集中带量采购对上海市松江中心医院他汀类药物使用情况的影响  

Effect of Centralized Drug Procurement on the Use of Statin in the Songjiang District Central Hospital

作　　者：陶菁 姚英[1] Tao Jing;Yao Ying(Department of Pharmacy,Songjiang District Central Hospital,Shanghai 201600,China)

机构地区：[1]上海市松江区中心医院药剂科,上海201600

出　　处：《中国药事》2023年第9期1060-1073,共14页Chinese Pharmaceutical Affairs

基　　金：上海市临床药学重点专科建设项目(区属)[编号沪卫计药政(2018)9号]。

摘　　要：目的:分析国家药品集中带量采购以来不同时间段上海市松江区中心医院(简称我院)他汀类调脂药的使用情况,探讨该政策对我院他汀类调脂药使用的影响,为推动制定和完善政策、提升医院药事管理水平提供参考。方法:汇总我院“4+7”带量采购、第二批国家集中带量采购及第三批国家集中带量采购后7个月门诊他汀类药的使用数据和政策实施前同期的使用数据,采用药物经济学方法,分析集中带量采购政策对我院他汀类调脂药的使用数量、销售金额、用药频度(DDDs)及限定日费用(DDC)的影响。结果:国家药品集中带量采购政策实施后,我院他汀类调脂药中选品规单价显著降低,未中标品种的单价未变;他汀类调脂药使用量逐步增长而销售金额却下降明显,其DDDs逐年升高,DDC有不同程度降低。结论:药品集中带量采购工作在我院执行情况良好,政策的实施不仅让他汀类调脂药中选品规的日均费用降低明显,使患者和医保的经济负担大大减轻,同时也有利于优化调整药品价格。Objective:To analyze the use of statins in Songjiang District Central Hospital in different periods since the national centralized drug procurement,to discusses the impact of this policy on the use of statins in our hospital,and to provide references for promoting the formulation and improvement of drug policies and hospital pharmaceutical management.Methods:The usage medication data of statins in outpatient department within 7 months before and after"4+7"centralized drug procurement,the second batch and the third batch of national centralized drug procurement and the same period before the implementation of the policy were extracted,and pharmacoeconomic methods were adopted to analyze the influence of ceatralized dyug procurement policy on the quantity,consumption volumes,defined daily doses(DDDs)and defined daily cost(DDC)of statins in hospital.Results:After the implementation of the national centralized drug procurement policy,the unit price of selected lipid-regulating statins in our hospital decreased significantly,while the unit price of other unsuccessful varieties remained unchanged.The use of statins increased gradually,but the sales amount decreased significantly.The DDDs were increased year by year,and the DDC was decreased to different degrees.Conclusion:The implementation of centralized drug procurement is well established in our hospital.The implementation of the policy not only significantly reduces the average daily cost of the selected lipid-regulating statins in our hospital and greatly reduces the economic burden of patients and medical insurance,but also contributes to the optimization and adjustment of drug prices.

关 键 词：集中带量采购 他汀类调脂药 用药频度 限定日费用 用药分析 

分 类 号：R95[医药卫生—药学]