北榮安眠藥處方重複率居冠 恐有用藥疑慮

[Einstein]

2014-10-09 21:20
〔本報訊〕台北榮總疑濫開安眠藥！中央健康保險署今公布今年5到7月同一家醫療院所「安眠藥處方重複開出排行榜」，在已給最大處方量的情況下，北榮的重複開藥量仍高達3萬多天，名列第一，恐增患者用藥安全疑慮。
由於每家院所規模大小及病患人數皆有差，此榜單依各院所這3個月間開立的處方總日數分為5大組，而台北榮民總醫院屬於給藥量200萬天以上的最大組內，但3個月內竟開出300多萬天藥量的安眠藥，其中重複開藥量多達3萬多天，重疊率1.09%。同組的台北馬偕醫院、台北市立聯合醫院，給藥重疊率同樣偏高，分別來到1.04%及0.9%。

健保署醫審及藥材組專門委員蔡文全表示，開立最多安眠藥處方的為神經醫學科、精神科，安眠藥重複開藥超出合理水準的，健保給付將被刪除，雖然自101年至103年7月同醫院安眠藥同藥理用藥日數重疊率有逐年減少，但仍有進步空間，希望醫院能自律及自我管制，並從雲端藥歷著手，減少藥品浪費及病人吃過量的危險。

另外，嘉義基督教醫院、國軍高雄總醫院附設民眾診療處、陽明醫院及博仁醫院，分別是不同開藥量組別中重複給藥量最多的冠軍。而表現較好的則有台大醫院、中國醫藥大學附設醫院、光田醫院、高雄市立小港醫院、台北榮總台東分院，重複率在各組最低。

[gary]

台北榮總要注意喔

[現代仁醫]

雲端藥歷會看的還是基層診所居多，
大廟的醫生開藥哪會管之前用過什麼，
病人都看不完了，
先用再說吧！
反正有被抽審核刪時再說囉。

[min]

說的也是。

[chupei]

我看過多張北榮精神科病人處方
好像不只有這個問題
我常覺得 CENTER 的醫師真猛

[jeffery]

砍吧 建局大力砍吧

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