点评、约谈、培训结合模式控制药占比下降的效果分析

The Effect of the Combinated Mode of Prescription Comment, Interviews and Training in Decreasing Drug Proportion

目的探讨点评、约谈、培训结合模式对控制药占比的促进作用。方法每月选取药占比超标在前的1~2个临床科室,每科抽取20~30份出院病历,进行用药合理性点评;医院合理用药点评小组根据用药点评结果,约谈临床科室主任与诊疗组长,共同商定下一季度药占比控制目标;针对主要不合理用药现象,医院每半年组织一次针对性培训。结果共集中点评并约谈12个临床科室;针对性开展用药培训2次;干预前后3个月,药占比超标均值由(8.725±2.559)下降到(4.008±2.904),差异有统计学意义。干预期前后3个月,干预科室的药占比超标值下降,和未干预科室比较,差异有统计学意义。医院总的药占比也呈明显下降趋势。结论点评、约谈、培训结合模式能有效降低药占比,切实降低患者的医疗费用。

Objective To investigate the promotive functions of the combinated mode of prescription comment,interviews and training in drug proportion control.Methods One or two clinical departments which had the top superscale of drug proportion were selected and20to30medical records for each department were extracted to comment on rational drug use.According to the results of prescription comment,the review team of rational drug use had the interview with the clinical section directors and group leaders,and discussed control objectives of drug ratio for the next quarter.For the main irrational use of drugs,the hospital every six months to organize a targeted training.Results A total of12clinical departments were reviewed,and2training sessions were conducted;After a threemonth intervention,the mean superscale of drug proportion decreased from(8.725±2.559)to(4.008±2.904),with statistical significance.About3months before and after work,the proportion of drugs in the intervention departments was higher than that in the preparatory room,and the difference was statistically significant.The total of drug proportion of our hospital also showed a significant downward trend.Conclusion The combinated mode of prescription comment,interviews and training can effectively reduce drug proportion and medical expenses of patients.