中国医院用药评价与分析2024，Vol.24Issue(4)：487-490,4.DOI:10.14009/j.issn.1672-2124.2024.04.023
胰岛素专项集采政策对某院胰岛素使用情况的影响分析
Effects of Centralized Volume-Based Procurement Policy on Application of Insulin in A Hospital
摘要
Abstract
OBJECTIVE:To probe into the effects of centralized volume-based procurement policy(hereinafter referred to as"centralized procurement policy")on application of insulin in the hospital,so as to provide reference for the implementation of centralized procurement policy.METHODS:Taking insulin in the hospital as research object,a retrospective analysis was used to retrieve the data on insulin's varieties,specifications,manufacturers,prices,usage amount and consumption sum in one year before the implementation of centralized procurement policy(from May 2021 to Apr.2022)and one year after the implementation of centralized procurement policy(from Sept.2022 to Aug.2023),the decreasing amplitude,defined daily dose system(DDDs),defined daily cost(DDC)and completion degree of centralized procurement were analyzed.RESULTS:After the implementation of centralized procurement policy,the varieties of insulin in the hospital increased from 11 to 17,all the varieties in the original catalog were centralized procurement except for insulin injection,and the new catalog added the national health insurance negotiated drug of insulin degludec and insulin aspart injection;the price of each variety of insulin had a different degree of decrease,and that of the glargin(pre-filled)insulin injection(Laideshi)was the greatest,which was 61.00%(from 184.62 yuan per injection to 72.00 yuan per injection).The total consumption sum of insulin decreased from 3 452 075.99 yuan to 2 496 220.60 yuan,decreased by 955 855.39 yuan.The DDDs of each variety of insulin increased at different degrees,while the DDC decreased to some extent;the volume of centralized procurement tasks was basically completed.CONCLUSIONS:After the implementation of centralized procurement policy,the selection and application of insulin in the hospital is more rational,with high degree of cooperation to the national centralized procurement policy,which effectively relieves the economic burden of some patients and reduces the expenditure of national medical insurance fund,yet the promotion of the policy still requires the joint efforts of the hospital,clinicans and pharmacists.关键词
国家集中带量采购政策/胰岛素/用药频度/限定日剂量Key words
National centralized drug volume-based procurement policy/Insulin/Defined daily dose system/Defined daily cost分类
药学引用本文复制引用
陈伟薇,刘玉龙,张灵,邱季..胰岛素专项集采政策对某院胰岛素使用情况的影响分析[J].中国医院用药评价与分析,2024,24(4):487-490,4.基金项目
2022年安徽省卫生健康科研项目(No.AHWJ2022b104) （No.AHWJ2022b104）
