临床药师对某院中药注射剂合理使用的管控效果
The effect of control measures adopted by clinical pharmacists on the rational use of traditional Chinese medicine injections in a hospital
邵维莉 1张先萍 2王双燕 2杨祖有 1杨子萱1
作者信息
- 1. 保山市人民医院临床药学科,云南保山 678000
- 2. 云南经济管理学院,昆明 650106
- 折叠
摘要
目的 探讨临床药师对某院中药注射剂合理使用的管控效果.方法 对医院干预前(2020年1月～2020年12月)、干预后(2021年 1 月～2021 年 12 月)重点监控科室中药注射剂药占比、患者治疗有效率、重点监控中药注射剂用药金额排名及全院药占比、人均中药注射剂费用、中药注射剂不合理使用率等指标进行对比和分析.结果 临床药师干预后,重点监管科室中药注射剂平均药占比较干预前降低(1.68±1.37)%,差异有统计学意义(P＜0.01);患者的治疗有效率未受到影响,较干预前还有提高,差异有统计学意义(P＜0.01);全院中药注射剂不合理使用率由干预前 48.50%降低至 29.00%,差异有统计学意义(P＜0.01).此外,重点监控中药注射剂用药金额排名、全院药占比、全院中药注射剂药占比及人均中药注射剂费用较干预前均有所降低.结论 临床药师实施的一系列干预措施,可有效改善医疗机构中药注射剂不合理使用情况.在未增加患者治疗失败风险的前提下,减轻了患者的用药负担,同时对鼓励和规范医院合理应用中药注射剂也起到了积极的促进作用.
Abstract
Objective To investigate the effect of control measures adopted by clinical pharmacists on the rational use of traditional Chinese medicine(TCM)injections in a hospital.Methods The ratio of the TCM injection income to the total income of main departments under monitoring and control,the therapeutic rate of patients,the sales amount ranks of the main monitored TCM injections,the ratio of the medicine income to the total income of the hospital,the TCM injection expense per person,the irrational use rate of TCM injections were compared and analyzed before(January 2020 to December 2020)and after(January 2021 to December 2021)the intervention in a hospital.Results After the intervention by clinical pharmacists,the average ratio of the TCM injection income to the total income of main departments under monitoring and control was(1.68±1.37)%lower than that before the intervention,and the difference was significant(P＜0.01).The therapeutic rate of patients did not decrease but improved significantly after the intervention(P＜0.01).The irrational use rate of TCM injections of the hospital significantly decreased to 29.00%after the intervention from 48.50%before the intervention(P＜0.01).In addition,the sales amount ranks of the main monitored TCM injections,the ratio of the medicine income to the total income of the hospital,and the TCM injection expense per person were significantly reduced after the intervention.Conclusion The intervention measures adopted by clinical pharmacists can effectively promote the rational use of TCM injections in medical institutions,lighten the medication burden on patients without increasing the risk of treatment failure,and play a positive role in standardizing the rational use of TCM injections in the hospital.
关键词
中药注射剂/临床药师/干预Key words
Traditional Chinese medicine injections/Clinical pharmacists/Intervention引用本文复制引用
出版年
2024
NETL
NSTL
万方数据