某医院综合改革对降低药品比例的效果分析  

Analysis of the effect of comprehensive reform measures on reducing the medicine proportion in the hospital

作　　者：卢连君[1] 梁立革[1] 张佳佳[1] 杜剑[1] 李建英[1] 郭亚军 赵海宏[1] 张翠欣[1] Lu Lianjun;Liang Lige;Zhang Jiajia;Du Jian;Li Jianying;Guo Yajun;Zhao Haihong;Zhang Cuixin(The third hospital of hebei medical university economic management department HebeiShijiazhuang 050051)

机构地区：[1]河北医科大学第三医院,河北石家庄050051

出　　处：《科技风》2018年第18期231-232,共2页

基　　金：河北省医学科学研究重点课题计划(20170132)

摘　　要：目的:分析某医院综合改革措施实施后降低药占比的效果。方法:收集某医院2012年-2015年全院药占比和9个重点科室的药占比,以2012年全院、各科室药占比做为综合改革实施前的对照组,分析2013年-2015年改革三年中药占比较前降低的效果。结果:经过3年的综合改革,全院药占比逐年下降,且差异有统计学意义。除妇产科2015年药占比较2012年升高(P<0.001)以外,其他各科室近3年药占比均较2012年降低。结论:我院针对药占比的综合改革措施初见成效。Objective： To study the effect of comprehensive reform measures on reducing the medicine proporlion in the hospital. Methods：Gathering the medicine proportion from 2012 to 2015 of both the whole hospital and the nine key departments, analysising the effects of reform in three years during 2013 - 2015 on reducing the medicine proportion,while the 2012 data before reform was taken as control group. Results ： It was found that the medicine proportion of the whole hospital form 2012 to 2015 decreased year by year, and the differences were considered statistically significant. While the medicine proportion in all the departments was lowering, except for the obstetrics and gynecology department with an increase in 2015. Conclusions ： Our comprehensive reform measures aiming at lowering medicine proportion have achieved initial success.

关 键 词：药占比 综合改革措施 绩效考核 合理用药 

分 类 号：TU246.1[建筑科学—建筑设计及理论]