县域医疗机构麻醉精神药品信息化管理现状与对策探讨

An Exploration of the Current Status and Countermeasures for The Informatized Management of Psychotropic Drugs in County-Level Medical Institutions

摘要: 目的：了解县域医疗机构麻醉药品和精神药品信息化管理现状并提出改进策略。方法：2025年6月至9月，对义乌地区22家医疗机构157名参与麻精药品使用或管理的医护人员及药学人员开展问卷调查。结果：单支赋码完全执行率19.75%，电子处方、电子专册和电子专用账册完全执行率均不足50%，医务人员对信息化工具接受度较高。结论：县域麻精药品管理已具备数字化基础，仍需完善追溯、协同与人员能力建设。

Abstract: Objective: Assess the current state of information-based management of narcotic and psychotropic drugs in county-level medical institutions and propose improvement strategies. Method: From June to September 2025, a questionnaire survey was conducted among 157 healthcare professionals and pharmaceutical personnel involved in the use or management of psychotropic and narcotic drugs across 22 medical institutions in the Yiwu area. Result: The complete fulfillment rate for single-coded prescriptions was 19.75%; the complete fulfillment rates for electronic prescriptions, electronic specialty records, and electronic dedicated accounting books were all below 50%; healthcare professionals demonstrated high acceptance of digital healthcare tools. Conclusion: The county-level management of psychotropic and narcotic drugs now has a digital foundation; however, further improvements are needed in traceability systems, collaboration mechanisms, and personnel capacity building.