摘要
目的 观察国家集中采购药品工作开展后对精神专科医院门诊药品费用的影响。方法 从HIS系统中选取国家集中采购药品后(2020年4月1日~11月30日以及2021年4月1日~11月30日)的门诊患者药品购买费用数据,与执行国家集中采购药品前(2019年4月1日~11月30日)进行对比。分析实施国家集中采购药品后次均药品费用、次均集采药品费用、次均费用变化情况。结果 本院执行国家集中采购药品和使用试点工作后,门诊次均药品费用由77.68元降至27.21元,同比下降64.97%。次均集采药品费用由71.68元降至25.95元,同比下降63.80%。本院执行国家集中采购药品和使用试点工作后,门诊使用集采药品次均费用明显下降, 2020年、2021年降幅达25.86%、38.90%。其中奥氮平降幅最小, 2020年、2021年降幅分别为15.08%、32.37%,次均费用由2019年的378.08元降至2020年的321.05元、2021年的255.68元。氨氯地平降幅最大, 2020年、2021年降幅分别为94.09%、95.69%,次均费用由2019年的69.88元降至2020年的4.13元、2021年的3.01元。结论 通过本院政策落实后采集的2020年4~11月以及2021年4~11月与采集前2019年4~11月对比,国家集中采购药品政策的推出对精神专科医院门诊药物费用的降幅较大,能够有效减轻用药患者的经济负担。
Objective To observe the impact of the national centralized procurement of drugs in psychiatric hospital on the cost of outpatient drugs.Methods Drug purchase cost data of outpatients after the national centralized purchase of drugs(April 1 to November 30,2020 and April 1 to November 30,2021)were selected from HIS system,and compared with those before the national centralized purchase of drugs(April 1 to November 30,2019).The changes of average outpatient drug cost per-time,average drug collection cost per-time and average drug cost per-time after the use of national centralized procurement of drugs were analyzed.Results After the implementation of the national centralized procurement of drugs and the use of pilot,the average outpatient drug cost per-time decreased from 77.68 yuan to 27.21 yuan,with a year-on-year decrease of 64.97%.The average drug collection cost per-time decreased from 71.68 yuan to 25.95 yuan,with a year-on-year decrease of 63.80%.After the implementation of the national centralized procurement of drugs and the use of pilot,the average drug collection cost per-time had decreased significantly,with an average decrease of 25.86%in 2020 and 38.90%in 2021.Among them,olanzapine has the smallest decrease,with a decrease of 15.08%in 2020 and 32.37%in 2021,respectively,and the average cost per-time has decreased from 378.08 yuan in 2019 to 321.05 yuan in 2020 and 255.68 yuan in 2021.Amlodipine had the largest decrease,with a decrease of 94.09%in 2020 and 95.69%in 2021,respectively,and the average cost per-time decreased from 69.88 yuan in 2019 to 4.13 yuan in 2020 and 3.01 yuan in 2021.Conclusion By comparing data from April to November 2020 and from April to November 2021 collected after the implementation of the policy in our hospital with that from April to November 2019 before collection,the introduction of the national centralized procurement of drugs policy has a greater reduction in the outpatient drug cost in psychiatric hospitals,which can effectively reduce the financial burden of patients.
作者
苏红
朱璇
SU Hong;ZHU Xuan(Xinjiang Shihezi Oasis Hospital,Shihezi 832000,China)
出处
《中国实用医药》
2024年第10期160-163,共4页
China Practical Medicine
关键词
国家集中采购药品
药品费用
精神专科医院
门诊
National centralized procurement of drugs
Drug costs
Psychiatric hospital
Outpatient service
