CAJ | 학술논문

目的分析公立医院改革试点县药品使用现状与存在的问题。方法通过省药械采购平台统计用药信息，用Excel对医院药占比和各种类别的销售金额、增幅等数据进行比较。结果试点单位实施改革一年来实现药品让利4059万元，药占比从实施前的41.14%下降到36.21%，基本药物采购额实施后（第二期）较实施前增幅为32.71%，品种数增幅为9.87%。结论试点县医院用药趋于合理，但应加强抗菌药物、中成药、大输液的使用管理。
목적분석공립의원개혁시점현약품사용현상여존재적문제。방법통과성약계채구평태통계용약신식，용Excel대의원약점비화각충유별적소수금액、증폭등수거진행비교。결과시점단위실시개혁일년래실현약품양리4059만원，약점비종실시전적41.14%하강도36.21%，기본약물채구액실시후（제이기）교실시전증폭위32.71%，품충수증폭위9.87%。결론시점현의원용약추우합리，단응가강항균약물、중성약、대수액적사용관리。
Objective Analyze the present status and problems of medication in public hospital reform at the pilot counties. Methods Collect medication information based on the provincial procurement platform of medicines and medical apparatus. Compare drug expense ratio, other sales amount and growing rate with the help of"excel". Results After a year's pilot reform, 40.59 million Yuan of drug profit-sharing had been achieved and drug expense ratio fell from 41.14%to 36.21%. The growing rate of essential drugs, purchase amount (Phase II) is 32.71%while the growing rate of their varieties is 9.87%since the reform is implemented. Conclusion Medication in pilot counties tended to be more reasonable, and the management on antibiotics, Chinese patent medicine and infusions should be further strengthened.