浅谈药剂科对医院不合理用药的药学干预

目的 了解泾县医院药剂科对不合理用药管理的药学干预效果。方法 对泾县医院2014年实施药学干预前后的药品使用数据进行比较分析,对比管理前后抗菌药物等使用指标变化,评价管理效果。结果 通过对不合理用药的持续干预,该院药品使用情况更加合理。住院病人次均药品费用三年间下降581元,下降幅度30.8%,辅助用药总费用三年间下降至1 030.1万元,辅助用药总费用占比下降15.11%,抗菌药物临床使用指标逐步优化。结论 通过药剂科对医院不合理用药的持续性干预,有效减少了病人在辅助用药上的支出,抑制了临床抗菌药物不合理使用行为。为医院临床路径工作的有序开展提供了药学支持,为新一轮公立医院医疗改革的有效落实提供了合理用药的有利环境。

Pharmaceutical intervention of irrational drug use in hospital

Objective To explore the effect of pharmaceutical intervention on irrational drug use management in the pharmacy department of Jingxian Hospital of Anhui Province.Methods A comparative analysis was made of drug use data before and after pharmaceutical intervention implemented in Jingxian Hospital in 2014,and the management effect was evaluated by comparing the use indexes of antibacterial drugs before and after management.Results Through continuous intervention of irrational drug use in hospital,the drug use is more reasonable.Per-visit inpatient drug expense fell by 581 yuan in three years with a decrease rate of 30.8%.The total cost of adjuvant drugs decreased by 1 030.1 million yuan in three years,and the proportion of total cost of auxiliary drugs decreased by 15.11%.The clinical indexes of antibacterial were gradually optimized.Conclusions Persistent intervention for irrational use of drug in hospital effectively reduces the cost spent on the adjuvant drugs and inhibits the irrational use of clinical antibacterial.It not only provides pharmaceutical support for effective implementation of the hospital clinical pathway work,but also creates a favorable environment of rational drug use for a new round of reform in public hospitals.