某院降低药占比以促进合理用药的干预效果分析

发布时间：2018-03-26 18:09

本文选题：药品收入　切入点：药占比　出处：《中国药房》2015年16期

【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。
[Abstract]:Objective: to reduce the proportion of drugs in hospital and promote the rational use of drugs in clinic. Methods: to introduce the intervention measures and effects of a hospital in order to reduce the proportion of drugs in order to promote the rational use of drugs in clinic. Development of assessment indicators; dynamic monitoring, real-time monitoring; focusing on comments, follow-up and inspection; publicity and training, continuous improvement and other measures. The number of visits in 2009-2013 increased 5.02%, 8.17% and 10.66% 13.79, respectively, and the growth rate was increasing year by year, while the total income of the hospital was increasing year by year. Compared with the previous year, the growth rate was 2.01 / 2.89 and 4.77 respectively, and the growth rate was also on an upward trend; the drug income was increasing year by year, which was 15.22 / 13.54 / 10.75 / 10.23, respectively, but the growth rate was decreasing year by year. The proportion of drugs in each year was 40.11, 38.57 and 37.15, which showed a decreasing trend year by year. This indicated that the intervention measures were effective, standardized the behavior of doctors, and raised the level of rational use of drugs in clinical practice, which was worthy of reference.
【作者单位】：宝鸡市中心医院;宝鸡市妇幼保健院;宝鸡市渭滨区姜谭社区卫生服务中心;
【分类号】：R969.3

【参考文献】