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药物一致性评价在医院合理控费中的价值探究

The value of drug consistency evaluation in hospital reasonable cost control
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摘要 目的探讨药物一致性评价在医院合理控费中的应用价值。方法将我院未实行药物一致性评价管理的时间段(2018年3月—2019年2月)设为对照组,将实行药物一致性评价管理的时间段(2019年3月—2020年2月)设为研究组。比较2组医药费用、医疗费用结构及平均住院日。结果2组门诊患者次均医药费用、住院患者人均医药费用比较差异无统计学意义(P>0.05),研究组平均住院日明显低于对照组(P<0.05)。研究组药占比明显低于对照组(P<0.05),检查和化验收入占比、卫生材料收入占比明显高于对照组(P<0.05)。结论将药物一致性评价应用于医院管理中能有效控制医疗费用,降低医疗费用的不合理增长,具有较高的临床应用价值。 Objective To investigate the application value of drug consistency evaluation in hospital reasonable cost control.Methods The time period(March 2018 to February 2019)during which the drug consistency evaluation management was not implemented in the hospital was set as the control group,and the time period(March 2019 to February 2020)during which the drug consistency evaluation management was implemented was set as the research group.The medical expense,medical expense structure and average hospital stays were compared between the two groups.Results There was no statistically significant difference in the average medical expense per time of outpatient and medical expense per capita of inpatient between the two groups(P>0.05),and the average hospital stays in the research group were significantly lower than those in the control group(P<0.05).The proportion of medicine in the research group was significantly lower than that in the control group(P<0.05),and the proportion of income from inspections and tests and the proportion of income from sanitary materials in the research group were significantly higher than those in the control group(P<0.05).Conclusion The application of drug consistency evaluation in hospital management can reasonably control the medical expense and reduce the unreasonable growth of medical expense,which has higher clinical application value.
作者 王晓武 彭莉虹 Wang Xiaowu;Peng Lihong(The People's Hospital of Anfu county,Anfu,Jiangxi343200)
机构地区 安福县人民医院
出处 《基层医学论坛》 2020年第26期3833-3834,共2页 The Medical Forum
基金 江西省卫生健康委科技计划(20204861)。
关键词 药物一致性评价 医院 合理控费 应用价值 Drug consistency evaluation Hospital Reasonable cost control Application value
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