首页|药品集中带量采购背景下医疗机构药品报量准确性研究

药品集中带量采购背景下医疗机构药品报量准确性研究

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目的 分析药品集中带量采购背景下医疗机构药品报量与实际需求匹配程度的现状,为提高医疗机构药品报量准确性提供参考.方法 使用全国前5批集中带量采购药品的上报需求和实际需求数据,利用差值和百分比从绝对数和相对数描述集中带量采购药品报量准确程度.结果 5个批次集中带量采购的8 183组报量与实际需求对子中,6 842组报量低于实际需求量,1341组报量高于实际需求量,二者差值均集中分布在>10万~100万片(支)之间;约15%的报量与实际需求相差在0.2以内,约37%的报量相差在>0.2~1.0之间,各批次在(0,0.2]的药品占比维持在13%~16%之间;药品报量准确性在药理类型间存在差异,在不同地区间无差异.结论 医疗机构药品报量与实际需求偏差较大,药品报量准确性不随集中带量采购批次改善,与药理类型强相关、与地区无关.建议加强对医院药品报量的精细化管理,科学开发药品用量预测模型,提高医疗机构药品报量准确性.
Research on the Accuracy of Hospital Drug Reporting under the Background of Centralized Procurement of Drugs
Objective To analyze the current situation of matching between the drug reporting of medical institutions and the actual demand under the background of centralized procurement of drugs,and to provide reference for improving the accuracy of medical institutions'drug reporting.Methods The agreed procurement and actual procurement data of the first five batches of centralized procurement drugs in China were used,and the difference and percentage were used to describe the accuracy of the centralized procurement drug reporting from absolute and relative numbers.Results Among the 8 183 groups of forecast and actual procurement in the five batches of centralized procurement,6 842 groups reported lower than the actual purchase volume,and 1 341 groups reported higher than the actual purchase quantity,and the difference between them was concentrated between 100 000 to 1 million pieces(100 000,1 000 000].About 15%of the reported volume and the actual demand differed with in 0.2,about 37%report differed from 0.2 to 1.0(0,0.2],and the proportion of drugs in the(0,0.2]range of each batch remained between 13%and 16%.Drug reporting accuracy varied between pharmacological types and did not vary between regions.Conclusion The deviation between the drug reporting volume of medical institutions and the actual demand is large,and the accuracy of drug reporting does not improve with the batch of centralized procurement,which is strongly related to the pharmacological type and has nothing to do with the region.It is recommended to strengthen the refined management of hospital drug reporting,scientifically develop a drug dosage prediction model,and improve the accuracy of medical institutions'drug reporting.

national centralized drug procurement with quantitymedical institutionsdrug reportingaccuracy

王彪、罗力、廖鹏、唐啸宇、贾韵

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复旦大学公共卫生学院 上海 200032

上海市重大传染病和生物安全研究院 上海 200032

药品集中带量采购 医疗机构 药品报量 准确性

2024

中国医院管理
中国医院管理杂志社

中国医院管理

CSTPCD北大核心
影响因子:2.15
ISSN:1001-5329
年,卷(期):2024.44(5)
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