical consumption was 6.66 million yuan.The per capita consumption was 17394.29±14706.94 yuan; Among them,the consumption of chemical drugs and biological preparations was 47.7 million (accounting for 71.83%).The consumption of proprietary Chinese medicines was 1.876 million (accounting for 28.17%).There is a linear correlation between per capita drug consumption and the retired military personnel's persition leval (X₂),branch (X₃),and the number of visits (X₄).The standardized regression equation is Y=0.458X₄+0.422X₂+0.252X₃. Conclusion The outpatient drug consumption and disease spectrum of retired military personnel is basically consistent.The outpatient drug consumption of retired cadres is not limited to health funding guarantee standard,but,the difference of the retired military personnel's drug consumption between the directly affiliated branch and Joint Logistics Support Force is statistically significant.The average annual outpatient drug consumption of retired military personnel is related to many factors.The problem of long-term over-medication of retired military personnel needs attention.
- retired military personnel /
- outpatient medication /
- drug usage features /
- factor analysis

[1]	郭雨禾,拓永东,田日新.新形势下军队干休所卫生所的地位作用及工作思考[J].中华保健医学杂志,2011,13(4):337-339.
[2]	史润泽,宋巍,张裕刚.西北地区部队离退休干部近5年健康体检结果分析[J].西北国防医学杂志,2014,35(1):60-62.
[3]	苑学愚,杨文.北京地区某部离退休干部老年疾病患病率调查[J].海军医学杂志,2009,30(4):336-338.
[4]	徐若华,于宝成,仲伟红,等.军队老年人良性前列腺增生症的患病率及其与代谢综合征的关系[J].中国老年学杂志,2013,33(16):3976-3977
[5]	郭雨禾,拓永东,王贵臣.关于干休所卫生事业费使用管理的几点思考[J].中华保健医学杂志,2011,13(4):336-337.

[1]	段雅倩, 段然, 林美玉, 刘畅, 苏娟. 热分析法在中药中的应用进展 . 药学实践与服务, 2025, 43(10): 475-480, 508. doi: 10.12206/j.issn.2097-2024.202506033
[2]	杨瑾冬, 房振西, 聂成洋, 陈瑞兵, 李卿, 张磊. 丹参及其近缘物种的叶绿体基因组分析 . 药学实践与服务, 2025, 43(6): 275-282. doi: 10.12206/j.issn.2097-2024.202504023
[3]	张岩, 李炎君, 刘家荟, 邓娇, 原苑, 张敬一. 药物性肝损伤不良反应分析 . 药学实践与服务, 2025, 43(1): 26-29, 40. doi: 10.12206/j.issn.2097-2024.202404034
[4]	段虎, 周艳卿, 钱瑜琳, 赵亮. 某二级医院稳定期慢性阻塞性肺疾病患者吸入治疗依从性及其影响因素 . 药学实践与服务, 2025, 43(7): 362-366. doi: 10.12206/j.issn.2097-2024.202204094
[5]	余小翠, 王习文, 张贵英, 徐君伟, 祝雨薇, 胡丹. 麝香接骨胶囊的HPLC特征图谱的研究及7种成分含量测定 . 药学实践与服务, 2025, 43(8): 395-399. doi: 10.12206/j.issn.2097-2024.202307059
[6]	肖农, 陆诗依, 唐文雅, 居敏俐, 徐刚锋, 杨明华. 中成药微生物计数法前处理的影响因素和优化方法 . 药学实践与服务, 2025, 43(8): 373-376, 409. doi: 10.12206/j.issn.2097-2024.202403014
[7]	续畅, 周心娜, 漆璐, 王瑜, 王兴河. 基于文献计量学对我国临床试验用药品管理研究现状的数据挖掘 . 药学实践与服务, 2025, 43(8): 1-6. doi: 10.12206/j.issn.2097-2024.202404050
[8]	常伟, 顾申勇. 综合用药管理在糖尿病患者管理中的实践 . 药学实践与服务, 2025, 43(10): 514-518, 524. doi: 10.12206/j.issn.2097-2024.202402037
[9]	杨彬, 王作君, 陈菡, 张敬一. 基于DRGs的医院合理用药管理机制探索实践 . 药学实践与服务, 2025, 43(1): 22-25, 46. doi: 10.12206/j.issn.2097-2024.202404030
[10]	王兰英, 陆高峰, 袁梅娟, 李卫玲, 罗盈怡, 徐峰. 社区药学门诊服务对2型糖尿病患者的管理效果分析 . 药学实践与服务, 2025, 43(7): 357-361. doi: 10.12206/j.issn.2097-2024.202407002
[11]	曹金发, 钟玲, 何苗, 田泾. 1例炎症性肠病合并心房颤动患者的用药分析与监护 . 药学实践与服务, 2025, 43(10): 525-528. doi: 10.12206/j.issn.2097-2024.202403004
[12]	韦薇, 张明霞, 周艳萍, 颜岚, 田鹏, 冯霞. 基于失效模式与效应分析优化静脉用药调配中心全流程质量控制体系 . 药学实践与服务, 2025, 43(): 1-7. doi: 10.12206/j.issn.2097-2024.202504131
[13]	刘桂株, 李行, 王楠, 王芳, 胡旭, 汤佳洁. 信息技术在我国用药安全领域应用的计量分析 . 药学实践与服务, 2025, 43(): 1-7. doi: 10.12206/j.issn.2097-2024.202303027
[14]	杜月, 李嘉莉, 柴昱, 陈少卿, 战旗. 多家儿童专科医院用药情况分析 . 药学实践与服务, 2025, 43(12): 625-630. doi: 10.12206/j.issn.2097-2024.202404071
[15]	姚瑞阳, 于海征, 李耀盺, 张磊. 丹参FBXL 基因家族的鉴定和表达模式分析 . 药学实践与服务, 2024, 42(11): 461-470. doi: 10.12206/j.issn.2097-2024.202407034
[16]	张成中, 朱雪艳, 卜其涛, 王宏瑞, 黄宝康. 基于网络药理学与分子对接预测鸡骨草特征图谱研究 . 药学实践与服务, 2024, 42(8): 350-358. doi: 10.12206/j.issn.2097-2024.202303048
[17]	王耀振, 徐灿, 吕顺莉, 田泾, 张东炜. 钾离子竞争性酸阻滞剂的药学特征研究进展 . 药学实践与服务, 2024, 42(7): 278-284. doi: 10.12206/j.issn.2097-2024.202306040
[18]	戴菲菲, 傅翔, 陈琼年, 俞苏纯. 上海某二级医院革兰阴性菌流行特征的回顾性分析 . 药学实践与服务, 2024, 42(12): 528-532. doi: 10.12206/j.issn.2097-2024.202305005
[19]	张晶晶, 索丽娜, 郑兆红. 89例细菌性肝脓肿的临床特征及抗感染治疗分析 . 药学实践与服务, 2024, 42(6): 267-272. doi: 10.12206/j.issn.2097-2024.202302039
[20]	丁千雪, 尚圣兰, 余梦辰, 余爱荣. 机器学习在肾病综合征患者他克莫司个体化用药中的应用 . 药学实践与服务, 2024, 42(6): 227-230, 243. doi: 10.12206/j.issn.2097-2024.202310007

点击查看大图

计量

文章访问数: 4622
HTML全文浏览量: 572
PDF下载量: 861
被引次数: 0

某三甲医院干休所离退休干部门诊用药分析及医疗保健对策

doi: 10.3969/j.issn.1006-0111.2019.06.019

1. 海军后勤部直属保障大队, 北京 100841

2. 海军军医大学药学院, 上海 200433

3. 北部战区总医院卫勤部, 沈阳 110015

收稿日期: 2019-09-11
修回日期: 2019-11-05

关键词:

摘要: 目的探讨军队离退休干部门诊用药的一般规律。方法用结构化查询语言（SQL）提取上海某三级甲等医院2015年军队离退休干部全部门诊电子处方数据，进行数据清洗、分类汇总；应用SPSS 19.0，对样本进行统计描述和Kruskal-Wallis非参数检验，对与处方金额相关的因素进行多元线性回归分析。结果 2015年，共有383名军队离退休干部在该三甲医院门诊就诊，平均年龄（83.99±4.22）岁，平均每人就诊（34.48±22.69）次；使用药品835种（含同品种不同规格），药品消费支出666.20万元，人均消费（17394.29±14706.94）元；其中化学药和生物制剂消费477.10万元（占71.83%），中成药消费187.68万元（占28.17%）；人均药品消费金额与老干部职级（X₂）、单位（X₃）、就诊次数（X₄）存在线性相关，标准化回归方程为Y=0.458X₄+0.422X₂+0.252X₃。结论离退休干部门诊药品消费与疾病谱基本一致，门诊药品消费未受卫生经费保障标准限制，但直属单位和联勤保障单位离退休干部药品消耗的差异具有统计学意义；离退休干部门诊人年均药品消费金额与多种因素有关；离退休干部长期超量用药的问题需要引起关注。

English Abstract

Analysis on the outpatient medication of retired cadres in a third-A-grade hospital

1. Direct Subsidiary Security Brigade of the Naval Logistics Department, Beijing 100841, China

2. College of Pharmacy, Naval Medical University, Shanghai 200433, China

3. Department of Medical Service, Northern Theater General Hospital, Shenyang 10015, China

Received Date: 2019-09-11
Rev Recd Date: 2019-11-05

Keywords:

Abstract: Objective To explore the general rule of medication usage in retired military personnel in the sanatorium. Methods The SQL statement was used to extract the electronic prescription data of all outpatients of 2015-retired military personnel of a third-A-grade hospital in Shanghai for data cleaning and classification.SPSS 19.0 was used to describe the samples and Kruskal-Wallis nonparametric test.The multiple linear regression analysis of factors related to the amount of prescription was performed. Results In 2015,a total of 383 retired military personnel visited the outpatient clinic of this third-A-grade hospitals,with an average age of 83.99±4.22 years old,with an average of 34.48±22.69 clinic visit times per person,and with 835 type of drugs (including different specifications of the same variety).The expenditure on pharmaceutical consumption was 6.66 million yuan.The per capita consumption was 17394.29±14706.94 yuan; Among them,the consumption of chemical drugs and biological preparations was 47.7 million (accounting for 71.83%).The consumption of proprietary Chinese medicines was 1.876 million (accounting for 28.17%).There is a linear correlation between per capita drug consumption and the retired military personnel's persition leval (X₂),branch (X₃),and the number of visits (X₄).The standardized regression equation is Y=0.458X₄+0.422X₂+0.252X₃. Conclusion The outpatient drug consumption and disease spectrum of retired military personnel is basically consistent.The outpatient drug consumption of retired cadres is not limited to health funding guarantee standard,but,the difference of the retired military personnel's drug consumption between the directly affiliated branch and Joint Logistics Support Force is statistically significant.The average annual outpatient drug consumption of retired military personnel is related to many factors.The problem of long-term over-medication of retired military personnel needs attention.

纪晖, 舒丽芯, 王晓璐. 某三甲医院干休所离退休干部门诊用药分析及医疗保健对策[J]. 药学实践与服务, 2019, 37(6): 571-576. doi: 10.3969/j.issn.1006-0111.2019.06.019

引用本文:

纪晖, 舒丽芯, 王晓璐. 某三甲医院干休所离退休干部门诊用药分析及医疗保健对策[J]. 药学实践与服务, 2019, 37(6): 571-576. doi: 10.3969/j.issn.1006-0111.2019.06.019

Citation:

全文HTML

参考文献 (5)

下载: 全尺寸图片幻灯片

返回文章

用微信扫码二维码

分享至好友和朋友圈

主管、主办: 中国人民解放军海军军医大学地址: 上海市杨浦区国和路325号邮政编码: 200433

电话: （021）81871324,81871397 E-mail: yxsjzzs@163.com

网站备案号沪ICP备05003363号-1

本系统由北京仁和汇智信息技术有限公司开发

留言板

某三甲医院干休所离退休干部门诊用药分析及医疗保健对策

doi: 10.3969/j.issn.1006-0111.2019.06.019

Analysis on the outpatient medication of retired cadres in a third-A-grade hospital

计量

出版历程

某三甲医院干休所离退休干部门诊用药分析及医疗保健对策

doi: 10.3969/j.issn.1006-0111.2019.06.019

1. 海军后勤部直属保障大队, 北京 100841 2. 海军军医大学药学院, 上海 200433 3. 北部战区总医院卫勤部, 沈阳 110015

English Abstract

Analysis on the outpatient medication of retired cadres in a third-A-grade hospital

1. Direct Subsidiary Security Brigade of the Naval Logistics Department, Beijing 100841, China 2. College of Pharmacy, Naval Medical University, Shanghai 200433, China 3. Department of Medical Service, Northern Theater General Hospital, Shenyang 10015, China

全文HTML

目录

1. 海军后勤部直属保障大队, 北京 100841

2. 海军军医大学药学院, 上海 200433

3. 北部战区总医院卫勤部, 沈阳 110015

1. Direct Subsidiary Security Brigade of the Naval Logistics Department, Beijing 100841, China

2. College of Pharmacy, Naval Medical University, Shanghai 200433, China

3. Department of Medical Service, Northern Theater General Hospital, Shenyang 10015, China