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某三级医院基于费用控制需求下的用药干预效果评价
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篇名: 某三级医院基于费用控制需求下的用药干预效果评价
TITLE:
摘要: 目的:为有效控制医院药品费用提供参考。方法:调取某三级医院A区2013年7月-2014年3月(干预前)和2014年4-12月(干预后)的患者处方资料,分别对干预前后医院门诊和住院患者次均药费、医院门诊和住院患者药占比、各住院科室次均药费、部分住院科室平均用药品种数及高贡献度药品的费用变化等数据进行统计、比较。结果:干预后医院门诊和住院患者次均药费明显降低,降幅分别为11.22%、17.39%;医院门诊和住院患者药占比明显降低,降幅分别为5.92%、21.17%;20个住院科室次均药费均不同程度降低,平均降幅为33.04%;肾内科、心血管内科、肿瘤血液科、胆石病外科、胸外科住院患者平均用药品种数分别减少2.91、3.03、5.94、5.55、4.22种;高贡献度药品的费用均明显降低。结论:该院A区有效控制了药品费用,减少了临床用药品种数,并通过降低处方中辅助类用药的费用比例而优化了用药结构。
ABSTRACT: OBJECTIVE: To provide reference for effective drug cost control. METHODS: The data of prescription was collected from district A of a three-level hospital during Jul. 2013 to Mar. 2014 (before intervention) and Apr. to Dec. 2014 (after intervention), and then compared statistically in respects of outpatient and inpatient drug cost per time, outpatient and inpatient drug ratio, drug cost per time of each inpatient department, average number of drug types in some inpatient department and cost of key intervention drugs before and after intervention. RESULTS: The outpatient and inpatient drug cost per time were decreased significantly after intervention, decreasing by 11.22% and 17.39%, respectively. The outpatient and inpatient drug ratio were decreased significantly, decreasing by 5.92% and 21.17%, respectively. Drug cost per time of 20 inpatient departments were decreased significantly, decreasing by 33.04%. Average number of drug types in the inpatients of nephrology department, cardiovascular medicine department, tumor hematology department, cholelithiasis surgery department and thoracic surgery department were decreased by 2.91, 3.03, 5.94, 5.55, 4.22 types, respectively. The cost of drugs with high contribution rate were decreased significantly. CONCLUSIONS: The district A of the hospital effectively controls drug cost, reduces the number of drug types and decreases the cost of adjuvant drugs in prescription so as to optimize the structure of drug use.
期刊: 2018年第29卷第14期
编辑: 常亮,金丽,何志高
AUTHORS: CHANG Liang,JIN Li,HE Zhigao
关键字: 费用控制需求;用药干预;次均药费;药占比;平均用药品种数;贡献度
KEYWORDS: Demand of cost control; Medication intervention; Drug cost per time; Drug ratio; Average number of drug types; Contribution rate
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