医疗改革背景下门诊药房绩效考核管理的实践与思考  

Practice and Consideration of Performance Evaluation Management in Outpatient Pharmacy Under the Background of Health Care Reform

作　　者：张雪莹[1] 刘立丽[2] 李阳[2] 李淋[2] 陈玉文[1] 

机构地区：[1]沈阳药科大学工商管理学院,辽宁沈阳110016 [2]北京市昌平区中西医结合医院药剂科,北京102208

出　　处：《中国医院用药评价与分析》2016年第12期1720-1722,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:探讨医疗改革背景下门诊药房绩效考核管理工作实践。方法:北京市昌平区中西医结合医院(以下简称"我院")门诊药房自2014年开始实施绩效考核管理,将考核结果与奖金挂钩,并对比实施绩效考核管理前、后医师及患者对药学人员的满意度、处方合理率和药师药学服务总量。结果:门诊药房实施绩效考核管理后,患者平均等侯取药时间由2013年的20 min缩短至2016年的7 min;门诊处方合理率由2013年的89%提高至2016年的95%,且呈逐年提高趋势;处方干预次数由2013年的105次增至2016年的348次;盘点帐物相符率由2013年的85%上升至2016年的95%。结论:实施门诊药房绩效考核管理,有助于引导药师朝着医疗改革所倡导的方向努力,有助于提高我院整体药学服务水平和药事管理水平。OBJECTIVE： To probe into the practice of performance evaluation management in outpatient pharmacy under the background of health care reform. METHODS： The outpatient pharmacy of Beijing Changping Hospital of Integrated Traditional Chinese and Western Medicine（ hereinafter referred to as ＂our hospital＂） began to implement performance management since 2014,namely,the evaluation results were linked with bonus. The clinicians‘ and patients＇ satisfaction toward pharmacists,the qualified rate of prescriptions and the total amount of pharmacy service were compared before and after the performance management. RESULTS： After the implementation of performance evaluation management,the average waiting time of dispensary decreased from 20 minutes in 2013 to 7 minutes in2016. The qualified rate of prescriptions increased from 89% in 2013 to 95% in 2016,which was in a increase trend year by year. The number of prescription interventions increased from 105 in 2013 to 348 in 2016. The inventory account coincidence rate increased from 85% in 2013 to 95% in 2016. CONCLUSIONS： The performance evaluation management is helpful to guide the hospital pharmacists in the direction of medical reform under the background of health care reform,and to improve the overall level of pharmacy service and management level.

关 键 词：医疗改革 门诊药房 绩效考核管理 

分 类 号：R97[医药卫生—药品]