中国药业
中國藥業
중국약업
CHINA PHARMACEUTICALS
2015年
10期
3-4,5
,共3页
基本药物制度%药品费用%用药结构
基本藥物製度%藥品費用%用藥結構
기본약물제도%약품비용%용약결구
national essential drug system%drug expense%structure of drug use
目的：了解国家基本药物制度的实施对医院药品费用和用药结构的影响。方法调查并对比分析国家基本药物制度实施前后医院患者的次均就医费用、次均药品费用、药占比、自付比例等数据。结果与国家基本药物制度实施前比较，医院门诊和住院次均就医费用分别下降了5.86%和5.39%，次均药品费用分别下降了6.32%和6.93%，差异均有统计学意义( P﹤0.05)；药占比分别下降了0.56%和0.73%，差异无统计学意义( P﹥0.05)；患者总体个人自付比例分别下降了1.76%和1.69%，药品自付比例分别下降了1.72%和1.84%，差异均有统计学意义( P﹤0.05)，且廉价药品销售额占比明显上升( P﹤0.05)，但医院基本药物的使用量未明显增加。结论国家基本药物制度的实施有效控制了药品费用，缓解了“看病贵”的状况；但基本药物在该院未得到广泛应用，建议加强对国家基本药物的宣传和医院管理与考核，规范医务人员处方行为，促进合理用药。
目的：瞭解國傢基本藥物製度的實施對醫院藥品費用和用藥結構的影響。方法調查併對比分析國傢基本藥物製度實施前後醫院患者的次均就醫費用、次均藥品費用、藥佔比、自付比例等數據。結果與國傢基本藥物製度實施前比較，醫院門診和住院次均就醫費用分彆下降瞭5.86%和5.39%，次均藥品費用分彆下降瞭6.32%和6.93%，差異均有統計學意義( P﹤0.05)；藥佔比分彆下降瞭0.56%和0.73%，差異無統計學意義( P﹥0.05)；患者總體箇人自付比例分彆下降瞭1.76%和1.69%，藥品自付比例分彆下降瞭1.72%和1.84%，差異均有統計學意義( P﹤0.05)，且廉價藥品銷售額佔比明顯上升( P﹤0.05)，但醫院基本藥物的使用量未明顯增加。結論國傢基本藥物製度的實施有效控製瞭藥品費用，緩解瞭“看病貴”的狀況；但基本藥物在該院未得到廣汎應用，建議加彊對國傢基本藥物的宣傳和醫院管理與攷覈，規範醫務人員處方行為，促進閤理用藥。
목적：료해국가기본약물제도적실시대의원약품비용화용약결구적영향。방법조사병대비분석국가기본약물제도실시전후의원환자적차균취의비용、차균약품비용、약점비、자부비례등수거。결과여국가기본약물제도실시전비교，의원문진화주원차균취의비용분별하강료5.86%화5.39%，차균약품비용분별하강료6.32%화6.93%，차이균유통계학의의( P﹤0.05)；약점비분별하강료0.56%화0.73%，차이무통계학의의( P﹥0.05)；환자총체개인자부비례분별하강료1.76%화1.69%，약품자부비례분별하강료1.72%화1.84%，차이균유통계학의의( P﹤0.05)，차렴개약품소수액점비명현상승( P﹤0.05)，단의원기본약물적사용량미명현증가。결론국가기본약물제도적실시유효공제료약품비용，완해료“간병귀”적상황；단기본약물재해원미득도엄범응용，건의가강대국가기본약물적선전화의원관리여고핵，규범의무인원처방행위，촉진합리용약。
Objective To investigate the effect of the implementation of the national essential drug system on the drug expense and structure of drug use in the hospital. Methods The data of average medical expense per patient,average drug expense per patients, drug proportion and individual self-paid ratio before and after the implementation of the national essential drug system were investigat-ed and performed the comparative analysis. Results Compared with before the implementation of the national essential drug system,the average medical expense per outpatient and inpatient was dropped by 5. 86% and 5. 39% respectively,the average drug expense per outpatient and inpatient was dropped by 6. 32% and 6. 93% respectively,the difference between before and after treatment was statisti-cally significant ( P ﹤ 0. 05 ) . The drug proportion of outpatient and inpatient was dropped by 0. 56% and 0. 73% respectively,but the diffenence between before and after treatment had no statistical significance;the total individual self-paid ratio per outpatient and inpa-tient was dropped by 1. 76% and 1. 69% respectively,the drug individual self-paid ratio per outpatient and inpatient was dropped by 1. 72% and 1. 84% respectively,the difference between before and after treatment was statistically significant ( P ﹤ 0. 05 ) ,and the con-stituent ratio of cheap drugs sales amount accounting for the whole drugs sales amount was significantly increased ( P ﹤ 0. 05 ) . But the use amount of essential drugs had no obvious increase. Conclusion The implementation of the national essential drug system effectively controls the drug expense and relieves the situation of“high cost of getting medical service”;but the essential drugs have not been used widely in the hospital. It is suggested to strengthen the promotion of the essential drugs as well as the hospital management and assessment,and standardize the prescription behavior of medical staff for promoting rational drug use.
