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目的:分析我院价格零差率(下称零差率)药物的使用情况。方法:统计使用零差率药物的品种、优惠人次、优惠金额,处方评价指标;比较实施基本药物零差率前后半年的门诊处方中零差率药物的使用情况。结果:在实施基本药物零差率后的半年门诊处方中,使用零差率基本药物的品种数为228种、优惠166 830人次、优惠金额787 525元。实施基本药物零差率前基本药物的处方数构成比为45.71%,基本药物的处方金额构成比为12.99%;实施基本药物零差率后零差率药物的处方数构成比为49.50%;零差率药物的处方金额构成比为11.71%。结论:实施基本药物零差率后,使用零差率药物的处方数有所增加,而使用零差率药物的处方金额却有所下降,说明患者接受基本医疗的药品费用有了实质性的下降。
OBJECTIVE: To analyze the use of drugs at zero rate (hereinafter referred to as zero-slip rate) in our hospital. Methods: The variety, discount rate, discount rate and prescription evaluation index of drug using zero-difference rate were compared. The use of drug with zero-percent difference in outpatient prescription before and after the implementation of zero-defect of basic drug was compared. Results: In the half-year outpatient prescription after zero-difference rate of basic drugs, there were 228 kinds of essential drugs with zero-difference rate, with 166 830 preferential treatments and 787 525 yuan preferential treatments. The prescription ratio of essential drugs before zero-deficit rate was 45.71%, and the prescription-based ratio of essential drugs was 12.99%. The prescription ratio of zero-deficient drugs after implementing zero-difference rate of essential drugs was 49.50% The difference between the prescription rate of drug composition ratio of 11.71%. Conclusions: The number of prescriptions using zero-deficit drugs increased with the zero-deficit rate of the essential drugs, whereas the prescriptions with the zero-deficit drugs decreased somewhat, indicating a substantial drop in the cost of medications for basic medical care .