首页|病种分值付费下药学干预对降低患者药品费用的影响

病种分值付费下药学干预对降低患者药品费用的影响

扫码查看
目的 探究病种分值付费下药学干预对降低患者药品费用的影响.方法 以普外科 2021 年 1 月~2022 年 12 月收治确诊的急性阑尾炎、进行腹腔镜阑尾切除术的 339 例患者为研究对象,按照研究时间进行患者分组,其中 2021 年 1 月~12 月收治的 168 例急性阑尾炎患者进行常规药学干预,设为对照组;2022 年 1 月~12 月收治的 171 例急性阑尾炎患者进行病种分值付费下药学干预,设为观察组;比较两组患者的药学指标、重点监控药物占比、抗菌药物应用情况.结果 观察组患者的用药费用少于对照组(P<0.05),观察组患者的住院天数短于对照组(P<0.05),观察组的药费占比小于对照组(P<0.05).观察组患者的质子泵抑制剂注射液、复方氨基酸注射液、注射用头孢孟多酯钠、中/长链脂肪乳注射液、转化糖-注射用转化糖应用百分率均小于对照组(P<0.05).观察组患者的抗菌药物费用少于对照组(P<0.05),观察组患者的抗菌药品百分率小于对照组(P<0.05),观察组患者的用药时间短于对照组(P<0.05).结论 病种分值付费下药学干预可帮助急性阑尾炎腹腔镜手术患者减少用药费用、缩短用药时间、提高用药合理性,预防抗菌药物滥用.
Effect of pharmaceutical intervention on reducing drug cost of patients under the condition of disease point value payment
Objective To explore the effect of pharmaceutical intervention on reducing drug costs of patients under the condition of point-value payment.Methods The study was conducted from January 2021 to December 2022.339 patients diagnosed with acute appendicitis who underwent laparoscopic appendectomy admitted to the Department of General Surgery were selected as research objects.Patients were grouped according to the study time,among which 168 patients with acute appendicitis admitted from January to December 2021 received routine pharmaceutical intervention and were set as the control group.A total of 171 patients with acute appendicitis were admitted from January to December 2022,who were treated with pharmaceutical intervention under the disease point value payment,and were assigned as the observation group.The pharmaceutical indexes,the percentage of key monitored drugs and the application of antibiotics were compared between the two groups.Results The drug cost of the observation group was less than that of the control group(P<0.05),the hospital stay of the observation group was shorter than that of the control group(P<0.05),and the percentage of drugs in the observation group was less than that of the control group(P<0.05).The percentages of proton pump inhibitor injection,compound amino acid injection,cefmondoxil sodium for injection,medium/long chain fat milk injection,invert sugar-invert sugar for injection in the observation group were lower than those in the control group(P<0.05).The cost of antibacterial drugs in the observation group was less than that in the control group(P<0.05),the percentage of antibacterial drugs in the observation group was less than that in the control group(P<0.05),and the duration of medication in the observation group was shorter than that in the control group(P<0.05).Conclusion Pharmaceutical intervention under disease point value payment can help patients with acute appendicitis laparoscopic surgery reduce medication costs,shorten medication time,improve the rationality of medication,prevent the abuse of antibacterial drugs.

Pharmaceutical intervention under disease score paymentAcute appendicitisLaparoscopic appendectomyPharmaceutical indexApplication of antibacterial drugs

许丹娜、黄益平

展开 >

广东省水电医院医保物价科,广州 511340

广东省水电医院药剂科,广州 511340

病种分值付费下药学干预 急性阑尾炎 腹腔镜阑尾切除术 药学指标 抗菌药物应用情况

2023

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2023.21(12)
  • 8