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县级综合医院重点监控药品的管理与实践

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目的 加强县级综合医院重点监控药品管理,降低住院药品费用。方法 建立《重点监控药品目录》和《重点监控药品临床使用管理规定》,实行分类管理、预警监控、专项处方点评、多方共管和绩效考核等措施,对某县级综合医院 2021 年重点监控药品管控前后临床使用情况进行分析。结果 管控后,某县级综合医院住院重点监控药品使用金额整体下降了 37。51%,住院药品使用金额下降了 6。4%,住院药占比下降了 2。99%;药品使用金额排名前 10 名监控品种有 9 种明显下降;20 个临床科室中有 16 个科室的重点监控药品次均费用有不同程度下降,最大降幅达 100%。结论 采取重点监控药品管控后明显减少了药品费用,促进了合理用药,减轻了患者就医负担。
Management and practice of key monitoring drugs in county-level comprehensive hospital
Objective To strengthen the management of key monitored drugs in county-level comprehensive hospitals and reduce the drug expense of inpatient.Methods Establish the Catalogue of Key Monitored Drugs and the regulations on the management of the clinical use of key monitored drugs,implement classified management,early warning monitoring,special prescription comments,multi-party co management and performance assessment and other measures,and analyze the clinical use of the key monitored drugs before and after the control of a county-level comprehensive hospital in 2021.Results After the control,the overall decrease of the use amount of the key monitored drugs in the county-level comprehensive hospital was 37.51%,the use amount of the drugs in hospital decreased by 6.4%,and the proportion of the drugs in hospital decreased by 2.99 percentage points;9 of the top 10 monitored varieties in terms of the cost of drug use decreased significantly.Among the 20 clinical departments,the cost per time of key monitored drugs in 16 departments decreased to varying degrees,with the maximum decrease reaching 100%.Conclusion Drug costs were significantly reduced,rational drug use was promoted,and the burden of medical care for patients was reduced after adopting key monitoring drug management and control.

Key monitoring drugsCounty-level comprehensive hospitalPharmaceutical administrationRational drug use

侯爱国、朱磊、张毅、易仁平、任晓梅

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仪征市人民医院,江苏扬州 211400

重点监控药品 县级综合医院 药事管理 合理用药

2024

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):2024.22(2)
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