药物使用评估旨在减少不适当的药物使用和住院患者的药品成本,基于与诊断相关的组数据
Wei Tian1,2, Sheng Zhang1,2, Yuan Gao1,2
1Department of Pharmacy, The First College of Clinical Medicine Science, Three Gorges University, Yichang, China.
概括
使用诊断相关组 (DRG) 数据的药剂师主导的干预措施有效地降低了住院药房成本和非必要药物使用. 这种方法在优化医疗保健支出和药物使用方面被证明是有效和可行的.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药物经济学 药物经济学
- 医院药房管理 医院药房管理
背景情况:
- 药房成本上升和不合理的药物治疗对医疗保健构成重大挑战.
- 药剂师越来越多地需要利用诊断相关组 (DRG) 数据来分析住院药房使用模式.
研究的目的:
- 试点一个由药剂师领导的程序,使用DRG数据分析药房费用.
- 在批量加工中评估药物的合理使用,并实施有针对性的干预措施.
- 评估基于DRG的干预措施对药房成本和药物适当性的影响.
主要方法:
- 在OB25 (没有并发症的剖腹产) DRG内选择患者进行分析.
- 统计识别影响药房支出的关键因素.
- 向医院部门实施关于处方数据和药物审查结果的每月报告.
- 在第三级教学医院中,药房成本和药物适宜性的干预前后比较.
主要成果:
- 对1110名患者的分析显示,处方物品和病房数量对药房支出产生了重大影响.
- 药房成本的很大一部分 (46.6%) 归因于非必需药物.
- 干预措施导致不适当的药品使用和药物物品的大量减少,平均成本在2020年降至336.7元人民币.
- 该计划的效益成本比为9.86.
结论:
- 基于DRG的干预措施是降低住院药房成本的高效和可行的策略.
- 这种方法有效地减少了医院环境中非必需药物的使用.
- 药剂师主导的DRG数据分析为优化药品资源配置提供了宝贵的工具.
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