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目的:降低药费比例,控制医疗费用。方法:通过对影响药品费用的多因素统计分析,采取药品使用动态监测、各种形式合理用药培训、定期药品使用分析、药品绩效考核等多种措施、多部门、全方位联动管理,共同降低药费比。结果:影响药品费用的主要因素是患者人数和人均用药量的增加。通过适度降低药品采购价格、加强临床用药指导等探索方式取得了一定效果。结论:建立针对影响药品费用关键因素的实时监控机制和跨职能部门协同配合的新型医疗管理模式,有助于在临床用药需求增长的同时控制并降低药品费用比例。
Objective: To reduce the proportion of drug costs, control medical costs. Methods: By means of multi-factor statistical analysis of the influence on the cost of medicines, various measures such as dynamic monitoring of drug use, various forms of rational drug use training, periodic drug use analysis, performance appraisal of medicines and the like, multi-departmental and all-round linkage management were adopted to jointly reduce drugs Fee ratio. Results: The main factors affecting the cost of medicines are the number of patients and the increase of per capita drug consumption. By modestly reducing the purchase price of medicines and enhancing the exploration of clinical medication guidance, some results have been achieved. Conclusion: The establishment of a real-time monitoring mechanism based on the key factors influencing the cost of medicines and a new type of medical management mode coordinated by cross-functional departments help to control and reduce the proportion of drug costs while the demand for clinical medicines increases.