摘要
目的:降低医院药占比,促进临床合理用药。方法:介绍某院为了降低药占比以促进临床合理用药的干预措施及效果。结果与结论:该院实施了明确责权,实行行政干预;制订考核指标;动态监测,实时监控;注重点评,跟踪检查;宣传培训,持续改进等措施。2009-2013年的就诊人次分别较上一年度增长5.02%、8.17%、10.66%、13.79%,增长率呈逐年上升趋势;医院总收入逐年递增,分别较上一年度增长2.01%、2.89%、3.14%、4.77%,增长率也呈上升趋势;药品收入逐年递增,分别较上一年度增长15.22%、13.54%、10.75%、10.23%,但增长率呈逐年下降趋势;药占比各年度分别为40.11%、39.24%、38.57%、37.15%、36.27%,呈逐年下降趋势。这表明干预措施有效,规范了医师的用药行为,提升了临床合理用药水平,值得借鉴。
OBJECTIVE： To reduce medicine proportion and promote rational drug use. METHODS： Intervention and effects of reducing medicine proportion for promoting rational drug use in a hospital were introduced. RESULTS ＆ CONCLUSIONS ： The hospital took the assignment of specific responsibilities for administrative intervention, establishment of appraisal index, implemen- tation of dynamic inspection and monitoring at real-time, review prescription drug, tracking inspection, publicity, training and con- stant improvement, etc. The clinic visits were respectively increased 5.02%, 8.17%, 10.66% and 13.79% than the last year from 2009 to 2013, with increasing growth trend; the total hospital income were respectively increased 2.01%, 2.89%, 3.14% and 4.77% year by year, with increasing growth trend; the drugs income were respectively increased 15.22%, 13.54%, 10.75% and 10.23% year by year, with decreasing growth trend; medicine proportion were respectively 40.11%, 39.24%, 38.57%, 37.15% and 36.27%, with decreasing growth trend. It means intervention measures are effective and standardize the medicine prescription of doctors, improve the level of rational drug use in the clinic and can be used as an example.
出处
《中国药房》
CAS
北大核心
2015年第16期2290-2292,共3页
China Pharmacy
关键词
药品收入
药占比
降低
干预
合理用药
效果
Drug income
Medicine proportion
Reduce
Intervention
Rational drug use
Effect
