“零差率”制度实施前后我院用药情况分析  

Analysis of ＂zero profit＂ system implemented in our hospital before and after medication

作　　者：周彦[1] 

机构地区：[1]嵊州市人民医院药剂科,浙江省312400

出　　处：《中国医院统计》2014年第3期191-193,共3页Chinese Journal of Hospital Statistics

摘　　要：目的：分析我院实施药品“零差率”制度前后的用药情况，以其为今后更好的贯彻实施提供参考。方法采用金额排序法、用药频度（ DDDs）及日均费用（ DDC）分析法，回顾性分析我院2011年6月至2013年5月“零差率”制度实施前后的用药情况。结果“零差率”制度实施后，我院用药金额和平均每张处方药品费用分别下降了5．89％和19．57％，用药数量下降了0．80，同时门诊和住院均次药费分别降低了10．00％和11．14％；我院抗微生物药和水、电解质、酸碱平衡及营养药用药占比有所下降，而临床必需的专科类药有不同程度的提升；按用药金额排序，前10位仍以抗生素为主，但日均费用有明显下降。结论我院实施药品“零差率”制度后，药品费用总体呈下降趋势，临床用药趋向合理。Objective To analyze the drug before and after drug ＂zero profit＂ system in our hospital, to provide reference for the future better implementation. Methods The amount of sorting method, frequency of drug use （DDDs） and average daily cost （DDC） analysis, retrospective analysis of our hospital in 2011 June -2013 year in May ＂zero slip system before and after the implementation of＂ drug. Results After the implementation of ＂zero profit＂ system, our hospital drug amount and average each prescription drug costs were decreased by 5.89% and 19.57% , the number of drug decreased by O. 80, 10% and 11.14% while reducing the average cost of outpatient and inpatient respectively ; In our hospital antimicrobial drugs and water, electrolyte, acid -base balance and nutritional agents ratio decreased, while the junior class medicine must have varying degrees of improvement ; sorted by the amount of medication, the top ten are antibiotics, but the daily costs have decreased significantly. Conclusion The implementation of ＂zero profit＂ system in our hospital, drug costs declined overall, reasonable clinical medication.

关 键 词：药品“零差率”制度 金额排序法 用药频度 用药分析 

分 类 号：R969.3[医药卫生—药理学]