药品“零差率”销售对某三级医院门诊西药房用药的影响  

Effects of “Zero-profit” Drug Sale on Drug Use in Outpatient Western Medicine Pharmacy of a Third-class Hospital

作　　者：张开礼[1] 李玉珍[1] 杨春智[1] 张适健 廖仕良 冯风明 

机构地区：[1]深圳市福田区人民医院,广东深圳518033

出　　处：《中国药房》2014年第30期2807-2809,共3页China Pharmacy

摘　　要：目的:调查分析实施药品"零差率"销售后,某三级医院门诊西药房用药变化情况,分析新的药物政策的利与弊,为政策进一步推广提供借鉴。方法:选取该院的门诊西药房为调查对象,统计政策实施前(2012年1-6月)与政策实施后(2013年1-6月)的数据,运用Excel软件进行统计,分析"零差率"销售前后药品使用情况的变化。分别从2012年5月和2013年5月的处方中随机抽取200张,共400张处方,点评处方的合理用药问题。结果:实施药品"零差率"销售政策后,各类药品销售金额有所增加。该院门诊西药房使用量居前的10大类药品中,2013年5月的总销售金额比2012年5月增加了702 533.84元(上升22.32%);销售金额排序列前10位的药品有一定变化;门诊月处方量、门诊销售金额均较2012年5月有增长,但平均单张处方金额略有下降;抽查处方的平均每张处方使用药品数减少,使用抗菌药物的处方数增加,处方点评的合理率有所提高。结论:实行药品"零差率"销售政策后,规范了用药,吸引了更多患者到医院就诊,对门诊合理用药有一定促进作用。OBJECTIVE： To investigate and analyze drug use in outpatient western medicine pharmacy of a third-class hospital after the implementation of ＂zero-profit＂ drug sale, and to analyze the advantage and disadvantage of new system and provide refer- ence for further popularization. METHODS： The outpatient western medicine pharmacy of the third-class hospital was chosen as the respondent. The data of drug use was analyzed statistically by using Excel before （Jan.--Jun. 2012） and after （Jan.--Jun. 2013） the implementation of ＂zero-profit＂policy. The changes of drug use were compared before and after the implementation of ＂zero-profit＂ policy. 200 prescriptions were randomly collected in May 2012 and May 2013, respectively. Rational drug use of 400 prescriptions was evaluated. RESULTS： After the implementation of ＂zero-profit＂ policy, the amount of various drugs increased; total amount of drugs in May 2013 increased by 702 533.84 yuan, compared with May 2012 （increasing by 22.32%）. Top 10 drugs in the list of consumption sum had changed slightly. The number of outpatient prescriptions, outpatient sales amount and average prescription amount had an increase in May 2013, compared with May 2012. The average number of drugs had decreased in sampled prescrip- tions, while the number of antibiotic prescriptions increased and rationality of prescriptions had been improved. CONCLUSIONS： The implementation of ＂zero-profit＂ policy decreases drugs prices, standardizes the use of drugs and promotes rational drug use in outpatient western medicine pharmacy of the third-class hospital.

关 键 词：零差率 药物制度 合理用药 

分 类 号：R969.1[医药卫生—药理学]