多家儿童专科医院用药情况分析
投稿时间:2024-04-19  修订日期:2024-09-30  点此下载全文
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作者单位邮编
杜月 上海市儿童医院 200062
李嘉莉 上海市儿童医院 200062
柴昱 上海市儿童医院 200062
陈少卿 上海市儿童医院 200062
战旗 上海市儿童医院 200062
中文摘要:目的:了解2016-2020年间全国17家儿童专科医院儿童用药的受用情况,为我国儿童基本药物目录的制定和医保目录的完善提供参考和借鉴。方法:以中国药学会全国医药信息网(CMEI)2016-2020年间上报数据的17家儿童专科医院儿童用药监测数据为基础,对样本医院的整体情况和各ATC大类的儿童临床药物使用情况进行分析。结果:在各ATC大类中,全院院均金额中全身用抗感染药物下降趋势明显,全院院均DDDS中,呼吸和消化系统及代谢药下降趋势明显。2020年基本药物(2018年)院均品规数量占全药使用品规数量的15.82%,医保(2019年)院均品规数量占全药使用品规数量的8.23%。结论:2016-2020儿科用药使用基本合理,现有基本药物目录和医保目录与实际临床使用习惯还具有一定差距,基本药物目录和医保目录尚有待调整。
中文关键词:儿童用药  基本药物  医保目录  使用金额  使用量
 
Analysis of Drug Use in Multiple Children"s Specialized Hospitals
Abstract:Objective: To understand the usage of pediatric drugs in 17 pediatric specialty hospitals nationwide from 2016 to 2020, and provide reference and guidance for the development of the essential drug catalog for children and the improvement of the medical insurance catalog in China. Method: Based on the monitoring data of pediatric drug use reported by the National Medical Information Network (CMEI) of the Chinese Pharmaceutical Association from 2016 to 2020, the overall situation of the sample hospitals and the clinical drug use of children in various ATC categories were analyzed. Result: In the various ATC categories, the trend of systemic use of anti infective drugs decreasing is significant in the average hospital expenditure, while the trend of respiratory and digestive system and metabolic drugs decreasing is significant in the average hospital DDDS. In 2020, the average number of hospital grade standards for essential drugs (2018) accounted for 15.82% of the total number of drug use standards, while in 2019, the average number of hospital grade standards for medical insurance (2019) accounted for 8.23% of the total number of drug use standards. Conclusion: The use of pediatric medication from 2016 to 2020 is generally reasonable, and there is still a certain gap between the existing essential drug catalog and medical insurance catalog and actual clinical usage habits. The essential drug catalog and medical insurance catalog still need to be adjusted.Objective: To understand the usage of pediatric drugs in 17 pediatric specialty hospitals nationwide from 2016 to 2020, and provide reference and guidance for the development of the essential drug catalog for children and the improvement of the medical insurance catalog in China. Method: Based on the monitoring data of pediatric drug use reported by the National Medical Information Network (CMEI) of the Chinese Pharmaceutical Association from 2016 to 2020, the overall situation of the sample hospitals and the clinical drug use of children in various ATC categories were analyzed. Result: In the various ATC categories, the trend of systemic use of anti infective drugs decreasing is significant in the average hospital expenditure, while the trend of respiratory and digestive system and metabolic drugs decreasing is significant in the average hospital DDDS. In 2020, the average number of hospital grade standards for essential drugs (2018) accounted for 15.82% of the total number of drug use standards, while in 2019, the average number of hospital grade standards for medical insurance (2019) accounted for 8.23% of the total number of drug use standards. Conclusion: The use of pediatric medication from 2016 to 2020 is generally reasonable, and there is still a certain gap between the existing essential drug catalog and medical insurance catalog and actual clinical usage habits. The essential drug catalog and medical insurance catalog still need to be adjusted.
keywords:medication for children  essential medicine  medical insurance catalog  the expense of medication for children  amount of medication for children
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