Volume 22 Issue 1
Jan.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(1): 93-96
HUANG Qian, XU Xin, SHAO Jie, ZHANG Fang, ZHU Min, ZHOU Lulu, ZHANG Shengbing, HUANG Jiaoling, LIU Wei. Analysis of potential irrational drug use and training needs of family doctors in the diagnosis and treatment of patients with multiple chronic diseases[J]. Chinese Journal of General Practice, 2024, 22(1): 93-96. doi: 10.16766/j.cnki.issn.1674-4152.003339
Citation: HUANG Qian, XU Xin, SHAO Jie, ZHANG Fang, ZHU Min, ZHOU Lulu, ZHANG Shengbing, HUANG Jiaoling, LIU Wei. Analysis of potential irrational drug use and training needs of family doctors in the diagnosis and treatment of patients with multiple chronic diseases[J]. Chinese Journal of General Practice, 2024, 22(1): 93-96. doi: 10.16766/j.cnki.issn.1674-4152.003339
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Analysis of potential irrational drug use and training needs of family doctors in the diagnosis and treatment of patients with multiple chronic diseases

doi: 10.16766/j.cnki.issn.1674-4152.003339
  • 1.

    Weifang Community Health Service Center, Pudong New Area, Shanghai 200122, China

Funds:

 PWRd2021-08

 PKJ2019-Y48

 沪卫人事[2022]65号

  • Received Date: 2023-01-09
    Available Online: 2024-03-09
    Abstract
  •   Objective  To investigate the potential irrational drug use among community general practitioners in patients with multimorbidity diseases, and explore improvement strategies.  Methods  Twenty-one field research questionnaires of community potentially inappropriate medications (PIM) project were tested in the previous study of this project group. A total of 1 500 prescriptions were collected from 236 general practitioners on duty at 47 community health service centers from December 2021 to January 2022 in Pudong New Area, Shanghai using mechanical sampling method, and an online questionnaire survey was conducted.  Results  The 21 items with the highest frequency of PIM were "Digoxin for heart failure patients with normal ventricular systolic function", "ankle edema dependent on clinical manifestations of non-heart failure treated with loop Diuretic", etc. The difference analysis was made on the subjective frequency of PIM items, the subjective rationality judgment of general practitioners, and the actual objective frequency in prescriptions. The rank sum test suggested that there was a statistically significant difference between the subjective rationality judgment and objective occurrence frequency of 21 potentially irrational drug use items (P < 0.05); Compared with the subjective frequency judgment and subjective rationality judgment of 21 potential irrational drug use items, there was no significant difference between the two items except for the item "Nifedipine regular release dosage form as antihypertensive drug" (P > 0.05), and the other items had significant differences (P < 0.01); Linear regression analysis was conducted using the daily occurrence frequency of 21 PIMs as the dependent variable and 5 factors such as professional title and education as independent variables. The results showed that each factor had no significant impact on the daily occurrence frequency of PIMs (P > 0.05).  Conclusion  Currently, family doctors lack subjective understanding of the potential irrational use of medication in patients with multiple chronic diseases, and it is relatively common. Therefore, unified training and guidance should be carried out.

     

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