| 基于DRGs的医院合理用药管理机制探索实践 |
| 投稿时间：2024-04-09 修订日期：2024-09-25 点此下载全文 |
| 引用本文：杨彬,王作君,陈菡,张敬一.基于DRGs的医院合理用药管理机制探索实践[J].药学实践杂志,2025,43(1):22~25,46 |
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| 中文摘要:目的 通过对某三甲医院DRGs付费方式下合理用药管理实践，建立行之有效的管理模式，发挥DRGs在合理用药中的作用，制定药学临床路径，干预医师处方行为，从而提升医院合理用药水平。方法 建立基于DRGs的药品引进机制、合理用药监管机制和主动合理用药数据晾晒机制，依托信息化平台对药品消耗指数、次均药品费用、辅助用药等合理用药指标进行精准定位，通过药事会办公室会日常监管，实现合理用药精准、精细化管理。结果与结论 在基于DRGs的多维度、多层次的合理用药管理下，对DRGs付费方式改革后合理用药效果进行评价，本院各项合理用药指标均持续改善。 |
| 中文关键词:疾病诊断相关分组支付方式改革 合理用药 管理 |
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| The practice of rational drug use management in hospital under the reform of DRGs payment methods |
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| Abstract:Objective To establish an effective management mode, play the full role of DRGs in rational drug use, formulate the pharmaceutical clinical path, and intervene the prescription behavior of doctors, which could improve the level of rational drug use in the hospital through the management practice of rational drug use under the payment method of DRGs in a third-grade hospital. Methods A drug entering mechanism, a rational drug use supervision mechanism and an active and rational drug use data exposure mechanism based on DRGs were established, and the rational drug use indicators such as drug consumption index, average drug cost, and auxiliary drug use were accurately positioned based on the information platform, and the accurate and refined management of rational drug use was realized through the daily supervision of the office of the Pharmaceutical Affairs Committee. Results and Conclusion Under the multi-dimensional and multi-level rational drug use management based on DRGs, the effect of rational drug use was evaluated after the reform of DRGs payment method, and all the index of rational drug use in our hospital were continuously improved. |
| keywords:DRGs payment method reform rational use of drug management |
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