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"三合理"检查在公立医院控制药占比、耗占比的应用

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目的 探讨"三合理"检查方案在公立医院控制药占比、耗占比和总体费用的价值.方法 选取2021年1月至2023年6月常州市武进人民医院公示药占比、耗占比和总体费用数据,分析自2022年1月实施"三合理"检查方案以来这些数据变化规律,评估"三合理"检查在控制医疗费用中的效果.结果 与2021年相比,2022年门急诊患者和住院患者人均费用、药占比和耗占比均明显下降.且2023年上半年住院患者药占比和耗占比进一步下降.平均住院日和全院总医疗费用药占比及耗占比均持续下降.结论 通过"三合理"检查方案的实施,公立医院有效控制药占比、耗占比和人均费用,促进医院精细化管理,缩短平均住院日,提高患者满意度.
The Application of"Three Reasonable"Inspections in Controlling the Proportion of Drugs and Consumption in Public Hospitals
Objective:To explore the value of the"three rational"inspection program in the proportion of drug control,consumption ratio and the overall cost in public hospitals.Method:Data on the proportion of drugs,consumption,and the overall cost publicly disclosed at Wujin People's Hospital in Changzhou from January 2021 to June 2023 were selected,the changes in these data since the implementation of the"three reasonable"inspection plan in January 2022 analyzed,and the effectiveness of the"three reasonable"inspection in controlling medical costs evaluated.Result:Compared with 2021,the per capita expenses,drug proportion,and consumption proportion of outpatient and the hospitalized patients have significantly decreased in 2022.And in the first half of 2023,the proportion and consumption of drugs among the hospitalized patients further decreased.The average length of hospital stay,and the proportion and consumption of drugs in the total medical expenses of the hospital continue to decline.Conclusion:Through the implementation of the"three reasonable"inspection plan,public hospitals can effectively control the proportion of drugs,consumption,and per capita costs,promote the refined hospital management,shorten the average length of hospital stay,and improve patient satisfaction.

public hospital"three reasonable"inspectiondrug proportionconsumption proportion

刘传磊、徐文艳

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江苏大学附属武进医院,江苏省常州市 213002

徐州医科大学武进临床学院,江苏省常州市 213002

公立医院 "三合理"检查 药占比 耗占比

2024

现代医院管理
中国医院协会,中国医科大学

现代医院管理

影响因子:1.07
ISSN:1672-4232
年,卷(期):2024.22(4)