首页|实施国家集中采购药品后对精神专科医院门诊药品费用的影响

实施国家集中采购药品后对精神专科医院门诊药品费用的影响

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目的 观察国家集中采购药品工作开展后对精神专科医院门诊药品费用的影响.方法 从HIS系统中选取国家集中采购药品后(2020 年 4 月 1 日~11 月 30 日以及 2021 年 4 月 1 日~11 月 30 日)的门诊患者药品购买费用数据,与执行国家集中采购药品前(2019 年 4 月 1 日~11 月 30 日)进行对比.分析实施国家集中采购药品后次均药品费用、次均集采药品费用、次均费用变化情况.结果 本院执行国家集中采购药品和使用试点工作后,门诊次均药品费用由77.68元降至27.21元,同比下降64.97%.次均集采药品费用由 71.68 元降至 25.95 元,同比下降 63.80%.本院执行国家集中采购药品和使用试点工作后,门诊使用集采药品次均费用明显下降,2020 年、2021 年降幅达 25.86%、38.90%.其中奥氮平降幅最小,2020 年、2021 年降幅分别为 15.08%、32.37%,次均费用由 2019 年的 378.08 元降至 2020 年的 321.05 元、2021 年的 255.68 元.氨氯地平降幅最大,2020 年、2021 年降幅分别为 94.09%、95.69%,次均费用由 2019 年的 69.88 元降至 2020 年的 4.13 元、2021 年的 3.01 元.结论 通过本院政策落实后采集的 2020 年 4~11 月以及 2021 年 4~11 月与采集前 2019 年 4~11 月对比,国家集中采购药品政策的推出对精神专科医院门诊药物费用的降幅较大,能够有效减轻用药患者的经济负担.
The impact of the national centralized procurement of drugs in psychiatric hospital on the cost of outpatient drugs
Objective To observe the impact of the national centralized procurement of drugs in psychiatric hospital on the cost of outpatient drugs.Methods Drug purchase cost data of outpatients after the national centralized purchase of drugs(April 1 to November 30,2020 and April 1 to November 30,2021)were selected from HIS system,and compared with those before the national centralized purchase of drugs(April 1 to November 30,2019).The changes of average outpatient drug cost per-time,average drug collection cost per-time and average drug cost per-time after the use of national centralized procurement of drugs were analyzed.Results After the implementation of the national centralized procurement of drugs and the use of pilot,the average outpatient drug cost per-time decreased from 77.68 yuan to 27.21 yuan,with a year-on-year decrease of 64.97%.The average drug collection cost per-time decreased from 71.68 yuan to 25.95 yuan,with a year-on-year decrease of 63.80%.After the implementation of the national centralized procurement of drugs and the use of pilot,the average drug collection cost per-time had decreased significantly,with an average decrease of 25.86%in 2020 and 38.90%in 2021.Among them,olanzapine has the smallest decrease,with a decrease of 15.08%in 2020 and 32.37%in 2021,respectively,and the average cost per-time has decreased from 378.08 yuan in 2019 to 321.05 yuan in 2020 and 255.68 yuan in 2021.Amlodipine had the largest decrease,with a decrease of 94.09%in 2020 and 95.69%in 2021,respectively,and the average cost per-time decreased from 69.88 yuan in 2019 to 4.13 yuan in 2020 and 3.01 yuan in 2021.Conclusion By comparing data from April to November 2020 and from April to November 2021 collected after the implementation of the policy in our hospital with that from April to November 2019 before collection,the introduction of the national centralized procurement of drugs policy has a greater reduction in the outpatient drug cost in psychiatric hospitals,which can effectively reduce the financial burden of patients.

National centralized procurement of drugsDrug costsPsychiatric hospitalOutpatient service

苏红、朱璇

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832000 新疆石河子绿洲医院

国家集中采购药品 药品费用 精神专科医院 门诊

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(10)
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