我院药品集中供应的探索与实践

Exploration and Practice of Centralized Drug Supply in Our Hospital

目的:探索如何通过降低患者药品费用来减少患者医疗总费用。方法:对我院通过公开招标将医院药品委托给1家药品供应企业采购供应的改革模式进行介绍,并分析实施难点与对策,比较改革前后药品收入、门诊次均费用等各指标数据。结果:实施难点主要涉及药品生产企业和临床医师的配合等,妥善处理改革利益是关键。与改革前比较,改革后药品收入占业务收入比下降约5%,门诊次均费用降低13·58%,门诊次均药费降低24·50%,住院次均费用降低5·09%,住院次均药费降低8·91%,平均床日费用降低10·92%。结论:我院的药品集中供应能减少患者药费,从而减轻患者总医疗费用负担。

OBJECTIVE ： To explore the ways of reducing the total medical cost for patients through lowering drug expenditure. METHODS： The reform mode that hospital delegated the procurement and supply of hospital drugs to a drug distribution company through public bidding was introduced, the difficulty and countermeasures were analyzed, and drug income, average outpatient cost per capita and other index were compared before and after reform. RESULTS： The difficulties involved production enterprise and physician-cooperation, etc. The key to implementation was benefit reform. Compared with before reform, the proportions of drug income, outpatient expense per capita, outpatient drug expense per capita, hospitalization expense per capita, inpatient drug expense per capita and daily expense per bed had decreased by 5%, 13.58%, 24.50%, 5.09%, 8.91% and 10.92%, respectively. CONCLUSIONS： The explored centralized drug supply of our hospital can reduce total medical cost burden for patients through lowering drug expense.