药品降价和采购调控对我院抗感染药物利用的影响.pdfVIP

·房药分析· 药品择价和采购调控对我院抗感染药物利用的影响 精忠蜀气刻足泼，万瑞香，郭海来，踪德利(青岛大学医学院费t属医院，青岛市 266∞3) 中图分类号 R978.1 文献标ì.!Hiij A 文章编号 10在1-0408(2仅J4) 12-0738-03 摘 要 昌约2 探计药品降价和泉魏调控苛医?就抗惑主主药物矛J)毒约影喃。方法革局面穰性方法对5 次捧tIt期i哥我Ilt抗感辈药物的 应月靖况遂行分析。结果:总惑染药物镜售额占药品总错售额约比然逐年下萍，但抗感染药物总体限定目费周逐年土升，各类就感 荣药物的窍药烧友和总体限定日费用呈不同铃变化趋势。结论z 宏观的药品在争伶咛抗感染药物的合理应另起到了租板的干预作薄， 但效果远幸达到最佳g垂呈现萄采购调控手段正发挥着本可替代约作用。 关键渴 药品降价;来购调控;抗感染药物;限定日部量;另药策是 Influence of Drug Price Red在cti栩栩d Re军ulation of Purchase on the Use of Anti - infectives in Our Hos- pital SUI Zhongguo ,]ING Fanbo ,WAJv. Ruixiang ,GUO Haiya口， CHEN Deli(The Affiliated Hospital of Medical College ,Qingdao University ,Qingdao 266003) ABSτRACT OBjECτIVE: To discuss the influence of drug price red泣ction and 目gularion of purchase on the use of ntÎ infectives in our hospítal.METHODS: The use of anti • infectÎves În 5 times of drug price reduction was retmspective anal- ysed.RESULTS:The proportÎon of the sum of monεy 10玄 consumptîon of anti - infectives în the tota1 3um for drug consumption dropped year by yεar but d世 to坦l DDDc of anti - infectives increased year by year. The DDD舍 and the tota1 DDDc of all kînds of anti - infectives showed dìfferent characteristics.CO~CLUSION: The macr回copìc price reductiûn for anti - infectíves posi tívely affects the rational 也se of anti - infectives. yet the effect is Hmited .MicroCOSI立刻c regulation of purchase offers an indîs pensable effect. KEY WORDS drug price reduction ;regulation of purchase;anti - infectìve; defined daily dose; frequency of 企唔 use 主运感染药物是目前我医格床上应用最广、换代最快、产品 定。 DDDs=药品总消耗量心DD 值。年均增长率(AARG)= 最多的药物。近年来国家发改委对药品一共进行了 5 次降 口止年费用或用量/给年费用或黑量)F止军~始年;-1) X lQO%o 价，其中抗感染药物是挥手价次数最多、降福最大的品矜。而药品 DDDc=零售额! DDDs，药物的总体DDDc 代表总体价格水 降价作为促进抗感染药物合理应用的一种宏褒调控手段，随着 子，表示患者应用该药的平均日费用。