我院药品价格层次与应用的调查分析

Analysis of the Application of Drug Prices Levels in Our Hospital

目的:了解当前我院药品价格层次、比例及各价格层次中的药品类别,使药品应用更趋合理。方法:对我院2009-2011年化学药品以及中成药价格进行调查,将价格分为若干层次,分析各层次中的药品品种数、所占比例、主要作用类别及各类别所占比例。结果:50元以内的品种3个年度分别约占医院用药总数的66.55%、63.52%和63.13%,但金额却只占31.24%、29.79%和28.35%;价格昂贵的品种(单价500元以上药品)分别为45、51和44种,分别约占5.43%、6.33%和5.99%,金额比例分别为14.51%、15.56%和16.70%,成逐年上涨趋势。100～500元为抗肿瘤药价格比较集中的层次,其品种数所占比例较高。结论:我院药品层次比例符合专科医院特点,通过国家价格调整,使得药品价格层次趋于合理。

OBJECTIVE： To help the hospital pharmacy management staff and the hospital pharmacy staff to understand the cur- rent level of drug prices, the ratio and drug categories of each level, and to provide a rational use of drug. METHODS： The prices of western medicine and Chinese patent medicine in a Grade Three Class A Hospital during 2009- 2011 were investigated. The drug price was divided into several levels, Drugs of all levels were analyzed in respects of categories, ratio of drugs and types of major role and the proportion of each category. RESULTS ： The number of drugs within 0~50 yuan in three years accounted for ap- proximately 66.55%, 63.52% and 63.13% of total hospital drug use, surpassed half, but the amount of them was only 31.24%, 29.79% and 28.35% ; expensive varieties （more than 500 yuan） were 45, 51 and 44 species, accounting for 5.43%, 6.33% and 5.99%, the amount ratio of 14.51%, 15.56% and 16.70%, in a rising trend. Most of anti-tumor drugs were 100~500 yuan, and the number of its varieties accounted for a high proportion. CONCLUSION： The proportion of hospital drug-level is up to the char- acteristics of hospitals, through the national price adjustment, drug prices become more reasonable.