医院药房调剂成本水平及其影响因素调查分析

发布时间：2018-09-12 14:01

【摘要】：目的:为相关部门制定医院药事服务收费标准提供参考依据。方法:对某省10家"三甲"医院药学部2013年的人员收入情况以及门急诊调剂服务量、各项成本支出情况等进行问卷调查,在此基础上统计和计算调剂服务总成本和单位成本,并对其影响因素进行分析。结果:共发放问卷10份,回收有效问卷10份,有效回收率100%。10家受访医院除1家肿瘤专科医院外,门、急诊就诊人次均在35万人次以上,处方数均在30万张以上,平均每张处方约有3个药品条目。受访医院药房调剂服务单位成本约为平均每人次2.32元、每张处方4.36元、每个药品条目1.89元。相对于普通药品,调剂需稀释配置、拆零分装、特殊管理的药品所需的成本较高。敏感度分析表明,人力成本的变动对于调剂服务成本的影响最大。结论:以药品条目单位成本作为调剂服务成本的定价依据较为合理,人力成本因素是影响调剂成本的主要因素。
[Abstract]:Objective: to provide reference for the establishment of hospital drug service charge standard. Methods: a questionnaire survey was conducted on the personnel income, the quantity of outpatient and emergency dispensing services and the cost expenditure of the pharmacy department of 10 hospitals in a certain province in 2013, and the total cost and unit cost of the dispensing service were calculated and counted on the basis of the questionnaire. The influencing factors were analyzed. Results: a total of 10 questionnaires were sent out and 10 valid questionnaires were collected. The effective recovery rate of 100. 10 hospitals was more than 350000, and the number of prescriptions was more than 300000. On average, there are about 3 drug entries per prescription. The unit cost of dispensing service was about 2.32 yuan per person-time, 4.36 yuan per prescription and 1.89 yuan per drug item. Compared with the general medicine, the dispensing needs dilution and distribution, and the cost of special-managed drugs is higher. Sensitivity analysis shows that the change of human cost has the greatest influence on the cost of adjusting service. Conclusion: it is reasonable to take the unit cost of drug item as the pricing basis of adjusting service cost, and the factor of manpower cost is the main factor affecting the cost of dispensing.
【作者单位】：聊城市人民医院药品科;
【分类号】：R95

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