- 期刊
兒童急性呼吸道感染的門診處方型態與用藥品質之探討
Discussing the Prescribing Patterns and Prescription Quality in Ambulatory Children with Acute Respiratory Tract Infections
摘要
Objective: To compare the prescribing patterns and prescription quality in ambulatory children with acute respiratory tract infections among different specialists and to look forward to benefit for medication safety.Methods: This study is a retrospective cross-section design. From June 2009 to June 2010, all the children aged less than 18 years diagnosed to be acute respiratory tract infections and visited in the outpatient and otolaryngology in a regional teaching hospital were enrolled. We analyzed the medical charts with descriptive and inferential methods in terms of the prescribing patterns and prescription quality among different specialists. Inferential methods included Chi-square, analysis of variance (ANOVA) and Scheffe's tests.Results: A total of 1,380 ambulatory services, 526 from pediatrists, 423 from family medicine physicians, and 431 from otolaryngologists, were enrolled. 1. Prescribing patterns: (1)the highest average prescription numbers was 4.01±1.37 items by the otolaryngologist (p＜0.001); (2)the lowest average priscription duration was 4.20±1.25 days by the family medicine physician(p＜0.001); (3) the average medication costs and average daily medication costs were no significant differences among specialists.(4) anti-asthma, antipyretic and antibiotic drugs had significant differences among specialists(p＜0.001). 2.Prescription quality: there were no significant differences in terms of reasonability of antibiotics, repeated drugs use, adverse drug reactions and drug interactions. However, podiatrists contributed the lowest rate to inappropriate prescriptions(p = 0.002).Conclusions: Evidence of significant differences on the prescribing patterns among different specialists was disclosed from this study. However, the prescription quality maintained identically well.
並列摘要
Objective: To compare the prescribing patterns and prescription quality in ambulatory children with acute respiratory tract infections among different specialists and to look forward to benefit for medication safety.Methods: This study is a retrospective cross-section design. From June 2009 to June 2010, all the children aged less than 18 years diagnosed to be acute respiratory tract infections and visited in the outpatient and otolaryngology in a regional teaching hospital were enrolled. We analyzed the medical charts with descriptive and inferential methods in terms of the prescribing patterns and prescription quality among different specialists. Inferential methods included Chi-square, analysis of variance (ANOVA) and Scheffe's tests.Results: A total of 1,380 ambulatory services, 526 from pediatrists, 423 from family medicine physicians, and 431 from otolaryngologists, were enrolled. 1. Prescribing patterns: (1)the highest average prescription numbers was 4.01±1.37 items by the otolaryngologist (p＜0.001); (2)the lowest average priscription duration was 4.20±1.25 days by the family medicine physician(p＜0.001); (3) the average medication costs and average daily medication costs were no significant differences among specialists.(4) anti-asthma, antipyretic and antibiotic drugs had significant differences among specialists(p＜0.001). 2.Prescription quality: there were no significant differences in terms of reasonability of antibiotics, repeated drugs use, adverse drug reactions and drug interactions. However, podiatrists contributed the lowest rate to inappropriate prescriptions(p = 0.002).Conclusions: Evidence of significant differences on the prescribing patterns among different specialists was disclosed from this study. However, the prescription quality maintained identically well.