2011年1-6月某统筹区26家医院住院患者基本医疗保险药品应用情况分析

目的:为合理用药、加强医疗保险管理和控制医疗费用过快增长提供参考。方法:对某统筹区26家医院2011年1-6月药品使用信息进行统计、分析。以药品费用、限定日剂量、用药频度(DDDs)、日均用药金额(DDDc)等作为指标,采用金额、DDDs、DDDc排序法进行分析。结果:三级医院基本医疗保险药品品种使用率为30.53%,二级医院为48.61%,一级医院为5.01%。三级医院药品费用占住院医疗费用百分比(药占比)为50.42%,二级医院为59.74%;一级医院为77.35%。作用于循环系统类和抗微生物类药品费用占较大比重。结论:该统筹区住院基本医疗保险药品品种使用率有待提高;二级医院药占比控制较好,三级和一级医院药占比偏高,应加强用药管理和指标控制。

Analysis of Hospitalized Patients of Basic Medical Insurance Drug Use in an Overall Planning Hospital from Jan. to Jun. of 2011

OBJECTIVE： To provide reference for treatment due to illness, rational drug use, medical insurance management and medical cost control. METHODS： Information＇ s about drug use of 26 overall planning hospitals were extracted and analyzed statistically from Jan. to Jun. of 2011. Using the drug cost and DDD, DDDs, DDDc as index, the amount, DDDs, DDDc sequence were adopted and Excel software was used to calculate the total amount. RESULTS： The utilization ratio of basic medical in- surance medicine in 3^rd class hospitals was 30.53%, in 2^nd class hospitals was 48.61%, and in 1^st class hospitals was 5.01%. The proportion of drug cost in hospitalization cost （drug ratio） in 3rd class hospitals was 50.42%, in 2^nd class hospitals was 59.74%, and in 1st class hospitals was 77.35%. The cost of drugs for cardiovascular system and antimicrobials take up the great proportion. CONCLUSION： The utilization ratio of basic medical insurance drug in overall planning hospitals needs to be improved; the drug ratio for 2^nd class hospital is well-controlled and relatively high for 1^st class and 3^rd class hospitals. The management of drug use and index control should be improved too. KEY WORDS Hospitalization; Basic medical insurance drug; Drug use analysis; Drug cost