近十六年中药饮片处方数据宏观分析与建议

Analysis and Suggestions on Prescription Data of TCM over the Past 16 Years

摘要: 目的：了解全国中药饮片处方使用情况，探索处方质量与合理性评价方法。方法：采用文献调查的方法，收集2001~2016年公开发表的包含中药处方数据和中药饮片使用数据的文献，通过统一的筛选标准和数据处理方法提取所需信息，运用描述性方法进行数据统计和分析。结果：共检索文献2498篇，入选71篇，汇总自2001至2015年全国51家医疗机构2,243,799张处方数据。经分析，有91.89%的处方所含药物在20味以内，平均每剂药品重量为212.51 ± 31.02 g，平均每剂处方费用为23.81 ± 12.22元。结论：处方合理性评价方法应考虑增加处方所含药味数在20味以内、处方平均重量在600 g以内两项具体规定，并且应对处方费用做指导性要求；继续加强对中医诊疗行为和处方的管理要求，量化管理数据，从而对医疗机构诊疗过程的实际情况和医疗质量进行有效监控。

Abstract: Objective: To investigate the prescription of Chinese medicine tablets and to explore the method of rational evaluation of TCM. Methods: In this study, a literature survey method was used to collect the documents published in 2001-2016, including the data of prescriptions of traditional Chinese medicine and data on the use of TCM decoction, the required information is extracted through a unified screening standard and data processing method, and data statistics and analy-sis are carried out by using descriptive methods. Results: A total of 2498 literatures were col-lected and 71 were selected, and 2,243,799 prescription data were collected from 51 medical institutions in China from 2001 to 2015. According to the analysis, there were 91.89% of pre-scriptions containing drugs within 20 flavors, and the average weight of each dose was 212.51 ± 31.02 g, and the average prescription cost was 23.81 ± 12.22 yuan per dose. Conclusion: The prescription reasonableness evaluation method should make the specific stipulation of the pre-scription containing the number of medicine within 20, the prescription average weight within 600 g, and the prescription expense should be the guidance requirement; we should continue to strengthen the management requirement of TCM diagnosis and treatment and prescription, and quantify the management data so as to effectively monitor the actual situation and medical quality of TCM diagnosis and treatment in hospitals.