中国药房2018，Vol.29Issue(6)：731-734,4.DOI:10.6039/j.issn.1001-0408.2018.06.03
降低药占比对我院医疗服务体系运行状况及患者医疗费用的影响
Influence of Decreasing Drug Proportion on the Operation of Medical Service System and Patient Medical Expenses in Our Hospital
摘要
Abstract
OBJECTIVE:To provide reference for understanding the significance of drug proportion control deeply and future direction of hospital reform. METHODS:The data were collected from the relevant statistical reports of our hospital in August 2016,June and August 2017. The data were analyzed statistically and compared in respects of drug proportion,income,medical cost,ratio of essential medicine types,prescription amount(outpatient and emergency department),utilization rate and utilization density(AUD)of antibiotics in whole hospital,outpatient and emergency department,inpatient department. RESULTS:The drug proportion of our hospital was decreased significantly in Aug. 2017(after drug price reform),which fell by 13.35% from the previous month and 17.58% year-on-year. Hospital revenues were on the rise,which increased by 6.92% from the previous month and 11.45% year-on-year. Outpatient and emergency income was decreased slightly from the previous month(by 2.73%). Inpatient income was increased significantly from the previous month(by 9.76%). Per capita medical cost in outpatient and emergency department were increased,which increased by 4.01% from the previous month and 9.62% year-on-year;per capita medical cost of inpatients were declined,which fell by 0.91% from the previous month and 3.11% year-on-year. The ratio of essential medicine types in the whole hospital was decreased slightly from the previous month but increased by 17.79% year-on-year. Drug amount of outpatient and emergency prescriptions was decreased by 11.34% from the previous month and prescription amount decreased by 9.16% year-on-year. The utilization rate of antibiotics in the whole hospital was decreased by 8.10% from the previous month;AUD was decreased by 3.88% from the previous month and 13.88%year-on-year. CONCLUSIONS:After drug price reform,drug proportion of our hospital is effectively controlled,which has a positive influence on the operation of medical service system and patient medical cost. At the same time,some problems that need to be solved are also exposed,such as increase in per capita medical costs and the decrease in the number of outpatient and emergency patients. So,drug proportion control is only the first step in deepening hospital reform,and the follow-up motivation still needs to be provided continuously through strengthening rational drug use.关键词
医药价格改革/药占比/医疗服务体系运行/医疗费用/影响/合理用药Key words
Drug price reform/Drug proportion/Operation of medical service system/Medical cost/Influence/Rational drug use分类
医药卫生引用本文复制引用
邓鋆,覃佳佳,黄淑贤,贺巍,喻珊珊,钟小斌..降低药占比对我院医疗服务体系运行状况及患者医疗费用的影响[J].中国药房,2018,29(6):731-734,4.基金项目
国家自然科学基金资助项目(No.81200043) （No.81200043）
广东省自然科学基金资助项目(No.S2013040014251) （No.S2013040014251）
