北京市医改对于综合医院基本药物使用的影响

发布时间：2018-06-13 05:37

本文选题：医疗改革 + 综合医院　；参考：《中国新药杂志》2017年23期

【摘要】：目的:以R医院为样本研究北京市医药分开综合改革后基本药物使用情况的变化和原因。方法:选取某综合医院41个临床科室,统计医改前后基本药物使用数量和金额。结果:北京市医改后某综合医院基药使用金额同比去年降低11.7%,幅度大于非基药(-3.7%)。基药用量增加8.1%,非基药用量增加4.1%;门诊患者次均基药费用下降10.9%,住院患者次均基药费用下降14.1%;门诊患者次均基药用量上升10.1%,住院患者次均基药用量上升5.1%。结论:医药分开改革后,基药使用金额下降,但使用数量呈上升趋势,患者门诊、住院次均基药使用金额下降幅度高于非基药,使用数量上升幅度高于非基药,体现了医药分开改革降低了患者药品费用,促进了基本药物在三级综合医院的使用。
[Abstract]:Objective: to study the changes and causes of essential drug use after comprehensive reform of medicine separation in R hospital in Beijing. Methods: 41 clinical departments in a general hospital were selected to count the quantity and amount of essential drugs used before and after the medical reform. Results: after the medical reform in Beijing, the amount of base drug used in a general hospital decreased by 11.7% compared with last year, which was larger than that of non-base medicine (-3.7%). The dosage of basic drugs increased by 8.1, the amount of non-base drugs increased by 4.1, the cost of primary drugs decreased by 10.9 in outpatients, the cost of basic drugs in inpatients decreased by 14.1. the dosage of basic drugs increased by 10.1in outpatients, and by 5.1by inpatients. Conclusion: after the reform of separated medicine, the amount of money used for basic drugs decreased, but the amount of basic drugs used increased. The amount of money used in outpatient clinic and in hospital was higher than that in non-base drugs, and the increase in the amount of basic drugs was higher than that of non-base drugs. The reform of separation of medicine and medicine reduces the cost of drugs and promotes the use of essential drugs in tertiary general hospitals.
【作者单位】：北京大学人民医院学科发展管理部;
【分类号】：R95

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