药剂科干预临床用药、控制药占比的效果分析

Analysis on Effects of Intervention on Clinical Drug Use and of Controlling on Drug Proportion by Pharmacy Department

目的:探讨福建医科大学附属泉州第一医院(以下简称"我院")药剂科干预临床用药、控制药占比的效果,为促进合理用药提供参考。方法:比较我院2015年(干预前)、2016年(干预后)的药品销售金额、医院总收入、人均药品销售金额、平均住院时间、基本药物使用率、抗菌药物使用率和辅助用药使用率等数据,结合药剂科实行的相关制度和措施进行讨论分析。结果:干预后,我院药品销售金额、药占比及人均药品销售金额均较干预前降低,平均住院时间较干预前缩短,医院总收入较干预前增加;基本药物使用率较干预前升高,抗菌药物使用率和辅助用药使用率较干预前降低;我院基本药物使用率与药占比在一定程度上呈负相关。2016年6月起,我院儿科静脉输液使用率逐渐降低。结论:药剂科通过采取相关措施干预临床用药,可有效降低药占比,减轻患者经济负担,促进合理用药。

OBJECTIVE： To investigate the effects of intervention on clinical drug use and of controlling on drug proportion by Pharmacy from Quanzhou the First Hospital Affiliated to Fujian Medical University（ hereinafter referred to as＂our hospital＂）,so as to provide reference for the rational drug use. METHODS： Data of consumption sum,the total hospital revenue,per capita consumption sum,average hospital stays,use rate of essential drugs,use rate of antibiotics and use rate of adjuvant drugs between 2015（ before intervention） and 2016（ after intervention） were compared,discussion and analysis were then conducted in combination with relevant regulations and countermeasures formulated by department of pharmacy. RESULTS： After intervention,the consumption sum,drug proportion,per capita consumption sum were decreasedcompared with before treatment,the average length of stay was shortened yet the the total hospital revenue increased. Compared with before intervention,the use rate of essential drugs increased,yet the use rate of antibiotics and use rate of adjuvant drugs decreased. The data demonstrated a negative correlation between the use rate of essential drugs and drug proportion to some extent. After Jul. 2016, the use rate of intravenous infusion gradually decreased.CONCLUSIONS： The relevant intervention measures developed by Pharmacy can effectively decrease the drug proportion,reduce the patients＇ burden and promote the rational drug use.