实行药品零差价对临床药品应用的影响  

Effect of zero price difference on the application of clinical drugs

作　　者：刘梅 罗燕梅 董志强 LIU Mei;LUO Yan-mei;DONG Zhi-qiang(Department of Pharmacy,Nanjing Jiangning Hospitals,The Affiliated Jiangning Hospital of Nanjing Medical University,Jiangsu Nanjing 211000, China)

机构地区：[1]南京医科大学附属江宁医院药学部,江苏南京211000

出　　处：《中国医院药学杂志》2018年第24期2603-2606,共4页Chinese Journal of Hospital Pharmacy

摘　　要：目的:分析公立医院改革实行药品零差价后医院药品应用的变化,为相关部门提供理论数据,对医疗改革提供参考。方法:采用Excel表对实行零差价后4整年,药品销售额、药占比,抗感染药品、神经系统、心血管、抗肿瘤用药及辅助营养性药品使用量进行分析,揭示临床药品使用变化。结果:药品实行零差价后,医院在药占比、药品应用结构、抗菌药物使用率等方面均有不同程度的变化,药占比有所下降、药品应用结构趋于合理、抗菌药物使用率下降。结论:药品零差价实施,对促进合理用药、降低药占比等有一定成效。OBJECTIVE To analyze the changes of drug use in public hospitals after the implementation of drug zero-margin reform so as to provide theoretical data for relevant departments and provide references for medical reform.METHODS Excel was used to analyze the drug sales and drug proportion,the consumption of anti-infective drugs,nervous system,cardiovascu-lar,anti-tumor drugs and supplementary nutritional drugs,and to reveal the changes of clinical drug use.RESULTS After the implementation of zero price difference,the proportion of drugs,the structure of drug application and the usage rate of antibiot-ics in hospitals have changed to varying degrees.The proportion of drugs has decreased,the structure of drug application has become reasonable,and the usage rate of antibiotics has decreased.CONCLUSION The implementation of zero price difference has certain effects on promoting rational drug use and reducing the proportion of drugs.

关 键 词：药品零差 价药品应用 药品应用分析 

分 类 号：R95[医药卫生—药学]