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多种管控和干预手段促进辅助药品的合理使用 |
Promoting the rational use of auxiliary drugs by various control and intervention meansShen Yunzhu, Zhang Yin*, Shi Xiaoning, Xu Xuwei(The Second Affiliated Hospital of Fujian Medical University, Fujian Quanzhou362000,China) |
投稿时间:2019-04-11 修订日期:2020-05-28 |
DOI: |
中文关键词: 辅助药品 管控 干预 合理用药 |
英文关键词: adjuvant drug control intervention rational drug use |
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中文摘要: |
目的 加强辅助药品的管控和干预,促进临床合理用药。方法 通过多种管控和干预手段的实施,评价实施前后辅助药品使用的变化。结果 综合培训、点评、反馈、约谈、奖惩、信息化管理等多种干预手段,辅助药品的使用合理率明显提升。经过管控,某院的辅助药品已基本不在全院药品销售金额排名前二十名中,住院人均药品费用与住院人均辅助药品费用稳步下降,分别由2018年第一季度3511.70元和138.50元降至第四季度3344.40元和111.25元。辅助药品销售占比和医院药占比分别由2018年第一季度的2.60%和33.54%下降至第四季度2.24%和31.56%,乌司他丁冻干粉的使用合理率由干预前41.82%升高至100%,芪珍胶囊合理率由51.65%增加至100%。结论 培训、点评、反馈、约谈、奖惩、信息化管理等多种干预手段相结合能显著减少辅助药品的不合理使用,切实减轻患者的经济负担,促进临床合理用药。 |
英文摘要: |
ABSTRACT: OBJECTIVE To strengthen the control and intervention over adjuvant drugs and promote the rational use of drug in clinic. METHODS Various control and intervention means were implemented to evaluate changes in the use of adjuvant drugs before and after management. RESULTS Combining with training, comments, feedback, interviews, rewards and punishments, information management and other interventions, the rational use of auxiliary drugs significantly increased. After the control, the adjuvant drugs were no longer in the top 20 drugs sold. The per capita cost of drugs and the per capita cost of adjuvant drugs decreased from 3511.70 and 138.50 in the first quarter of 2018 to 3446.86 and 111.25 in the fourth quarter. The proportion of adjuvant drugs and the proportion of hospital drugs fell from 2.60% and 33.54% in the first quarter to 2.24% and 32.99% in the fourth quarter. The rational utilization rate of ulinastatin lyophilized powder increased from 41.82% to 100%, and the rational utilization rate of Qizhen capsules increased from 51.65% to 100%. CONCLUSION The combination of training, comment, feedback, interview, reward and punishment, information management and other interventions can significantly reduce the irrational use of adjuvant drugs, effectively reduce the financial burden on patients, and promote rational drug use in clinic. |
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