The practice of traditional Chinese medicine decoction piece dispensing supervision mode in primary medical and health institutions under the "digital" scenario
“数字化”场景下的基层医疗卫生机构中药饮片代配代煎监管模式的实践

摘要

目的 探讨“数字化”场景下的基层医疗卫生机构中药饮片代配代煎监管模式的实践效果。方法 实施时间从2022年6月至2023年3月，以2022年11月以前未实施“数字化”场景下的基层医疗卫生机构中药饮片代配代煎监管模式的作为对照组（500张处方），2022年11月以后实施“数字化”场景下的基层医疗卫生机构中药饮片代配代煎监管模式作为实践组（500张处方）。观察对比两组处方在数字化代配代煎监管模式的成效和应用价值。结果 在实践组的中药饮片代配代煎监管模式中，关于煎药量的误差、药物的味道和颜色的差异、处方药物未经核对、特殊煎煮方法未明确标识以及包装袋上缺少用药指导说明等质量评价方面，均显著优于对照组（P＜0.05）。此外，实践组在中药饮片代配代煎人员的操作规范性、操作熟练度、处方审核能力、提供用药指导的能力以及对信息化技术的接受度等综合服务能力方面的评分也都高于对照组（P＜0.05）。结论 基层医疗卫生机构在“数字化”场景下实施中药饮片代配代煎监管模式，可取得理想的中药饮片代配代煎管理效果。

Abstract

Objective To explore the practical effect of the supervision mode of TCM decoction pieces substitution in primary medical and health institutions under the "digital" scenario.
Methods The implementation time was from June 2022 to March 2023, and the primary medical and health institutions that had not implemented the "digital" scenario before November 2022 were selected as the control group (500 prescriptions). After November 2022, the supervision mode of traditional Chinese medicine decoction pieces dispensing in primary medical and health institutions under the "digital" scenario will be implemented as a practice group (500 prescriptions). To observe and compare the effectiveness and application value of the two groups of prescription in the digital dispensing and decocting supervision mode.
Results The practice group was significantly better than the control group (P < 0.05) in terms of quality evaluation, such as error of decocting quantity, difference of taste and color of drugs, unchecked prescription drugs, no clear mark of special decocting method and lack of medication instructions on packaging bags. In addition, the scores of the practice group were higher than those of the control group in terms of the comprehensive service ability, such as operation standardization, operation proficiency, prescription review ability, medication guidance ability and acceptance of information technology (P < 0.05).
Conclusion   In the "digital" scenario, the primary medical and health institutions can implement the supervision mode of TCM decoction pieces dispensing and decocting, which can obtain the ideal management effect of TCM decoction pieces dispensing.