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注射用曲妥珠单抗分剂量调配、收费和报销模式的建立与应用
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| 篇名： | 注射用曲妥珠单抗分剂量调配、收费和报销模式的建立与应用 |
| TITLE： | Establishment and Application of Dispensing ，Charging and Reimbursement Mode by Dose of Trastuzumab for Injection |
| 摘要： | 目的：为规范和优化注射用曲妥珠单抗的临床使用，保证患者合理用药提供参考。方法：我院静脉用药调配中心（PIVAS）牵头与财务、信息、医保等部门以及临床医师、护士沟通协调，建立了曲妥珠单抗分剂量调配、收费和报销模式——医师可按照患者临床使用剂量开具医嘱，PIVAS按照实际剂量进行仓内调配，患者之间共用药品，药品的收费和报销按照患者实际使用剂量进行。同时，采用问卷调查对60名患者在该模式实施前后的就医感受、节约的费用进行统计。结果：问卷调查显示，该模式的应用在解决曲妥珠单抗使用安全隐患和患者就医不便方面，解决率为100％；在提高患者就医感受和对治疗起帮助作用方面，提高率为100％；在节省患者治疗费用方面，大部分（80.0％）的患者认为每次可节约500元以内，其余患者认为每次可节约500元以上。结论：我院构建的注射用曲妥珠单抗分剂量调配、收费和报销模式解决了该药在临床使用中存在的药品浪费、调配职业伤害、保存不便的问题，在用药安全、节约费用、方便患者等方面发挥了很好的效果。 |
| ABSTRACT： | OBJECTIVE：To standardize and optim ize the clinical use of Trastuzumab for injection ，and to provide reference for rational use of drugs in the patients. METHODS ：The pharmacy intravenous admixture service （PIVAS）in our hospital took the lead in communication and coordination with financial ，information，medical insurance departments as well as clinicians and nurses，to set up dispensing ，charging and reimbursement mode by dose of trastuzumab. Under that ，doctors could give orders according to the clinical dosage of patients ；PIVAS dispenses drugs according to the actual dose ；the drugs were shared among patients；the charge and reimbursement of drugs are carried out according to the actual dose of patients. At the same time ，the questionnaire survey was conducted among 60 patients about the medical experience and cost savings before and after the implementation of the mode . RESULTS ：The questionnaire survey showed that in terms of solving the potential safety problems of trastuzumab and the inconvenience of patients ’medical treatment ，the solution rate of the mode was 100％；in terms of improving patients’feeling of seeking medical treatment and helping treatment ，the improvement rate was 100％；in terms of saving patients ’ treatment costs ，most（80％）of the patients thought that it could save less than 500 yuan each time ，and rest of the patients thought that it could save more than 500 yuan each time. CONCLUSIONS ：The mode of dispensing ，charging and reimbursement of Trastuzumab for injection in our hospital has solved the problems of drug waste ，occupational injury and inconvenient preservation in clinical use ，and has played a good role in drug safety ，cost saving and patient convenience. |
| 期刊： | 2020年第31卷第23期 |
| 作者： | 耿魁魁，徐文，吴凤芝，史天陆，姜玲 |
| AUTHORS： | GENG Kuikui ，XU Wen，WU Fengzhi ，SHI Tianlu ，JIANG Ling |
| 关键字： | 静脉用药集中调配中心；曲妥珠单抗；分剂量；调配；收费；报销 |
| KEYWORDS： | PIVAS；Trastuzumab；By dose ；Dispensing；Charging；Reimbursement |
| 阅读数： | 444 次 |
| 本月下载数： | 4 次 |
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