重点监控药品实施“熔断”机制等措施降低医院药占比的实践与体会

Practice and Experience of Decreasing Drug Proportion by a Series of Measures of Circuit Breaker on the Key Monitoring Drugs

摘要: 目的探讨重点监控药品的"熔断"等系列干预措施在降低医院药占比中的有效模式。方法通过对2013-2017年笔者所在医院药占比的数据分析，评价实施重点监控药品"熔断"机制等一系列行政上和技术上的干预措施后，药占比的变化情况。结果措施干预后，该院药占比显著下降，到2017年底，药占比从2015年的37.19%降为27.82%，达到了预期的目标。结论对重点监控药品实施"熔断"等系列机制，有效地降低了该院的药占比，切实降低了患者的药品费用，极大地推动了医院管理水平的提高。

Abstract: OBJECTIVE To study the effective mode of reducing the drug proportion by a series of measures of circuit breaker in the drug management. METHODS Effectiveness of a series of administrative and technical measures were evaluated by analyzing the changes of the drug proportion in the authors' hospital from 2013 to 2017. RESULTS After taking the series of the measures, the drug proportion in the hospital dropped significantly. By the end of 2017, the drug proportion had dropped from 37.19% in 2015 to 27.82%, which reached the expected goal of controling drug proportion. CONCLUSION The series of measures, including circuit breaker in the drug management, effectively reduced the drug proportion and the patients' drug costs in the hospital, which greatly promoted the levels of hospital management.