PDCA策略下医院基本药物制度推行对合理用药的影响研究  

Influence of the Implementation of Essential Medicines System on the Rational Use of Drugs by Hospital under PDCA Strategy

作　　者：刘静[1] 茹爱忠[1] 倪建峰[1] 

机构地区：[1]甘肃省酒泉市人民医院,酒泉735000

出　　处：《中国药事》2016年第6期625-629,共5页Chinese Pharmaceutical Affairs

摘　　要：目的:探讨PDCA循环管理方法在医院基本药物管理中的应用及对合理用药的促进作用。方法:通过制定推行系列国家基本药物制度落实方案及措施,运用PDCA循环原理策略加强各项干预计划的落实,考察实施后医院基本药物使用情况及合理用药的变化情况。结果:自2014年实施PDCA循环管理后,我院基本药物遴选、配备、使用各项指标明显改善。2014年下半年较2015年上半年,基本药物遴选率由68.04%提高至75.07%;实际保证供应率由59.74%提高至76.70%;基药配备率由36.62%提高至45.25%;基本药物使用比例由39.38%提高至45.57%;基本药物使用金额比由24.5%提高至29.29%;药占比由37.57%下降至36.67%,比较差异均有统计学意义(P<0.01),临床用药合理性也不断提高。结论:PDCA循环管理对基本药物制度推行及促进合理用药的成效显著。Objective： To investigate the influence of the implementation of essential medicines system on the rational use of drugs by hospital under PDCA strategy. Methods： A series of plans and measures about the use and prescription of essential drugs or medicines were formulated and carried out. PDCA was applied to strengthen the implementation of all intervention plans, so as to observe the change of the prescription of essential drugs or medicines. Results： Since the implementation of PDCA in 2014, the selection, prescription and usage of the medicines and drugs in our hospital have been improved significantly. The selection rate of medicines and drugs in our country has improve from 68.04% in the second half of 2014 to 75.07% in the first half of 2015; the prescription rate of the essential medicines and drugs has increased from 36.62% to 45.25%; the use ratio of medicines and drugs from 39.38% to 45.57%; the usage amount of essential medicines and drugs from 24.5% to 29.29%; while drug proportion has decreased from 37.57% to 36.67%, showing statistical significance（ P 0.01）; the rationality of clinical medicine usage has been improved constantly. Conclusions： PDCA cycle management had a significant effect on implementation of basic drugs system and promotion of rational drug use.

关 键 词：PDCA循环 基本药物制度 合理用药 

分 类 号：R95[医药卫生—药学] R969.3