药师基于疾病诊断相关分组规则保障用药合理性和经济性的探索

Exploration of Rationality and Economy of Drug Use by Pharmacists Based on Diagnosis Related Groups Rules

近年来,随着疾病诊断相关分组(DRG)政策文件的陆续发布和落实,我国DRG医保支付改革正式进入实践期。为实现收支平衡和完成DRG改革目标,医院需要药师完善自身用药专家的角色,贡献药学力量。本文对国内外DRG背景下研究临床药师工作的相关文献进行查阅和整理,从合理用药和药费控制的角度,对药师构建规则、临床干预以及教育宣讲多方面展开详细综述,旨在以后大规模推行DRG制度时为药师提供可参考的药学模式。

In recent years,with the successive release and implementation of national diagnosis related groups(DRG)policy documents,DRG health insurance payment reform in China has officially entered the practice period.To achieve the balance of income and expenditure and accomplish the goals of DRG reform,hospitals need pharmacists to improve their role as medication experts and contribute to pharmaceutical efforts.This paper reviews and organizes the literature related to the work of clinical pharmacists in the context of DRG at home and abroad,and provides a detailed review of the rules of pharmacist construction,clinical intervention and education and advocacy from the perspective of rational drug use and drug cost control,with the aim of providing pharmacists with a reference pharmacy model for the future large-scale implementation of DRG system.