基于成本权重法的门诊药事服务费收费体系建立及效果分析  

Establishment and Effect Analysis of Outpatient Pharmaceutical Service Fee Charging System Based on Cost-Weight Method

作　　者：左筠 李洪松 ZUO Jun;LI Hongsong(Chongqing KanghuaZhonglian Cardiovascular Hospital,Chongqing 400000)

机构地区：[1]重庆康华众联心血管病医院,重庆400000

出　　处：《中国药业》2020年第18期8-11,共4页China Pharmaceuticals

基　　金：重庆市卫生和计划生育委员会医学科研计划项目[2017ZBXM010]。

摘　　要：目的建立基于成本权重法的门诊药事服务费收费体系。方法查阅文献及调研不同类型医疗机构定义药学服务项目成本,统计完成药品调剂、药学监护所需时间,计算门诊药学服务人均总成本。分析医院门诊6 000张处方,对疾病数量及药品数量的频数分布进行回归分析,计算疾病数量权重系数(K_1)与药品数量权重系数(K_2);在不考虑利润加成的情况下,按实际成本设计门诊药事服务权重系数及调剂风险费,计算门诊药事服务费。结果门诊药学服务人均成本为13. 44元,人均门诊药事服务费为10. 80元。结论按成本权重法收费为我国药学服务的收费模式提供了新思路。Objective To establish an outpatient pharmacy service fee charging system based on the cost-weight method.Methods Literature were reviewed and research on different types of medical institutions was conducted to define the items of pharmaceutical service cost;the time required to complete drug dispensing and pharmaceutical monitoring,as well as the total per capita cost of outpatient pharmaceutical services were calculated.A total of 6000 prescriptions in the outpatient department were analyzed,regression analysis on the frequency distribution of the number of diseases and the number of drugs was performed,the weight coefficient of the number of diseases(K1)and the number of drugs(K2)were calculated;the actual cost of the outpatient pharmaceutical service weight coefficient was designed,the adjustment of risk fee was conducted,and the outpatient pharmaceutical service fee was calculated without considering the profit bonus.Results The per capita cost of outpatient pharmaceutical services was 13.44 yuan,the per capita outpatient medical service fee was 10.80 yuan.Conclusion The cost-weighted method of fee charging system provides a new idea for the charging model of pharmaceutical services in China.

关 键 词：药学服务 药事服务成本 频数 权重 

分 类 号：R95[医药卫生—药学]