摘要
目的:探索对辅助用药合理使用的有效药事管理措施。方法:从建立辅助用药重点监控管理制度(包括建立并落实处方点评制度、进行合理用药培训、严格监督与考核)、充分发挥省级药事质量管理控制中心对医疗机构监管的督促作用等措施方面,介绍四川省医疗机构对辅助用药实施的有效药事管理的情况;通过统计全省18家三级甲等医疗机构辅助用药的合理使用率、药占比、销售金额数据等,对管理效果进行参考性评价。结果:截至2016年5月,全省医疗机构已建立健全辅助用药重点监控管理制度;18家医疗机构辅助用药合理使用率从2016年1月的69.41%上升到同年5月的79.05%,同期药占比由29.22%下降至27.93%;辅助用药月销售金额由2015年4月的2 297万元下降到2016年4月的1 738万元(下降20.49%)。结论:四川省医疗机构通过建立辅助用药重点监控管理制度以及充分发挥省级药事质控中心的督促作用等措施,对辅助用药进行的药事管理效果良好。
OBJECTIVE： To explore effective pharmaceutical administration measures for the rational adjunctive drugs. METH- ODS： The effective pharmaceutical administration of adjunctive drugs in medical institutions of Sichuan province was introduced, including establishing key monitoring management system of adjunctive drugs （establishing and implementing prescription review system, rational drug use training, strict supervision and examination） and playing promotion effect of provincial pharmaceutical quality management control center on medical institutions, etc. The effects of pharmaceutical administration in 18 third-grade class- A medical institutions were evaluated through statistically analyzing rational utilization ratio, drug ratio, consumption sum of ad- junctive drugs. RESULTS： Up to May 2016, key monitoring management system of hospital adjunctive drugs had been established and improved in medical institutions over Sichuan province. The rational utilization ratio of adjunctive drugs in 18 medical institu- tions increased from 69.41% in Jan. 2016 to 79.05% in May 2016; drug ratio decreased from 29.22% to 27.93%. The monthly consumption sum of adjunctive drugs decreased from 22 970 000 yuan in Apr. 2015 to 17 380 000 yuan in Apr. 2016 （decreasing by 20.49% ）. CONCLUSIONS： Medical institutions of Sichuan province conduct effective pharmaceutical administration of adjunc- tive drugs through establishing the key monitoring management system for medical institutions and playing the role of the provincial nharmaceutical aualitv mananement control center for the sunervision.
作者
闫峻峰
刘翌
YAN Junfeng LIU Yi(Sichuan Academy of Medical Sciences＆Sichuan Provincial People＇s Hospital/The Af- filiated Hospital of University of Electronic Science and Technology of China/Individualized Drug Treatment Key Laboratory of Sichuan Province, Chengdu 610072, China School of Medicine, University of Electronic Sci- ence and Technology of China, Chengdu 610054, China)
出处
《中国药房》
CAS
北大核心
2017年第4期450-454,共5页
China Pharmacy
关键词
四川省
医疗机构
辅助用药
药事管理
重点监控
Sichuan province
Medical institutions
Adjunctive drugs
Pharmaceutical administration
Key monitoring
