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医疗机构药品价格调整系统的开发与应用
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| 篇名： | 医疗机构药品价格调整系统的开发与应用 |
| TITLE： | Development and application of a drug price adjustment system in medical institutions |
| 摘要： | 目的 解决医疗机构药库管理中因药品价格调整引发的账账不符问题，缩短调价耗时。方法调研国内医疗机构既往药品调价模式中存在的问题，基于价格-票据同步更新机制开发了药品价格调整系统，通过批号关联、动态监控等功能优化调价流程。对比系统应用前后的账账相符率及调价耗时以进行效果评价。结果成功构建具有首创“同步出入”模式、批号关联、动态监控、智能自动化及电子留痕特点的药品价格调整系统。西药账账相符率从系统应用前的86.89%（86.66%，89.63%）提高至系统应用后的100%（100%，100%）（P＝0.005），中成药与草药账账相符率在系统应用前后均为100%（100%，100%）；药品调价耗时从系统应用前的6.00（5.00，7.00）d显著缩短至系统应用后的2.50（1.50，3.00）d（P＜0.001）。结论所构建的药品价格调整系统能明显提升账账相符率、缩短调价耗时，具有一定创新性和实用性。 |
| ABSTRACT： | OBJECTIVE To resolve account discrepancies caused by drug price adjustment in medical institution pharmacy management and reduce the time required for price adjustment. METHODS The problems existing in the drug price adjustment models of domestic medical institutions were investigated， and a drug price adjustment system was developed based on price- invoice synchronization mechanism. The system optimized the drug price adjustment process through batch number matching and real-time monitoring functionalities. The account consistency rate and price adjustment time were evaluated before and after system implementation. RESULTS A drug price adjustment system was successfully developed， featuring an innovative “synchronized entry and exit” mode， batch number matching， real-time monitoring， intelligent automation， and electronic traceability. After implementation， the account consistency rate for Western medicines increased from 86.89% （86.66%， 89.63%） to 100% （100%， 100%） （P＝0.005）， while Chinese patent medicines and herbal medicines maintained a 100% （100%， 100%） account consistency rate. Concurrently， the drug price adjustment time significantly decreased from 6.00 （5.00， 7.00）d to 2.50 （1.50， 3.00） d （P＜ 0.001）. CONCLUSIONS The developed system significantly improves account consistency， shortens price adjustment time， and demonstrates notable innovation and practical utility. |
| 期刊： | 2025年第36卷第19期 |
| 作者： | 杨丽萍；赵志刚；杨莉；韩学伟；刘静 |
| AUTHORS： | YANG Liping，ZHAO Zhigang，YANG Li，HAN Xuewei，LIU Jing |
| 关键字： | 药库管理；药品价格调整系统；账账相符；调价耗时 |
| KEYWORDS： | pharmacy management； drug price adjustment system； account consistency； price adjustment time |
| 阅读数： | 6 次 |
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