採用薬剤適正化の指標の検討 : 使用量から求められる選択指数

概要

論文の詳細を見る
The adopted medicines in Suibarago Hospital were studied to be valid by the calculation of the selection index (SI) in each medicine group classified into pharmacological categories. The SI value means the number of medicines which can be chosen among 100 prescriptions per day and was calculated by the formula (=the number of the medicines in each medicine group/ the logical number of prescriptions for one day× 100). The results were as follows ; The antibacterial drugs excent the antibiotics had the highest SI value, when broken down into large pharmacological categories. In addition, antiepileptics, such as cephem antibiotics and psychoneurotics also had high SI values, when broken down into small pharmacological categories. Furthermore, the departments of internal medicine, orthopedics, gynecology had high SI values, when broken down into department categories. If a SI value rises, then the selectivity of the medicine group is increased, but otherwise the medicine group is increased. On the other hand, the purchasing rate of the medicine group is de-creased, as it tends to be against clinical needs. Therefore, our results indicate that we should reconsider both the validity of medicine groups showing high SI values and the proper distribution of medicines showing high SI values.
日本医療薬学会の論文
1999-10-10