循环管理模式在合理控制医院药品收入占比的应用  

Application of cycle management system in reasonable control of hospital drug proportion

作　　者：叶立新[1] 龙娜[1] 

机构地区：[1]广东省惠州市第三人民医院药学部,516002

出　　处：《中国医药》2013年第10期1462-1464,共3页China Medicine

摘　　要：目的探讨医院合理控制药品收入占业务收入比例（药占比）的管理模式，促进临床合理用药。方法运用PDCA循环管理模式对门诊处方、I类切口手术围手术期抗菌药物的使用及临床路径进行持续改进，从而合理控制我院药占比。结果实施PDCA循环后，我院药占比得到有效的控制，2012年上半年药占比与2011年上半年相比有大幅度的下降[1月份34．70％比39．41％，2月份33．18％比39．43％，3月份33．83％比37．50％，4月份33．41％比36．76％，5月份33．06％比35．06％，6月份33．97％比36．13％]，差异有统计学意义（P〈0．05），门诊处方合格率有明显提高[1月份94％（94／100）比86％（86／100），2月份94％（94／100）比78％（78／100），3月份91％（91／100）比86％（86／100），4月份94％（94／100）比81％（81／100），5月份96％（96／100）比88％（88／100），6月份93％（93／100）比76％（76／100）]（P〈0．05）。结论PDCA循环管理模式对合理控制药占比各项措施的持续改进，对促进临床合理用药及医疗质量不断提高具有重要意义。Objective To investigate a management strategy for the reasonable control of hospital drug proportion and to promote rational drug use. Methods The drug proportion was rationally controlled by applying PDCA （plan, do, check, action） cycle system. The rate of prescription eligibility, the preventive application of antibiotics in clean operations and the clinical pathways were improved continuously. Results The drug proportion was decreased significantly before and after the implementation of PDCA cycle. The average drug proportion decreased from Jan to June in 2012 compared with those in 2012134.70% compared to 39.41% in January, in February 33.18% vs 39.43%, 33.83% vs 37.50% in March, in April to 33.41% vs 36.76%, 33.06% vs 35.06% in May, 33.97% vs 36. 13% in June ] （ P 〈 0.05 ）. Outpatient prescription qualified rate was increased significantly. Conclusion The application of the PDCA cycle management can improve the various measures of reasonable control of drug proportion and improve the quality of medical services.

关 键 词：合理用药 药占比 合理控制 

分 类 号：R969.3[医药卫生—药理学]