我国静脉用药集中调配中心成本测算现状及系统评价
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篇名: 我国静脉用药集中调配中心成本测算现状及系统评价
TITLE:
摘要: 目的:系统评价静脉用药集中调配中心(PIVAS)成本现状,为我国PIVAS建设提供成本测算依据。方法:计算机检索PubMed、Embase、Cochrane图书馆、中国生物医学文献数据库、中国期刊全文数据库、中文科技期刊数据库、万方数据,检索时限为自建库起至 2019年1月,纳入评价我国PIVAS成本测算现状的研究,对成本测算内容与方法、对医院的影响等进行描述性分析。结果:共纳入17篇文献,包括前后对照研究8篇、经验分享6篇、综述3篇。现有报道显示,PIVAS成本测算内容及方法大致相同,成本包括人力、医疗卫生材料、固定资产购置及折旧修缮成本、药品成本、间接费用等内容,同时报道了各成本对医院的影响,如制订详细的管理措施和制度、同种药品同时配置、缩短输液准备及接换时间,以节约人力成本。结论:我国部分医院PIVAS成本测算内容大致相同,但尚无统一标准,有必要进一步完善PIVAS成本测算标准,为我国PIVAS建设和发展提供依据。
ABSTRACT: OBJECTIVE: To systematically evaluate the status quo of cost estimation in pharmacy intravenous admixture services (PIVAS), and to provide cost basis for the construction of PIVAS in China. METHODS: Retrieved from PubMed, Embase, Cochrane library, CBM, CNKI, CSJD and Wanfang database from database establishment to Jan. 2019, the studies about the status quo of cost estimation in PIVAS of China were included. The descriptive analysis was conducted for content and method of cost estimation, infection to hospital. RESULTS: A total of 17 literatures were included, involving 8 before and after control studies, 6 experience sharing studies and 3 reviews. Existing reports showed that the estimation contents and methods of PIVAS cost were roughly the same. The cost included manpower, medical and health materials, fixed asset purchase, depreciation, repair costs, medicine cost and indirect costs. At the same time, the infection to hospital were reported, such as in manpower adopting, formulating detailed management measures and systems, concurrent allocation of the same kind of drugs, shortening infusion preparation and replacement time, in order to save manpower cost. CONCLUSIONS: PIVAS cost calculation method is roughly the same in some hospitals, but there is no uniform standard. It is necessary to further improve the PIVAS cost measurement standard and provide a basis for the construction and development of PIVAS in China.
期刊: 2019年第30卷第19期
作者: 杨春松,张天一,张伶俐,林芸竹,韩璐,王叶立,高山,荆文荣
AUTHORS: YANG Chunsong,ZHANG Tianyi,ZHANG Lingli,LIN Yunzhu,HAN Lu,WANG Yeli,GAO Shan,JIN Wenrong
关键字: 静脉用药集中调配中心;成本测算;现状;影响因素;系统评价
KEYWORDS: Pharmacy intravenous admixture services; Cost estimation; Status quo; Influential factor; Systematic review
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