中国临床药学杂志2023，Vol.32Issue(6)：401-407,7.DOI:10.19577/j.1007-4406.2023.06.001
疾病诊断相关分组背景下基于Ucinet和SOJA法的用药方案优化模式的建立与效果评价
Establishment and effect evaluation of drug regimen optimization model based on Ucinet and SOJA methods under the diagnosis related group background
摘要
Abstract
AIM To explore the drug therapy regimen of clinicians for specific diagnosis related group(DRG)and develop an optimal medication plan basing on real world research,and to further improve the efficiency,quality and safety of medical services.METHODS The data was collected through the DRG operation analysis system,and the BR23 group(cerebral ischemic disease,accompanied with common comorbidities and concomitant diseases)was selected as the study group due to a high proportion of discharged cases from June to December 2021 exceeding the payment standard.Social network analysis software Ucinet was used to retrospectively analyze all the medical orders of 380 discharged patients in the department of neurology during the period and extract the subgroup network.Drawing on the system of objectified judgement analysis(SOJA),drug selection and evaluation criteria were established including drug rationality,pharmacoeconomics and policy inclination.The subgroup network was optimized based on the above criteria,and an optimal medication plan was obtained.Finally,the efficacy and safety of the optimized medication plan was verified in 185 patients in intervention group newly admitted from January to March 2022,and compared with 85 patients in control group during the same period.RESULTS In this study,SOJA method was used for reference to develop the drug selection and evaluation criteria of our hospital,and Ucinet was used to analyze and optimize the drug subgroups network of BR23 group,and an optimal drug plan involving 29 drugs from 5 systems was obtained finally.Compared with the control group,the hospitalization cost,drug cost,western medicine cost and out-of-pocket amount of patients in the intervention group admitted between January and March 2022 were reduced by 2 859.2 yuan,1 671.8 yuan,1 736.9 yuan and 494.8 yuan respectively,and the hospitalization days were shortened by 0.8 d(P＜0.05),while there were good outcomes between 2 groups.CONCLUSION In the context of DRG,the model of drug regimen optimization established by clinical pharmacists with the Ucinet and SOJA can effectively improve the benefit of medical services,facilitate the smooth implementation of new policies such as DRG,and accelerate the transformation of pharmaceutical care for clinical pharmacists.关键词
疾病诊断相关分组/临床药师/社会网络分析/客观评价法/用药方案优化模式Key words
diagnosis related group/clinical pharmacist/social network analysis/system of objectified judgement analysis/drug regimen optimization model引用本文复制引用
曹文静,肖灿,张鹏,雷海波,刘湘..疾病诊断相关分组背景下基于Ucinet和SOJA法的用药方案优化模式的建立与效果评价[J].中国临床药学杂志,2023,32(6):401-407,7.基金项目
湖南省卫生健康委科研项目(编号D202313049086) （编号D202313049086）
湘潭市医学科研项目(编号2022-xtyx-22) （编号2022-xtyx-22）
