基于信息化手段的国家集采药品工作实践与成效分析  

On the Practice and Effects of Centralized Drug Purchase Based on Informatization

作　　者：李旭东[1] 李忻[1] 于倩[1] 关丽英[1] Li Xudong;Li Xin;Yu Qian;Guan Liying(China-Japan Union Hospital of Jilin University,Changchun 130033,China)

机构地区：[1]吉林大学中日联谊医院,长春130033

出　　处：《中国药事》2021年第2期138-143,共6页Chinese Pharmaceutical Affairs

基　　金：医院药品综合性评价体系建立及应用[编号(2019)科技字(1871)号]。

摘　　要：目的:探索通过信息化手段,保障"4+7"带量采购药品约定用量的有效落实,引导医师、患者优先选择集采药品,为集采工作的有序开展提供有力的数据支撑。方法:利用信息化管理理念与手段搭建集采药品监测体系,从医院信息系统中收集2020年1-9月及2019年同期通用名相同的集采药品及非中选药品使用情况,对比分析政策执行前后的药品销售金额、次均药费、医保资金支出药费、医保次均药费及药占比等相关数据指标,评价实践效果。结果:自搭建监测体系后,截至2020年9月,第一批集采药品(共计20种),已完成约定用量的149.42%,其中有18个品种已超额完成约定用量;对通用名相同的集采药品及非中选药品同期数据进行比较分析,药品总费用、次均药费、医保资金支出药费、医保次均药费均有大幅下降;医院整体药占比由29.15%降至23.53%。结论:医院基于信息化手段搭建集采药品监测体系,为其用量得以顺利落实提供了支持。Objective:To ensure the implementation of agreed usage prescribed by"4+7"agreed consumption and to guide physicians and patients to preferentially select drugs purchased centrally by the state by means of informatization,so as to provide strong data support for the orderly development of centralized procurement.Methods:The concept and means of information management were used to build a monitoring system for centralized drug purchase.The use of centralized purchasing drugs and non-elected drugs from January to September in 2020 and those with the same common names in the same period of 2019 was collected from the hospital information system,and the relevant data indicators such as sales amount,average drug cost per time,fund expenditure of medical insurance,average drug cost per time of medical insurance and proportion of drug cost before and after the implementation of the policy were compared and analyzed to evaluate the practice effect.Results:After establishing the centralized purchasing drug monitoring system,up to September 2020,149.42%of the agreed dosage was completed in the first batch of centralized purchasing drugs(20 varieties in total),of which 18 varieties exceeded the agreed dosage.Through comparative analysis of the data of centralized purchasing drugs and non-elected drugs with the same general names,the total drug cost,average drug cost per time,fund expenditure of medical insurance and average drug cost per time of medical insurance decreased significantly,with the proportion of the hospital’s overall drugs decreasing from 29.15%to 23.53%.Conclusion:A monitoring system of national centralized purchasing drugs has been built by the hospital with information technology to support the smooth implementation of its agreed usage.

关 键 词：信息化 集采药品监测体系 约定用量顺利落实 

分 类 号：R95[医药卫生—药学]