医院合理用药的管控策略与实践

Strategies and practices of controlling rational drug use in hospital

构建适应新医改目标的医院合理用药管控体系是健全现代医院管理制度的重要内容。该文总结了基于多维数据分析和循证药学导向构建医院用药监管精准管控体系经验,通过建立健全配套管理制度,细化实化管控指标,科学制订重点监控药品目录并实行分级管控,实施了信息化导向精准分析与事前干预。医院合理用药管控策略有效避免和减少大处方,医院药占比、人均药费等药品管控核心指标大幅下降,基本药物使用占比明显上升,药品使用金额排名前100位中无辅助用药,药品使用结构更加合理,为下一步综合医改打下良好基础。

It is important to improve modern hospital management system through constructing a rational drug control system which adapts to the new goal of medical reform.The author summarized multidimensional data analysis and experience of evidence-based pharmacy to construct an accurate hospital mediation regulation control system.Through improving the supporting management system,refining and realize control index,to scientifically develop key drugs monitoring,control and regulate at different levels.This achieves the goal of implementing information management,control indicators and prior intervention.A rational control strategy of the use of drugs could effectively prevent and reduce prescription issues,sharply decrease the hospital medicine proportion,per capital expenses for medicine,realizing the obviously increasing use of basic drugs and no adjuvant drug in the top 100 medicine and more reasonable drug using structure,which could be a reference to the general hospital pharmacy administration for the comprehensive medical reform.