静脉用药调配中心集中调配4类药品的成本测算

Cost calculation of centralized dispensing of 4 categories of drugs in pharmacy intravenous admixture service

目的 测算静脉用药调配中心(PIVAS)集中调配4类药品(普通药物、抗菌药物、危害药品和全胃肠外营养液)的成本,为相关部门制定收费标准提供参考依据。方法 通过问卷调查法收集陕西省12家医疗机构的PIVAS运营成本,包括人力成本、医疗卫生材料成本、固定资产折旧及修缮成本、水电成本与管理成本,综合采用操作时间分配系数法和工作量分配系数法对以上成本进行分配,计算得到4类药品的单位调配成本。结果 陕西省PIVAS调配普通药物、抗菌药物、危害药品和全胃肠外营养液的年均总成本分别为(2 195 900.25±1 680 893.73)、(746 341.59±725 839.39)、(331 420.15±183 258.83)、(330 322.68±277 281.70)元,其中人力成本占比最大,平均占比为85.49%。调配1组普通药物、抗菌药物和危害药品的成本分别为5.89、7.60、14.37元,调配1袋全胃肠外营养液的成本为32.15元(不含一次性静脉营养袋成本)。结论 本研究所得不同类别静脉药物的调配成本计算方法及数据,可为相关部门制订和调整PIVAS收费标准提供参考。

OBJECTIVE To calculate the cost of centralized dispensing of four categories of drugs(ordinary drugs,antibacterial drugs,hazardous drugs,and parenteral nutrition solutions)in pharmacy intravenous admixture service(PIVAS),and provide reference for setting charging standards for relevant departments.METHODS The operating costs of PIVAS in 12 medical institutions from Shaanxi province were collected through questionnaire survey,including labor costs,medical and health material costs,fixed asset depreciation and repair costs,water and electricity costs,and management costs.The operation time allocation coefficient method and workload allocation coefficient method were comprehensively used to allocate the above costs,and the unit preparation costs of four categories of drugs were calculated.RESULTS The average annual total costs of dispensing ordinary drugs,antibacterial drugs,hazardous drugs,and parenteral nutrition solutions in Shaanxi province were(2195900.25±1680893.73)yuan,(746341.59±725839.39)yuan,(331420.15±183258.83)yuan,and(330322.68±277281.70)yuan,respectively,with labor costs accounting for the highest proportion,averaging 85.49%.The costs of dispensing a set of ordinary drugs,antibacterial drugs,and hazardous drugs were 5.89,7.60,and 14.37 yuan,respectively;the cost of dispensing one bag of parenteral nutrition solution was 32.15 yuan(excluding the cost of disposable intravenous nutrition bags).CONCLUSIONS The cost calculation method and data of different types of intravenous drugs obtained in this study can provide reference for relevant departments to formulate and adjust PIVAS fee standards.