关于三级综合医院评审标准中药品库存周转率定义的解读与计算方法探讨

Interpretation and Calculation Method of Drug Stock Turnover Rate Stated in the Evaluation Criteria of Third-grade General Hospital

目的：探讨药品库存周转率的计算方法。方法：根据《三级综合医院评审标准实施细则（2011年版）》（简称《标准》）对药品库存周转率的要求，根据相关周转率计算公式和ABC分类法，分别按品种和金额统计我院药品的库存周转率达标情况并进行分析。结果：按“85％以上药品周转率少于10～15天”的标准要求，以品种、金额累计比率分别计算时我院库存周转率分别为73．63％（不达标）、95．52％（达标）；且我院若按品种计达标时，会引致部分药品过度周转或库存量过少的断货风险发生；以金额计则不但周转率达标且符合ABC分类管理法则（A类59．62％、B类22．68％、C类13．22％）。结论：建议将目前《标准》中模糊的定义修订为“金额累计比率85％的药品周转天数≤15天”，使医院的库存周转率评价标准更合理。

OBJECTIVE： To discuss the calculation method of drug stock turnover rate. METHODS： According to the requirements of Rules for the Implementation of Evaluation Criteria of Third-grade General Hospital （2011 edition） which was called Rules for short, the formula and ABC analysis, the data of drug stock turnover rate was calculated and analyzed by either the variety and amount. RESULTS： Based on the standard of ＂turnover rate of more than 85% drugs〈10-15 days＂, turnover rate of our hospital were 73.63% （unqualified） and 95.52% （qualified） by the variety and amount; if the turnover rate of our hospital was qualified by variety, it resulted in drug turnover in excess and very little inventory; if the turnover rate of our hospital was qualified by amount, it was in line with ABC analysis （class A 59.62%, class B 22.68%, class C 13.22% ）. CONCLUSIONS： It is suggested to revise the fuzzy definition as ＂turnover rate of drugs with 85% accumulative amount ratio ≤15 days ＂ so as to promote the rationality of stock turnover rate criteria evaluation.