TÌNH HÌNH KÊ ĐƠN CORTICOID ĐIỀU TRỊ NGOẠI TRÚ VÀ CÁC YẾU TỐ LIÊN QUAN TẠI BỆNH VIỆN ĐA KHOA TRUNG TÂM TIỀN GIANG NĂM 2020-2021

Abstract

Background: Using corticoids in treatment is increasingly popular. Proper prescription of corticoids plays an important role in increasing treatment effectiveness and reducing adverse patient complications. Objectives: 1). To determine the inapproriate corticoid prescription rates for outpatient treatment; 2). To find out some related factors to inappropriate prescription of corticoids. Materials and methods: A cross-sectional study conducted among 588 subjects receiving corticoids who were admited to the outpatient Deparment and paid by the National Health Insurance scheme at Tien Giang Center Hospital from Jun 2020 to Jun 2021. Results: Prescriptions mostly contained only 1 type of corticoid and methylprednisolone was the drug most used. According to Circular 52, the proportion of unreasonable prescriptions accounted for 2.2%. According to Circular 23, the proportion of unreasonable prescriptions was 21.4%. According to regulations of the Ministry of Health, it was 38.3% of unreasonable prescriptions. Associated factors with unreasonable prescriptions included gender, professional qualification and years of experiences of prescribing doctors. Conclusion: The rates of prescription containing corticoids prescribed unreasonably is high. Results from the study suggested the implementation of adherence to treatment guidelines in clinical settings.