首页|集中带量采购背景下北京市某三级甲等医院治疗心血管疾病的中成药应用分析

集中带量采购背景下北京市某三级甲等医院治疗心血管疾病的中成药应用分析

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目的:了解中成药集中带量采购(以下简称"集采")背景下北京市某三级甲等医院治疗心血管疾病的中成药应用情况,为中成药集采政策的进一步推进提供参考。方法:通过医院信息系统,收集该院在执行中成药集采前 1 年(2021 年 11 月 22 日至2022 年 11 月 21 日)、后 1 年(2022 年 11 月 22 日至 2023 年 11 月 21 日)治疗心血管疾病的中成药的消耗量、金额,利用药物经济学方法统计药品的用药频度(DDDs)、限定日费用(DDC)、节省费用及节省率,比较集采执行前后的用药情况并进行差异分析。结果:集采后,治疗心血管疾病的中成药中只有 2 个品种的DDDs有所增加,增幅为 8。48%~11。82%,其余品种的DDDs均降低,降幅为26。10%~59。09%;所统计品种的DDC均有明显降低,降幅为8。92%~76。55%;实际节省费用为1。44 万~18。51 万元,费用节省率为 9。79%~326。51%。结论:执行中成药集采后,该院治疗心血管疾病的中成药的使用费用降低,切实降低了部分心血管疾病患者的经济负担,相应地节省了医保基金,对进一步推进中成药集采任务起到了积极作用。
Application of Chinese Patent Medicine in the Treatment of Cardiovascular Disease in A Grade Three,Level A Hospital in Beijing Under the Background of Centralized Volume-Based Drug Procurement Policy
OBJECTIVE:To investigate the application status of Chinese patent medicine in the treatment of cardiovascular disease in a Grade three,Level A hospital in Beijing under the background of centralized volume-based drug procurement policy(hereinafter referred to as"volume-based procurement"),so as to provide reference for further promotion of volume-based procurement policy.METHODS:Through the hospital information system,the consumption amount and consumption sum of Chinese patent medicine used for cardiovascular diseases in the hospital before volume-based procurement(from Nov.22nd,2021 to Nov.21st,2022)and after volume-based procurement(from Nov.22nd,2022 to Nov.21st,2023)were collected.Pharmacoeconomic methods were used to calculate defined daily dose systems(DDDs),defined daily cost(DDC),actual cost saving and saving rate of drugs.Comparative analysis of differences before and after implementation were conducted based on the calculation.RESULTS:After volume-based procurement,the DDDs of only two varieties of Chinese patent medicine in the treatment of cardiovascular disease increased by 8.48%to 11.82%,while the DDDs of the remaining varieties decreased by 26.10%to 59.09%.The DDC of all statistical varieties decreased by 8.92%to 76.55%.The actual cost savings ranged from 14 400 yuan to 185 100 yuan,with a cost savings rate of 9.79%to 326.51%.CONCLUSIONS:After volume-based procurement of Chinese patent medicine,cost of Chinese patent medicine for cardiovascular disease in the hospital has been reduced,effectively reducing the economic burden of patients with cardiovascular disease,and correspondingly saving the medical insurance fund,which has played a positive role in further promoting the centralized volume-based drug procurement policy.

Volume-based procurementChinese patent medicineCardiovascular disease

宋雅迪、杨铮、王洪生、王岩

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首都医科大学附属北京世纪坛医院药学部,北京 100038

集中带量采购 中成药 心血管疾病

北京市中药骨干人才培养项目(第三批)

2024

中国医院用药评价与分析
中国医药生物技术协会,中国药房杂志社

中国医院用药评价与分析

CSTPCD
影响因子:1.142
ISSN:1672-2124
年,卷(期):2024.24(5)
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