摘要
通过疾病诊断相关分组(Diagnosis Related Groups,DRG)下医院医保精细化管理的有益实践,进一步改善临床合理用药管理,规范临床诊疗行为。本文针对某省属医院医保管理中发现的临床用药问题,联合各职能部门,从医保精细化管理着手,利用信息系统进行智能控费,重点通过药品限制支付管理嵌入临床路径、抗菌药物院内三医联动管理、营养制剂合理用药-营养风险筛查嵌入医嘱端等方式,不断规范临床用药行为,为改善医院合理用药管理提供借鉴。
To further improve clinical rational drug use management under diagnosis related groups(DRG),standardize clinical diagnosis and treatment behavior,promote the high-quality development of health service,and maintain people′s health through the beneficial practice of fine management of hospital medicare management.Aiming at the clinical medication problems found in the hospital medicare management of a provincial hospital,jointing functional departments,starting from the fine management of medicare,the use of information system of intelligent control,mainly through drug limit pay management embedded clinical pathway,antibacterial drugs in the“Three medical linkage”management,supplements the rational use of drugs and the nutritional risk screening is embedded in the doctor′s order side,etc.,to continuously standardize clinical medication behavior.
作者
陈锦冰
李晶晶
张艳
赵丽萍
占智涛
吴航洲
CHEN Jin-bing;LI Jing-jing;ZHANG Yan;ZHAO Li-ping;ZHAN Zhi-tao;WU Hang-zhou(Medical Insurance Office,Fujian Medical University Union Hospital,Fuzhou 350001,China)
出处
《海峡药学》
2023年第3期69-72,共4页
Strait Pharmaceutical Journal
基金
福建省创新战略研究项目(2020R0053)
福建省卫生健康政策创新研究(2022C02)。
关键词
按疾病诊断相关分组
医保精细化管理
合理用药
抗菌药物
临床路径
Diagnosis related groups
Fine management of medical insurance
Rational drug use
Antibacterial drugs
Clinical pathway