首页|DRGs付费背景下不稳定型心绞痛药物治疗成效分析

DRGs付费背景下不稳定型心绞痛药物治疗成效分析

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目的 分析按病种分组(DRGs)付费背景下不稳定型心绞痛药物治疗成效.方法 选择 2020 年 11 月~2022 年 10 月期间收治的不稳定型心绞痛治疗病例进行回顾性分析,总例数 600 例,根据是否实施DRGs付费模式,将数据分为常规组(2020 年 11 月~2021 年10 月,300 例)与研究组(2021 年 11 月~2022 年 10 月,300 例).常规组按照临床用药常规模式给药,研究组基于DRGs付费背景开展药物治疗.比较两组症状消失时间、胸痛持续时间、药品费用、住院总费用等指标;比较治疗效果及不合理用药发生率.结果 与常规组相比,研究组胸痛、呼吸困难、心悸等症状消失时间、单次胸痛平均持续时间、住院时间更短(P<0.05);研究组药品费用、住院总费用更低(P<0.05),研究组药占比更低(P<0.05);与常规组相比,研究组治疗总有效率更高(P<0.05);与常规组相比,研究组发生过量用药、重复用药、用法错误、药品选择错误、处方制定错误等不合理用药占比更低(P<0.05).结论 DRGs付费背景下确定不稳定型心绞痛治疗药物并予以对症治疗,可迅速改善患者临床症状,显著提升治疗成效,还可降低不合理用药发生概率,进而降低药品费用与住院总费用,减轻患者经济负担.
Analysis of the therapeutic efficacy of drugs for the treatment of unstable angina pectoris in the context of DRGs payment
Objective To analyse the therapeutic efficacy of drugs for the treatment of unstable angina pectoris in the context of payment by Disease-Related Groups(DRGs).Methods Unstable angina pectoris treatment cases admitted between November 2020 and October 2022 were selected for retrospective analysis,with a total number of 600 cases,and they were divided into the conventional group(300 cases from November 2020 to October 2021)and the study group(300 cases from November 2021 to October 2022).The conventional group was given medication according to the routine pattern of clinical medication,and the study group was given medication based on the DRGs payment background.The two groups were compared in terms of clinical indicators such as symptom disappearance time and chest pain duration;therapeutic indicators such as drug cost and total hospitalisation cost;and therapeutic effects and incidence of irrational drug use.Results Compared with the conventional group,the study group had shorter symptom disappearance time of chest pain,dyspnea,palpitations,etc.,average duration of single chest pain,and hospital stay(P<0.05);the study group had lower drug costs and total hospital costs(P<0.05),and the study group had a lower drug-to-patient ratio(P<0.05);and the study group had higher total effective rate of treatment compared with the conventional group(P<0.05);compared with the conventional group,the percentage of irrational medication use such as overdose,duplicate medication,usage error,drug selection error,prescription formulation error,etc.,occurring in the study group was lower(P<0.05).Conclusion Determining the therapeutic drugs for unstable angina pectoris and providing symptomatic treatment in the context of DRGs payment can rapidly improve the clinical symptoms of patients,significantly improve the effectiveness of treatment,and reduce the probability of irrational use of medication,thereby reducing the cost of medicines and the total cost of hospitalisation,and alleviating the economic burden of patients.

DRGs paymentUnstable angina pectorisTherapeutic drugsEffectiveness

孙蒙蒙、李新、柴微波、王虹

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天津市北辰医院药剂科,天津 300400

DRGs付费 不稳定型心绞痛 治疗药物 成效

天津市北辰区科技计划项目

SHGY-2021005

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(6)
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