药占比在医院管理评价工作中的管制价值和社会效果分析

Regulation Value and Social Effect Analysis of Drug Proportion in the Hospital Management and Evaluation

目的:评价药占比的管制价值和社会效果。方法:通过分析药占比的内涵和影响因素,采用比较研究、定性和定量研究的方法,分析药占比及药占比管制的科学性和合理性。结果:国际上药品费用占总医药费用比与我国药占比在指标内涵和应用价值方面有很大差异;药占比本身与用药费用控制或合理用药并无直接关系;将药占比作为医院医疗质量管理评价指标的管制价值和实际效果有待进一步论证。结论:建议卫生行政部门和政策制订部门应该进一步开展药占比管制政策的社会效果和价值调研,在科学论证的基础上决定是否继续推行药占比管制,必要时应在医院管理评价指标体系中调整或者取消药占比指标。

OBJECTIVE：To evaluate the value and social effect of the regulation by the indicator of drug proportion. METHODS：The scientificity and rationality of pharmaceutical proportion and the regulation activity by the indicator of drug proportion was analyzed by analyzing the connotation and influential factors of drug proportion and the method of comparative study,qualitative analysis and quantitative analysis. RESULTS：There was great difference in connotation and value between international drug proportion and domestic one. Indicator of drug proportion had no direct relation to pharmaceuticals consumption control and rational drug use;the value and effect of the regulation activity in a hospital by the indicator of drug proportion were far from complete and required further research. CONCLUSIONS：Health administrative department and policy decisions department should further research and objectively evaluate the value and effect of the regulation activity in a hospital by the indicator of drug proportion.Whether the regulation activity in a hospital by the indicator of drug proportion carry out based on scientific verification;if necessary,the indicator of drug proportion should be cancelled or adjusted in hospital management and evaluation indicator system.