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.
关键词
重点监控药品/县级综合医院/药事管理/合理用药
Key words
Key monitoring drugs/County-level comprehensive hospital/Pharmaceutical administration/Rational drug use
维普
万方数据