PDCA循环管理法提高国家组织药品集中采购中选药品使用比例的效果评估  

Evaluation of Effectiveness of PDCA Cycle Management on Improving the Proportion of Selected Drugs Used in Centralized Drug Procurement by National Organizations

作　　者：郑利光[1] 施祖东[2] 杨建森[1] 郭志刚 赵梦虓 裴京萌 ZHENG Liguang;SHI Zudong;YANG Jiansen;GUO Zhigang;ZHAO Mengxiao;PEI Jingmeng(Dept.of Pharmacy, Peking University School of Stomatology/Peking University Hospital of Stomatology, Beijing 100081, China;Medical Administration, Peking University School of Stomatology/Peking University Hospital of Stomatology, Beijing 100081, China)

机构地区：[1]北京大学口腔医学院/北京大学口腔医院药剂科,北京100081 [2]北京大学口腔医学院/北京大学口腔医院医务处,北京100081

出　　处：《中国医院用药评价与分析》2020年第7期867-871,共5页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：北京大学口腔医学院第七届管理科研基金(No.2018GLJJ07)。

摘　　要：目的:探讨PDCA循环管理法在提高国家组织药品集中采购中选药品使用比例中的应用及效果。方法:运用PDCA循环管理方法,调查中选药品的使用现状,发现问题、寻找原因,设定干预目标和措施,提高中选药品使用比例。对北京大学口腔医院(以下简称“我院”)实施PDCA循环管理前(2018年)和实施PDCA循环管理后(2019年)的中选药品使用情况进行统计分析,评估干预效果,并将干预措施标准化。结果:实施PDCA循环管理后,我院中选药品使用比例呈直线上升趋势,中选药品使用数量(片、支)占比从2018年的8.28%(12476/150642)升至2019年的59.76%(101909/170532);2019年中选药品使用数量占上级布置任务量的218.91%(101909/46553),平稳有序地超额完成了分配的任务量,达到了预期干预目标。结论:PDCA循环管理法有效提高了国家组织药品集中采购中选药品使用比例,值得推广。OBJECTIVE:To investigate the application effects of PDCA cycle management on improving the proportion of selected drugs used in centralized drug procurement by national organizations.METHODS:PDCA cycle management was applied to investigate the application status of selected drugs,identify problems,find causes,set intervention targets and measures,and increase the proportion of selected drugs.Statistical analysis was conducted on application of selected drugs in Peking University Hospital of Stomatology hereinafter referred to as“our hospital”)before implementation of PDCA cycle management(2018)and after implementation of PDCA cycle management(2019),the effectiveness of interventions were evaluated and the interventions were standardized.RESULTS:After implementation of PDCA cycle management,the application of selected drugs in our hospital showed the linear upward trend,and the application amount of selected drugs(tablets and pieces)increased from 8.28%(12476/150642)in 2018 to 59.76%(101909/170532)in 2019.In 2019,the application amount of selected drugs accounted for 218.91%(101909/46553)of the tasks assigned by the superiors,which exceeded the assigned tasks in a stable and orderly manner and reached the expected intervention target.CONCLUSIONS:PDCA cycle management has effectively increased the proportion of selected drugs in centralized drug procurement by national organizations,which is worthy of popularization.

关 键 词：PDCA循环 国家组织药品集中采购 中选药品 合理用药 公立医院绩效考核 

分 类 号：R97[医药卫生—药品]