首页|带量采购政策对我院核苷类抗乙型肝炎病毒药物使用情况的影响

带量采购政策对我院核苷类抗乙型肝炎病毒药物使用情况的影响

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目的 分析孝感市中心医院执行带量采购政策对核苷类抗乙型肝炎病毒药物使用情况的影响,为医院药事管理和药物政策制定提供参考.方法 提取医院执行带量采购政策前后4种核苷类抗乙型肝炎病毒药物的使用数据,采用药物经济学方法对药品供应目录、药品价格、销售数量、销售金额、用药频度(DDDs)、限定日费用(DDC)和排序比(B/A)等进行回顾性分析.结果 执行带量采购政策后,4种核苷类抗乙型肝炎病毒药物的总消耗量增加了 73.34%,销售总金额下降了 96.49%,总DDDs增加了 46.15%,未中选的阿德福韦酯、恩替卡韦和替诺福韦DDC下降比例达10.45%~42.12%.结论 执行带量采购政策可以有效减少医疗机构药品费用支出,提高医保基金使用效率,显著减轻患者的用药负担,进一步促进临床合理用药.
Effect of purchasing policy with quantity on the use of nucleoside anti-hepatitis B drugs in our hospital
Objective To analyze the influence of purchasing policy with quantity on the use of nucleoside anti-hepatitis B drugs in Xiaogan Center Hospital,and provide reference for hospital pharmaceutical management and drug policy.Methods The medication data of 4 nucleoside anti-hepatitis B drugs in our hospital before and after the implementation of purchasing policy with quantity were collected.The changes in drug supply catalog,price,sales quantity,sum,defined daily doses(DDDs),defined daily cost(DDC),and sequence ratio(B/A)were analyzed retrospectively by pharmacoeconomic method.Results After the implementation of purchasing policy with quantity,the total consumption of 4 nucleoside anti-hepatitis B drugs increased by 73.34%,and the total consumption sum decreased by 96.49%.The total DDDs increased by 46.15%,and the DDC of excluded adefovir dipivoxil,entecavir and tenofovir decreased by 10.45%~42.12%.Conclusion Purchasing policy with quantity can effectively reduce the drug cost in medical institutions and improve the efficiency of medical insurance fund,greatly reduce the medical burden of patients,and promote rational drug use.

purchase with quantitynucleoside anti-hepatitis B drugdefined daily dosedefined daily cost

陈刚、袁玉丽

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武汉科技大学附属孝感医院孝感市中心医院药学部,湖北 孝感 432000

带量采购 核苷类抗乙型肝炎病毒药物 用药频度 限定日费用

孝感市自然科学基金

XGKJ2020010021

2024

中南药学
湖南省药学会

中南药学

CSTPCD
影响因子:0.736
ISSN:1672-2981
年,卷(期):2024.22(3)
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