四川省医疗机构辅助用药的药事管理实践

发布时间：2018-01-23 13:27

本文关键词： 四川省医疗机构辅助用药药事管理重点监控　出处：《中国药房》2017年04期 　论文类型：期刊论文

【摘要】：目的:探索对辅助用药合理使用的有效药事管理措施。方法:从建立辅助用药重点监控管理制度(包括建立并落实处方点评制度、进行合理用药培训、严格监督与考核)、充分发挥省级药事质量管理控制中心对医疗机构监管的督促作用等措施方面,介绍四川省医疗机构对辅助用药实施的有效药事管理的情况;通过统计全省18家三级甲等医疗机构辅助用药的合理使用率、药占比、销售金额数据等,对管理效果进行参考性评价。结果:截至2016年5月,全省医疗机构已建立健全辅助用药重点监控管理制度;18家医疗机构辅助用药合理使用率从2016年1月的69.41%上升到同年5月的79.05%,同期药占比由29.22%下降至27.93%;辅助用药月销售金额由2015年4月的2 297万元下降到2016年4月的1 738万元(下降20.49%)。结论:四川省医疗机构通过建立辅助用药重点监控管理制度以及充分发挥省级药事质控中心的督促作用等措施,对辅助用药进行的药事管理效果良好。
[Abstract]:Objective: to explore effective drug management measures for rational use of adjuvant drugs. Methods: to establish the system of monitoring and management of auxiliary drugs (including establishing and implementing prescription evaluation system) and to carry out training on rational use of drugs. In the aspects of strict supervision and examination, giving full play to the supervision and supervision of medical institutions by provincial drug quality control center, this paper introduces the effective drug management in Sichuan Province. Through the statistics of 18 Grade 3A medical institutions in the province, the reasonable utilization rate, drug proportion, sales amount data, etc., to evaluate the management effect. Results: up to May 2016. Medical institutions in the province have established and improved the management system of key monitoring and control of auxiliary drugs; The rational utilization rate of adjuvant drugs in 18 medical institutions increased from 69.41% in January 2016 to 79.05 on May of the same year, and the proportion of adjuvant drugs decreased from 29.22% to 27.93 in the same period. The monthly sales amount of adjuvant medicine decreased from 22.97 million yuan in April 2015 to 17.38 million yuan in April 2016 (down 20.49 percent). Conclusion: Sichuan Province medical institutions through the establishment of auxiliary drug control and management system and give full play to the province-level quality control center of drug supervision and other measures. The effect of drug administration on adjuvant drugs is good.
【作者单位】：四川省医学科学院/四川省人民医院/电子科技大学附属医院/个体化药物治疗四川省重点实验室;电子科技大学医学院;
【分类号】：R95
【正文快照】： *主任药师,硕士生导师。研究方向:国家药物政策与药事管理、医院药学。电话:028-87393436。E-mail:yan3317@hotmail.com2015年,国家卫生和计划生育委员会(以下简称卫计委)、国家发展改革委员会、财政部、人力资源和社会保障部及国家中医药管理局5部门联合印发《关于控制公立医

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