A survey and analysis on rational use of traditional chinese patent medicines in community health service centers

Objective To master of irrational use situation of traditional Chinese patent prescription medicine in community health service center,disclose the existing problems and discuss the causes,and promote the rational use of traditional Chinese patent drugs. Methods The Chinese traditional medicine prescriptions for outpatients in five working days of each month from January to May in 2012 were selected to analyze the rationality of drug use. The causes of the problems were pertinently analyzed. Results The survey was taken among 47 597 prescriptions,28 063 Chinese medicine prescriptions accounted for 58. 96%. Traditional Chinese medicine prescription practitioners issued 4490,accounted for only 16%,western medicine practitioners issued 23 573,accounted for 84%. Unreasonable Chinese medicine patent prescription number was 7565,accounted for 26. 96%. The irrational drug use were: medication incompatible with the diagnosis( 46. 29%); repeated similar efficacy of proprietary Chinese medicines( 25. 19%); issued by the usage of non-standard( 22. 39%); unreasonable course of treatment( 9. 72%); and unreasonable compatibility( 4. 55%). Conclusion The phenomenon of irrational use of Chinese patent prescription medicine in community health service center was seriously. The management of medicine use should be strengthened.