抗菌药物价格曲线管理

Supervision of Clinical Application of Antibacterial Drugs by Price Curve

目的 寻求行之有效、切实可行的抗菌药物使用管理办法。方法将本院使用的抗菌药物品种、按价格分段，每段制定一定比例，按此要求定期检查、统计我院使用的抗菌药物品种、数量，所得数据在Excel下生成曲线，根据曲线分布进行全院整体分析，分科室局部分析，以此来考核我院抗菌药物应用情况。结果抗菌药物价格曲线管理前：本院使用〉30～40元／g的抗菌药物品种占全院抗菌药物消耗金额的24％；〉40元／g的抗菌药物品种占全院抗菌药物消耗金额的6％；人均抗菌药物消耗费用为673．45元；抗菌药物价格曲线管理后：使用〉30～40元／g的抗菌药物品种占全院抗菌药物消耗金额的9％，比管理前下降15％；〉40元／g的抗菌药物品种占全院抗菌药物消耗金额的1．8％，比管理前下降4．2％；人均抗菌药物费用264．65元，比管理前人均费用下降408．80元。结论抗菌药物价格曲线管理措施切实可行。不仅可宏观地了解医院抗菌药物使用情况，而且具有一定量化标准，好控制，可操作，简单实用。

OBJECTIVE To obtain an effective and feasible supervision method of clinical application of antibacterial drugs. METHODS The clinical application of antibacterial drugs in this hospital was analyzed and calculated periodically by their/kinds, quantity and price. Then a price curve was obtained by Excel Table according to individual clinical department. RESULTS The expenditure of antibacterial drugs more than 30.0-40.0 yuan/g was accounted for 24%; the price more than 40.0 yuan/g was accounted for 6%; and the average expenditure per patient was 673.45 yuan before the supervision method was taken. The expenditure of antibacterial drugs more than 30.0-40.0 yuan/g was accounted for 9% ; the price more than 40.0 yuan/g was accounted for 1.8% ; and the average expenditure per patient was 264. 65 yuan after the supervision method was taken. CONCLUSIONS The supervision method for the clinical application of antibacterial drugs is feasible and effective. It can be recommended to other hospitals as a controlling method of clinical application of antibacterial drugs.