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Analysis on the Effect of Pharmaceutical Intervention on Controlling the Proportion of Drug Cost Accounting for Total Medical Expenditure
Author(s): LIN Yi-jin, ZHOU Li-jian, OUYANG Yu-long, LI Ya-nan
Pages: 53-
56
Year: 2015
Issue:
2
Journal: Hospital Management Forum
Keyword: Essential drugs; Rational drug use; Antibacterial drugs; Antibiotics use density; The proportion of drug cost accounting for total medical expenditure;
Abstract: Objective Through investigating the effect of remediation work on hospital rational drug use, learn the effect of different kinds of measures on promoting rational drug use, which could be an effective reference to further standardize the clinical use of drugs, reduce the proportion of drug cost accounting for total medical expenditure and reduce the burden on patients.Method Collected the proportion of drug cost accounting for total medical expenditure, antibiotics use rate of outpatients and inpatients, antibiotics use density and the cost of antibiotics before intervention, under intervention and maintenance, and conducted trend analysis to learn the intervention effect and maintenance situation.Results The proportion of drug cost accounting for total medical expenditure, antibiotics use rate of outpatients and inpatients, antibiotics use density and the cost of antibiotics for three phases are (41%, 22%, 48%, 65%, 79%, 34%); (37%, 21%, 40%, 66%, 60%, 30%); (33%, 7%, 24%, 54%, 43%, 21%) . The proportion of drug cost accounting for total medical expenditure dropped 8%, outpatient, emergency and inpatient antibiotics use rate decreased by 15%, 24% and 11% respectively. Antibiotics use density decreased 36DDD while the cost of antibiotics decreased 13%.Conclusion Through the implementation of a series of measures including hierarchical management on antibiotics, antibiotics special rectification, hospital rational drug use rectification, specialist medication management and encouragement priority use of essential drugs, clinical rational use of drugs could be well induced and the proportion of drug cost accounting for total medical expenditure could be effectively controlled.
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