我院头孢菌素类注射剂皮试费用的经济学分析

发布时间：2018-07-12 18:32

本文选题：头孢菌素 + 注射剂　；参考：《中国药房》2017年14期

【摘要】：目的:为我院头孢菌素类注射剂皮试的规范化管理提供依据。方法:采用回顾性分析方法,统计出2015年9月1日-2016年8月31日我院常用的8种头孢菌素类[头孢硫脒(1.0 g)、头孢硫脒(0.5 g)、头孢替安(1.0 g)、头孢替安(0.5 g)、头孢他啶(0.5 g)、头孢米诺(0.5 g)、头孢米诺(1.0 g)、头孢曲松(1.0 g)]注射剂的皮试情况、皮试相关成本以及由于头孢菌素类注射剂过敏反应所产生的相关费用,并对头孢菌素类注射剂皮试成本与通过皮试减少的过敏反应成本进行比较。结果:有100 330例患者使用过上述8种头孢菌素类注射剂,皮试率为82.49%,皮试阳性率为6.27%;皮试直接成本为3 434 411.72元,间接成本为141 985.12元;患者承担的费用为3 162 901.44元,医保承担的费用为259 096.28元,全社会承担的费用为3 576 396.84元。从全社会角度分析,8种头孢菌素类注射剂的平均皮试成本为(447 049.61±247 395.07)元,通过皮试减少的过敏反应平均成本为(316 075.48±260 600.49)元,皮试成本明显高于通过皮试所减少的过敏反应成本,差异有统计学意义(P0.05)。结论:头孢菌素类注射剂的皮试阳性率低、成本高。国家应对此进行规范化管理,在保证用药安全的前提下,减少患者的经济负担。
[Abstract]:Objective: to provide the basis for standardized management of cephalosporin injection skin test in our hospital. Methods: retrospective analysis was used. Eight kinds of cephalosporins commonly used in our hospital from September 1, 2015 to August 31, 2016 have been collected. The results show that there are 8 kinds of cephalosporins in our hospital from September 1, 2015 to August 31, 2016. Eight kinds of cephalosporins [1. 0 g), (0. 5 g), ceftianine) (0. 5 g), ceftazidime) (0. 5 g), cefmino) (1. 0 g),) have been counted. Skin test of ceftriaxone (1.0 g) injection, The costs associated with skin tests and the costs associated with allergic reactions caused by cephalosporins injection were compared with the costs of allergic reactions reduced by skin tests. Results: the 8 kinds of cephalosporins were used in 100330 patients, the skin test rate was 82.49, the positive rate of skin test was 6.27.The direct cost of skin test was 3 434 411.72 yuan, the indirect cost was 141 985.12 yuan, the cost of skin test was 3 162 901.44 yuan, the direct cost of skin test was 3 434 411.72 yuan, the indirect cost was 141 985.12 yuan, the cost of skin test was 3 162 901.44 yuan. The cost of medical insurance is 259 096.28 yuan and that of the whole society is 3 576 396.84 yuan. The average skin test cost of 8 cephalosporins was (447 049.61 卤247 395.07) yuan, and the average cost of allergic reaction reduced by skin test was (316 075.48 卤260 600.49) yuan. The skin test cost was significantly higher than that by skin test. The difference was statistically significant (P0.05). Conclusion: the positive rate of skin test of cephalosporin injection is low and the cost is high. The state should standardize the management to reduce the economic burden of patients under the premise of ensuring the safety of drug use.
【作者单位】：郑州大学第一附属医院药学部;
【分类号】：R978

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