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我院重点监控药品的药事管理模式探索
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| 篇名： | 我院重点监控药品的药事管理模式探索 |
| TITLE： | |
| 摘要： | 目的：探索医院重点监控药品的管理模式，促进其合理使用。方法：从管控方案、管控措施、管控效果（以我院销售金额排名前10位药品中重点监控药品品种数和排名、重点监控药品销售金额占总药品销售金额比值、住院患者人均重点监控药品用药金额等数据为评价指标）等方面描述我院对重点监控药品的药事管理模式。结果：我院通过制订并实施重点监控药品目录，确定管控目标和管控指标等管控方案，采取将重点监控药品的管控纳入绩效考核管理、采购源头管理、超常预警管理等措施，建立了重点监控药品的药事管理模式。我院从2016年5月起开始实施管控，到2017年5月，药品销售金额前10位中重点监控药品排名后移且品种数下降；重点监控药品销售金额占总药品销售金额比值、住院患者人均重点监控药品用药金额由管控前（2016年1－4月）的34.33％、2 318.98元下降至2017年5月的21.72％、1 209.31元（分别下降了36.73％、47.85％）。结论：我院重点监控药品管控成效显著，可有效促进重点监控药品的合理使用，节约医保费用，减轻患者经济负担。 |
| ABSTRACT： | OBJECTIVE： To explore the management mode of key monitored drugs in hospital and to improve their rational use. METHODS： The pharmaceutical administration mode of key monitored drugs in our hospital was interpreted in respects of nontrol plan， control measures and control effect （using types and ranking of key monitored drugs among top 10 drugs in the list of consumption sum， ratio of consumption sum of key monitored drugs in total consumption sum， consumption sum per capita of key monitored drugs in the inpatients as indexes）. RESULTS： Our hospital confirmed and implemented control plans as control target and control index by formulating key monitored drug list. Key monitored drug control was included in performance assessment management， procurement source management， supernormal early warning management， etc. The key monitored drug control was implemented from May 2016， up to May 2017， key monitored drugs ranked and decreased in number from the top 10 drugs in the list of consumption sum. The ratio of consumption sum of key monitored drugs in total consumption sum and consumption sum per capita of key monitored drugs in the inpatients decreased from 34.33％ and 2 318.98 yuan before control （Jan. 2016-Apr. 2016） to 21.72％ and 1 209.31 yuan in May 2017 （decreasing by 36.73％， 47.85％）. CONCLUSIONS： Key monitored drug control obtains significant achievement in our hospital， can effectively promotes rational use of key monitored drug， saves medical insurance costs and reduces the economic burden of patients. |
| 期刊： | 2018年第29卷第7期 |
| 作者： | 王笑妍，付秀娟，黄玉鑫，李馨，陈旭，刘雅竹 |
| AUTHORS： | WANG Xiaoyan，FU Xiujuan，HUANG Yuxin，LI Xin，CHEN Xu，LIU Yazhu |
| 关键字： | 重点监控药品；药事管理；合理用药 |
| KEYWORDS： | Key monitored drugs； Pharmaceutical administration； Rational drug use |
| 阅读数： | 719 次 |
| 本月下载数： | 52 次 |
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