摘要
目的通过对某三甲医院DRGs付费方式下合理用药管理实践,建立行之有效的管理模式,发挥DRGs在合理用药中的作用,制定药学临床路径,干预医师处方行为,从而提升医院合理用药水平。方法建立基于DRGs的药品引进机制、合理用药监管机制和主动合理用药数据晾晒机制,依托信息化平台对药品消耗指数、次均药品费用、辅助用药等合理用药指标进行精准定位,通过药事会办公室会日常监管,实现合理用药精准、精细化管理。结果与结论在基于DRGs的多维度、多层次的合理用药管理下,对DRGs付费方式改革后合理用药效果进行评价,本院各项合理用药指标均持续改善。
Objective To establish an effective management mode,play the full role of DRGs in rational drug use,formulate the pharmaceutical clinical path,and intervene the prescription behavior of doctors,which could improve the level of rational drug use in the hospital through the management practice of rational drug use under the payment method of DRGs in a third-grade hospital.Methods A drug entering mechanism,a rational drug use supervision mechanism and an active and rational drug use data exposure mechanism based on DRGs were established,and the rational drug use indicators such as drug consumption index,average drug cost,and auxiliary drug use were accurately positioned based on the information platform,and the accurate and refined management of rational drug use was realized through the daily supervision of the office of the Pharmaceutical Affairs Committee.Results and Conclusion Under the multi-dimensional and multi-level rational drug use management based on DRGs,the effect of rational drug use was evaluated after the reform of DRGs payment method,and all the index of rational drug use in our hospital were continuously improved.
作者
杨彬
王作君
陈菡
张敬一
YANG Bin;WANG Zuojun;CHEN Han;ZHANG Jingyi(Department of Pharmacy,General Hospital of Northern Theater Command of the PLA,Shenyang 110016 China)
出处
《药学实践与服务》
2025年第1期22-25,46,共5页
Journal of Pharmaceutical Practice and Service
关键词
疾病诊断相关分组支付方式改革
合理用药
管理
DRGs payment method reform
rational use of drug
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