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目的:为促进医疗机构合理控制抗菌药物金额比例提供参考。方法:从降低药品价格、加强细菌耐药监测、降低药品不良反应风险、加强处方权限管理、改造信息系统和制定《阳光用药制度实施细则》等方面精细化分级管理抗菌药物,并统计精细化分级管理前、后6个月抗菌药物金额比例和不同价格区间抗菌药物金额比例。结果:我院实行精细化分级管理抗菌药物后,抗菌药物金额比例平均值由26.31%下降至16.30%;价格≥0元且<30元和价格≥100元的抗菌药物金额比例平均值均上升,价格≥30元且<100元的抗菌药物金额比例平均值下降。结论:精细化分级管理抗菌药物能有效地降低抗菌药物金额比例。增加低价非限制使用药品,减少高价非限制使用药品和限制使用药品,有利于降低抗菌药物金额比例。
Objective: To provide a reference for promoting rational control of the amount of antibacterial drugs in medical institutions. Methods: To finely classify the antimicrobial agents in the aspects of reducing the drug prices, strengthening the monitoring of bacterial resistance, reducing the risk of adverse drug reactions, strengthening the management of prescription rights, reforming the information system and formulating the “Implementation Rules of Sunshine Pharmaceutical System” The proportion of antimicrobial drugs before and after the 6 months and the proportion of antimicrobial drugs in different price ranges. Results: In our hospital, the average amount of antimicrobial drugs decreased from 26.31% to 16.30% after fine graded administration of antimicrobial agents. The average proportion of antimicrobial drugs with price ≥0 yuan and <30 yuan and price ≥100 yuan increased, The average price of antimicrobial drugs with the price ≥30 yuan and <100 yuan decreased. Conclusion: The fine grading and management of antimicrobial agents can effectively reduce the proportion of antimicrobial drugs. Increasing the price of non-restricted medicines, reducing the high-priced non-restricted medicines and restricting the use of medicines will help to reduce the proportion of anti-bacterial medicines.