目的:(1)針對使用成癮性麻醉藥品達長期定義的非癌症慢性頑固性疼痛病人(以下簡稱該類病人),藉由醫師、藥師與院內管制藥品管理委員會,並配合管制藥品管理局建立一套完整且嚴密的「追蹤介入機制」。(2)評估此機制是否可以改善醫療品質。
方法:本研究為回朔性研究分析,初步篩選連續使用超過7天成癮性麻醉藥品的非癌症病人,然後依據「追蹤介入機制流程圖」實際執行,再將資料進行統計分析。
結果:經過4年追蹤,各年度繼續用藥比例分別為9.19%、10.20%、24.95%與28.43%;經管制藥品管理局複核並准予使用比例分別為100%、100%、92.86%與100%。
結論:本研究成功地建置「追蹤介入機制」列管該類病人,避免成癮性麻醉藥品的濫用,達到改善醫療品質的目標。
Purpose: The aims of this study were to set up a mechanism for chronic non-cancer pain (CNCP) patients to long-term use addictive narcotic drugs and to evaluate the medical quality.
Material and Methods: This study was implemented according the flowchart of “tracing and intervening mechanism”.
Results: Around 4 years, the proportions that CNCP patients continued using narcotic drugs were 9.19%, 10.20%, 24.95% and 28.43% respectively. The year tendency showed this requirement is increasing. The proportions that National Bureau of Controlled Drugs approved were respectively 100%, 100%, 92.86%, 100%. This result showed that our hospital severely reviewed and screened out these patients.
Conclusion: The results showed the “tracing and intervening mechanism” has avoided the narcotic drugs abuse and improved the medical quality.