药品集中带量采购背景下苏北13家公立医院抗菌药物分级管理目录分析  

Analysis of antibiotic classification management lists in 13 public hospitals in northern Jiangsu under the background of drug centralized volume-based procurement

作　　者：庞婕[1,2] 胡明月 高山 杨广胜[1] PANG Jie;HU Mingyue;GAO Shan;YANG Guangsheng(Department of Pharmacy,The First People's Hospital of Lianyungang,Jiangsu Lianyungang 222023,China;Department of Pharmacy,The First Affiliated Hospital of Kangda College of Nanjing Medical University,Jiangsu Lianyungang 222023,China)

机构地区：[1]连云港市第一人民医院药学部,江苏连云港222023 [2]南京医科大学康达学院第一附属医院药学部,江苏连云港222023

出　　处：《中国医院药学杂志》2023年第17期1980-1984,共5页Chinese Journal of Hospital Pharmacy

基　　金：连云港市科协软课题研究项目(编号:LKxyb22027)。

摘　　要：目的:为合理使用和管理集中带量采购(下称“集采”)抗菌药品提供参考。方法:检索连云港市卫生健康委员会和苏北13家公立医院官网,收集2020年1月—2022年9月期间13家医院备案的《抗菌药物临床应用分级管理目录》,对目录中抗菌药品调整和目录间差异进行描述性汇总分析。结果:实施集采政策以来13家医院更新分级管理目录共22次。截至2022年9月,三甲、三乙、二甲、二乙医院分级管理目录中抗菌药品品规数的中位数分别为74.00、69.50、42.00和22.50。集采抗菌药品中头孢菌素类、喹诺酮类和大环内酯类品规数居多,而β-内酰胺酶抑制剂复方制剂、碳青霉烯类和氨基糖苷类等无集采药品。13家医院分级管理目录中有5种抗菌药品出现跨级管理,其中3种为集采药品。调整次数最多的20种抗菌药品主要包括β-内酰胺类和喹诺酮类等,有6种集采药品调入目录。结论:实施集采有利于优化医院抗菌药物分级管理目录,确保分级管理目录合理是科学化管理集采抗菌药品的重要前提条件。在集采政策推动下,苏北地区医院分级管理目录更新及时,有效规范目录结构,保证药品合理使用。OBJECTIVE To provide reference for rational use and management of centralized volume-based procurement(hereinafter referred to as"VBP")of antibiotics.METHODS The antibiotic classification management lists were retrieved from official websites of Lianyungang Health Select Committee and 13 public hospitals in northern Jiangsu from January,2020 to September,2022.The difference and adjustment of those lists were analyzed descriptively.RESULTS Since the implementation of VBP policy,13 public hospitals have updated the classification management lists for totally 22 times.Until September,2022,the median values of antibiotics specifications included in the classification management lists of grade-A tertiary,grade-B tertiary,grade-A secondary and grade-B secondary hospitals were 74.00,69.50,42.00 and 22.50,respectively.Cephalosporins,quinolones and macrolides had more specifications in VBP antibiotics,whileβ-lactamase inhibitor compound preparations,carbapenems and aminoglycosides had no specification.There were 5 antibiotics across the management level,including 3 VBP antibiotics in the classification management lists of 13 public hospitals.The 20 antibiotics with the most adjustments mainly includedβ-lactamase antibiotics,quinolones and so on,and 6 VBP antibiotics entered the list.CONCLUSION The implementation of VBP is conducive to optimizing the classification management list of antibiotics in hospitals,and ensuring the rationality of classification management list is an important prerequisite for the scientific management of VBP.With the promotion of VBP policy,the classification management lists of hospitals in northern Jiangsu were updated timely,which effectively standardized the list structure and ensured rational use of antibiotics.

关 键 词：药品集中带量采购 苏北 抗菌药物 分级管理目录 

分 类 号：R969.3[医药卫生—药理学] R95[医药卫生—药学]