江苏省宿迁地区基本医疗保险药物使用状况分析  

Utilization reseach of medical insurance drugs in the hospitals of Suqian district Chert

作　　者：陈红斗[1] 刘建功[2] 王梦雷[1] 丁德喜 

机构地区：[1]南京鼓楼医院集团宿迁市人民医院药剂处,江苏省宿迁223800 [2]泗洪县人民医院药剂科

出　　处：《中国基层医药》2013年第22期3369-3371,共3页Chinese Journal of Primary Medicine and Pharmacy

基　　金：江苏省药学会奥赛康临床药学研究基金资助课题（200324）

摘　　要：目的分析江苏省宿迁地区基本医疗保险药物（简称医保药物）使用情况。方法利用宿迁地区药物分析系统，对该地区2008-2010年二级以上医院医保药物使用品种、金额、用药频次（DDDs）及日均费用（DDDc）等利用状况进行分析，为临床药物合理使用与政府对药物监管提供决策依据。结果该地区医保甲类药物的品规数、销售金额和ODDs逐年上升，但其占总药物的比例却逐年下降；按DDDc比较，费用由低到高依次为医保甲类、非医保类和医保乙类，且甲类的DDDc远低于后两者，例如2010年医保甲类品种DDDc为3．32Yc／d，非医保和乙类分别为15．04形d和15．97影d。结论按DDDs分析，江苏省宿迁地区甲类药物使用率较高，乙类较低；但按品种和金额分析，都是乙类较高，甲类较低。Objective To analyze the current situation and developing trend of utilizaion of medical insur- ance drugs. Methods Data were collected from Suqian Hospital. Drug Utilization Analysis System and DDD were taken as the basic unit of measurement. Results The consumption of cost, DDDs and variety of type A medical insur- ance drugs were rising year by year, but the proportion in total was in declining trend. When analyzed according to DDDc, the type A, non medical insurance drugs and the type B ranked the first, the second and the third place during the 2009-2010, the DDDc of type A was lower than the non medical insurance drugs and the type B. For example, the DDDc of type A was 3.32 yuan/day,the DDDc of the non medical insurance drugs and the type B was 15.04 and 15.97 yuan/day respectively. Conclusion Analyzed in respect to DDDs, the protortion of type A was in high level and the type B was in low. But analyzed in respect to the comsumption cost, the protortion of type B was in high level and the type A was in low.

关 键 词：医保药物 限定日剂量 用药频度 药物利用研究 

分 类 号：R95[医药卫生—药学]