医院临床科室用药指标的制订策略探讨
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篇名: 医院临床科室用药指标的制订策略探讨
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摘要: 目的:了解本地区医院临床科室用药指标的制订方法和用药指标制订后对医院用药指标的改善情况。方法:采用回顾性分析方法,对南阳城区4家三级综合医院临床科室5项用药指标(药品使用金额占医疗收入比例、住院患者抗菌药物使用率、住院患者抗菌药物使用强度、抗菌药物使用金额占药品收入比例、国家基本药物使用金额占药品收入比例)的制订、修订、应用情况进行汇总和分析,同时提出了相关建议。结果:4家医院于2009-2014年期间对临床科室用药指标进行了初次制订;临床科室用药指标的制订重点以既往临床科室的实际运行指标为依据,由药事管理与药物治疗学委员会/抗菌药物管理小组通过并执行;至2017年,用药指标制订后的修订次数为0.42~0.58次/年。在制订临床科室用药指标前,各医院5项指标大部分不符合卫生行政部门的规定;在 2016年7月-2017年6月,4家医院5项用药指标分别控制在32%~41%、47%~53%、30~37 DDD、13%~20%、21%~32%,医院合理用药指标基本符合卫生行政部门的规定。笔者对用药指标制订、调整的主管部门,指标的初次制订方法、修订方法,特殊科室的指标的制订,指标制订后的管理措施等均提出了相关建议。结论:目前本地区4家医院在临床科室用药指标的制订和管理方面工作开展良好,有效地促进了临床合理用药水平的提高。
ABSTRACT: OBJECTIVE: To understand the formulation method of medication index in clinical departments of the local hospital and the improvement of hospital medication index after the formulation of medication index. METHODS: Retrospective analysis was used to summarize and analyze the formulation, revision and application of 5 medication indexes (the proportion of drug cost in medical income, utilization rate of antibiotics in the inpatients, AUD of inpatients, the proportion of antibiotics cost in drug income, the proportion of national essential medicine cost in drug income) in clinical departments of 4 general hospitals of Nanyang. RESULTS: The medication indexes of clinical departments in 4 hospitals were formulated primarily during 2009-2014. The formulation of medication indexes in clinical departments was passed and implemented by Pharmaceutical Administration and Drug Treatment Committee/Antibiotics Management Group on the basis of the previous indicators of clinical departments. Till 2017, the times of medication indexes revision were 0.42-0.58 time/year. Before the formulation of medication indexes in clinical departments, 5 indexes of each hospital were mostly not in line with the regulation of health administration department. During Jul. 2016-Jun. 2017, 5 medication indexes of 4 hospitals ranged 32%-41%, 47%-53%, 30-37 DDD, 13%-20%, 21%-32%, respectively. Rational drug indexes conformed to the provisions of the administrative department of health basically. The author provided related suggestions about departments in charge of formulating and adjusting medication indexes, methods for the primary formulation and modification of medication indexes, formulation of medication indexes in special department, management measures after the formulation of medication indexes. CONCLUSIONS: At present, the formulation and management of medication indicators in 4 hospitals of local area develop well, and effectively promote the level of clinical rational drug use.
期刊: 2018年第29卷第9期
作者: 王云龙,王琳茜
AUTHORS: WANG Yunlong,WANG Linxi
关键字: 临床科室;用药指标;制订方法;合理用药
KEYWORDS: Clinical department; Medication index; Formulation method; Rational drug use
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