2003-2021年湖南省省本级参保职工住院患者抗菌药物使用情况  

Analysis on the use of antibiotics in inpatients of insured employees in Hunan Province from 2003 to 2021

作　　者：王奕婷 刘敬伟 张银华[4] WANG Yi-ting;LIU Jing-wei;ZHANG Yin-hua(Hunan University of Finance and Economics,Changsha,Hunan 410008,China;不详)

机构地区：[1]湖南财政经济学院,湖南长沙410008 [2]中南大学商学院,湖南长沙410008 [3]湖南省医疗保障局,湖南长沙410008 [4]湖南中医药大学护理学院,湖南长沙410208

出　　处：《中华医院感染学杂志》2022年第16期2537-2541,共5页Chinese Journal of Nosocomiology

基　　金：国家重点研发计划基金资助项目(2020YFC2005403)。

摘　　要：目的 分析湖南省抗菌药物管理政策对医保住院患者抗菌药物使用的影响。方法 采用大数据分析方法,从湖南省省本级城镇职工基本医疗保险信息系统数据库采集数据,应用统计描述的方法分析2003-2021年湖南省省本级城镇职工基本医疗保险137.73万参保住院患者抗菌药物的使用情况。结果 137.73万住院患者的抗菌药物使用率从2003年的78.96%下降至2021年的36.94%。抗菌药物的联合用药率逐年下降,从2003年的58.72%下降至2021年的16.28%。细菌培养率逐年攀升,从2003年的17.25%增加到2021年的50.78%。人均抗菌药物费用从2003年的人均1 917.62元,下降至2021年的人均499.80元,抗菌药物使用的住院患者抗菌药物费用占总住院费用的比率从2003年的19.07%下降至2021年的3.58%。结论 2003-2021年间,通过国家卫生管理及相关部门对抗菌药物临床使用的严格管理,抗菌药物的使用逐渐趋于合理,住院患者抗菌药物费用负担明显减低。OBJECTIVE To analyze the impact of antibacterial management policy of Hunan Province on the use of antibacterial agents in medical insurance inpatients. METHODS The data of the basic medical insurance information system for urban employees in Hunan Province was collected by big data analysis method, and the use of antibiotics in 1.3773 million inpatients insured by basic medical insurance of provincial urban employees in Hunan Province from 2003 to 2021 were analyzed by descriptive statistics assay. RESULTS The rate of antimicrobial use in 1.3773 million inpatients decreased from 78.96% in 2003 to 36.94% in 2021. The combined medication rate of antimicrobial decreased year by year, from 58.72% in 2003 to 16.28% in 2021. The rate of bacterial culture increased year by year, from 17.25% in 2003 to 50.78% in 2021. The cost of antimicrobial per person declined from 1917.62 yuan in 2003 to 499.80 yuan in 2021. The proportion of antimicrobial cost in the total hospitalization cost reduced from 19.07% in 2003 to 3.58% in 2021. CONCLUSION From 2003 to 2021, strict implementation of the antimicrobial drug use management of the National Health Management Department and relevant departments gradually makes antimicrobial use more reasonable, and alleviates the burden of antimicrobial cost for inpatients.

关 键 词：抗菌药物 住院患者 医疗保险 使用率 联合用药 

分 类 号：R978.1[医药卫生—药品]