中国医院用药评价与分析2025，Vol.25Issue(12)：1441-1444,1448,5.DOI:10.14009/j.issn.1672-2124.2025.12.006
药学会诊对慢性肾脏病住院患者住院时间和经济负担的影响
Effects of Pharmaceutical Consultation on Length of Hospital Stay and Economical Burden of Inpatients with Chronic Kidney Diseases
摘要
Abstract
OBJECTIVE:To investigate the effects of pharmaceutical consultation on length of hospital stay and economical burdens of inpatients with chronic kidney diseases,probe into its clinical effect and economic effect,so as to provide references for optimizing pharmacists-participating clinical collaboration and rational medication policies.METHODS:A retrospective analysis was conducted on data from inpatients with chronic kidney diseases in the hospital from 2022 to 2024,patients were grouped by year and pharmacotherapy consultation(consultation group,non-consultation group).Gamma regression and negative binomial regression model were adopted,in combination with multi-group control design,to evaluate the effects of pharmacist intervention.RESULTS:A total of 8 404 patients were enrolled.Pharmaceutical consultation rates showed negative correlation with length of hospital stay and treatment cost.Annual stratification results indicated that patients in the consultation group from 2022 to 2024 had prolonged length of hospital stay due to advanced age,multiple comorbidities and higher infection rates,patients'costs in consultation group were increased by 5.2%compared with the non-consultation group in 2022.After the implementation of in-department pharmacist system in 2024,the consultation rate decreased to 4.2%,while patients'length of hospital stay in consultation group were reduced by 23.9%compared with the non-consultation group,with improved management efficiency for critical patients.Advanced age,multiple comorbidities and infections significantly increased medical burdens.CONCLUSIONS:Pharmaceutical consultation shortens the disease course by optimizing medication regimens,yet the effectiveness varies with disease severity and intervention model.The in-department pharmaceutical system promotes management efficiency for critical patients through routine interventions,it is recommended to validate its long-term benefits through prospective studies,and promote standardized pharmaceutical service models.关键词
药师会诊/住院时间/经济负担/慢性肾脏病/药学服务Key words
Pharmaceutical consultation/Length of hospital stay/Economical burden/Chronic kidney disease/Pharmaceutical service分类
医药卫生引用本文复制引用
ZHANG Benqi,MEI Qian,XIONG Shijuan,SHENG Changcheng,ZHANG Jiaxing,QIAN Xin,HU Linfang,CHEN Qi..药学会诊对慢性肾脏病住院患者住院时间和经济负担的影响[J].中国医院用药评价与分析,2025,25(12):1441-1444,1448,5.基金项目
国家卫生健康委医院管理研究所医院药学高质量发展研究项目(No.NIHAYS2415) （No.NIHAYS2415）
