| 上海某三级公立医院药品管理内部控制评价实践研究 |
| 投稿时间：2024-02-02 修订日期：2024-07-17 点此下载全文 |
| 引用本文：徐飞,刘盈,殷佳,诸国樑,练鲁英.上海某三级公立医院药品管理内部控制评价实践研究[J].药学实践杂志,2024,42(12):542~548 |
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| 基金项目:中国医药会计学会新苗课题（No.YKXKTXM2022014） |
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| 中文摘要:目的 建立医院药品管理内部控制量化评价体系，直观反映药品管理内部控制建设的优化完善情况，为医院药品管理内控评价提供参考。方法 结合头脑风暴法设计量化评价表，运用穿行测试、实地查阅、对比分析等方法，开展内部控制设计和执行有效性评价。结果 量化评价表满分为50分，药品管理评价得分由2015年36.50分提高到2021年43.75分，药占比由2015年37.97%降至2021年21.62%，药品加成率由2015年14.38%降至2021年0.96%，抗菌药物使用强度（DDDs）由2018年55.48降至2021的39.30，门诊和住院患者基本药物处方占比高于三级公立医院绩效考核指标数据。结论 药品管理内部控制评价体系促进医院药品管理专业化能力提高，医院收支结构优化，合理用药水平持续提升，推进医院高质量发展，为实施健康中国战略保驾护航。 |
| 中文关键词:公立医院 药品管理 内部控制评价 高质量发展 |
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| Quantitative evaluation on internal control of drug management in a tertiary public hospital in Shanghai |
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| Abstract:Objective To establish the quantitative evaluation system on the internal control of drug management, which could reflect the improvement and optimization of the internal control of drug management and be reference for the drug management in the hospital. Methods Brainstorm method was used to design a quantitative evaluation table. The methods of walking test, field inspection and comparative analysis were used to carry out the internal control design and execution effectiveness evaluation. Results Evaluation score increased from 36.50 points in 2015 to 43.75 points in 2021 when the full score was 50 points. The proportion of drug intotal income decreased from 37.97% in 2015 to 21.62% in 2021.The drug markup rate decreased from 14.38% to 0.96%, and the intensity of antibiotic DDDs decreased from 55.48 in 2018 to 39.30 in 2021. The proportion of essential drug prescriptions was higher than the national examination data. Conclusion The optimizing quantitative evaluation system on the internal control of drug management could improve the management specialization, the structure of income and payout and the level of rational drug use, promote the high-quality development of hospitals and safeguard the implementation of the Healthy China strategy. |
| keywords:public hospital drug management the evaluation of the internal control high-quality development |
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