某大型三级医院结余药品管理实践  

Management of surplus drugs in a large tertiary hospital

作　　者：李冬艳 付伟 裘琳[1] 吴广杰 信凡雪 郑鉴凌 戴小喆 陈倩[3] 刘燕[4] 谭莉[5] 刘东[1] 李娟[1] Li Dongyan;Fu Wei;Qiu Lin;Wu Guangjie;Xin Fanxue;Zheng Jianling;Dai Xiaozhe;Chen Qian;Liu Yan;Tan Li;Liu Dong;Li Juan(Department of Pharmacy,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Department of Finance,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Office of Medical Insurance,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Audit Department,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Infection Management Department,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院药学部,武汉430030 [2]华中科技大学同济医学院附属同济医院财务处,武汉430030 [3]华中科技大学同济医学院附属同济医院医疗保险办公室,武汉430030 [4]华中科技大学同济医学院附属同济医院审计处,武汉430030 [5]华中科技大学同济医学院附属同济医院感染管理科,武汉430030

出　　处：《中华医院管理杂志》2024年第6期448-453,共6页Chinese Journal of Hospital Administration

摘　　要：为规范结余药品管理,提高医疗资源使用效率,促进医保基金合理使用,降低患者用药负担,自2023年5月起,某大型三级甲等医院开展了结余药品管理实践,从构建组织架构、明确职责、制定拆零计费和合理结余药品目录、建立规范管理流程和设置结余药品专项资金等多个方面推进和落实,初步实现了结余药品的有效管理。截至2023年11月,结余药品管理惠及患者136908例,平均每位患者节约873.61元,累计节约医保资金约3470万元,减少了医疗资源浪费,可为推动我国医疗机构结余药品规范化管理提供参考。未来,某医院应进一步扩大结余药品品种覆盖面,保障患者知情同意权益和建立完善的绩效奖励机制,促进结余药品管理的可持续发展。To standardize the management of surplus drugs,improve the efficiency of medical resource utilization,promote the rational use of medical insurance funds,and reduce the financial burden on patients,a large tertiary hospital implemented a practice for managing surplus drugs starting in May 2023.This practice encompassed multiple aspects,including the establishment of organizational structure,clarification of responsibilities,formulation of billing for fractional doses and a reasonable surplus drugs list,establishment of standardized management processes,and allocation of special funds for surplus drugs.These efforts had initially achieved effective management of surplus drugs.As of November 2023,the management of surplus drugs had benefited 136908 patients,with an average savings of 873.61 yuan per patient and a cumulative savings of approximately 34.7 million yuan in medical insurance funds.This practice had effectively reduced the wastage of medical resources,and could provide references for promoting standardized management of surplus drugs in medical institutions of China.In the future,the hospital should further expand the coverage of surplus drugs,ensure patients'rights to informed consent,and establish a comprehensive performance incentive mechanism to promote the sustainable development of surplus drug management.

关 键 词：结余药品 药事管理 拆零计费 约定计价单位 管理流程 医保资金 

分 类 号：R197.32[医药卫生—卫生事业管理]