某三甲医院干预前后住院费用药占比控制分析

Analysis of proportion of drugs in hospitalization expenses before and after the intervention in a grade-A tertiary hospital

目的强调降低药品比例的重要性,降低患者住院费,控制患者住院费用快速增长,提高患者满意度和医院社会效益。方法通过2012~2015年河北医科大学第三医院(以下简称"我院")药品变化,纳入不同年份住院费用、药品费用等数据,进行数据分析。以2012年作为改革前的对照组,探讨2013~2015年我院药占比和其他费用的变化及降低药占比措施。结果采取相关干预措施后,2013~2015年我院药占比均低于2012年,且逐年下降,得到有效控制。结论只有实现临床规范诊疗和规范用药,制订综合管理措施,才能有效控制药占比。

Objective To emphasize the importance of decreasing the proportion of drugs,reduce hospitalization fees and control the rapid growth of hospitalization costs,in order to improve patients′satisfaction and social benefits of hospital.Methods Through drug changes from 2012 to 2015 in Third Hospital of Hebei Medical University,different years of data were included and analyzed,such as hospital costs and drug costs,etc.2012 was selected as the pre-reform control group,the measures of drug proportion,changes of drug and reducing drug proportion were discussed.Results After taking relevant measures,the hospital drug proportion in 2013 to 2015 were lower than 2012,and it decreased year by year,which was effectively controlled.Conclusion Only by realizing clinical norms diagnosis and treatment,formulating normative medication and comprehensive management,the proportion of medicine is effectively controled.