中国药房2026，Vol.37Issue(3)：288-293,6.DOI:10.6039/j.issn.1001-0408.2026.03.03
"依码支付"背景下儿童医院药品追溯码管理体系的升级与实践
Upgrade and practice of the drug traceability code management system in children's hospital under the"payment by code"background
摘要
Abstract
OBJECTIVE To upgrade the drug traceability code management system for a pediatric hospital under the"payment by code"background,aiming to comprehensively enhance traceability integrity,efficiency,and compliance.METHODS Taking Xiamen Children's Hospital as the implementation setting,a before-and-after control design was adopted to construct an intelligent drug traceability code management system through systematic upgrades involving the technology platform,core mechanisms,and coordination with medical insurance.Key interventions included:upgrading a traceability code management platform and designing a dynamic code pool;innovating differentiated traceability mechanisms for routine,split-dose,and special drugs;establishing a tiered early-warning and emergency response system;and constructing a data coordination and quality control system.The drug traceability code upload rate served as the primary outcome.Process indicators such as the root causes distribution of failed uploads and the duration of medication returns,and a comprehensive outcome(the number of insurance-flagged abnormal prescriptions)were also analyzed.The data between the baseline period(April 2025)and the observation period(June-August 2025)were compared and evaluated.RESULTS After the upgrade,the overall upload rate of drug traceability codes increased from 9.21%(baseline)to 99.86%(August 2025).The upload rate of traceability codes in previously unmanaged areas,such as the inpatient pharmacy and pharmacy intravenous admixture services,soared from 0 to nearly 100%.The proportion of non-uploads due to system issues fell from 66.44%(June 2025)to 2.62%(August 2025).Additionally,the number of insurance-flagged abnormal prescriptions dropped sharply from 2 275.00 in the first"payment by code"policy month(July 2025)to 212.00 by the end of the observation period(August 2025),a 90.70%decrease.CONCLUSIONS The developed management system effectively addresses complex scenario challenges such as high-frequency drug splitting.It significantly enhances traceability code upload performance and ensures a high degree of compliance with medical insurance data requirements.These outcomes contribute to proactive risk mitigation against insurance claim denials and demonstrate a concurrent optimization of pharmacy operations.关键词
依码支付/药品追溯码/拆零药品/信息系统/医疗机构Key words
payment by code/drug traceability code/splitting drug/information system/medical institutions分类
医药卫生引用本文复制引用
林金香,李苏平,苏燕青,叶德辉,陈娴雯,陈钰霜,纪志慧,赖东川,吴夏阳.."依码支付"背景下儿童医院药品追溯码管理体系的升级与实践[J].中国药房,2026,37(3):288-293,6.基金项目
厦门市医疗卫生指导性项目(No.3502Z20224ZD-1269) （No.3502Z20224ZD-1269）
