文章摘要
戚宝和,,姚 纯,,徐正龙,,潘晓霞,,李 梅.阳光用药监管平台合并驾照式计分管理对医保控费的成效分析[J].南京医科大学学报(社会科学版),2020,(3):280~283
阳光用药监管平台合并驾照式计分管理对医保控费的成效分析
投稿时间:2019-05-13  
DOI:10.7655/NYDXBSS20200316
中文关键词: 阳光用药  医保  合理用药
英文关键词: sunshine medication  medical insurance  rational drug use
基金项目:江苏省药学会—天晴临床药学“阳光用药监管平台对医保控费的成效分析”(Q2018093)
作者单位
戚宝和, 兴化市人民医院药事办 江苏 兴化 225700 
姚 纯, 兴化市人民医院药事办 江苏 兴化 225700 
徐正龙, 兴化市人民医院药事办 江苏 兴化 225700 
潘晓霞, 兴化市人民医院药事办 江苏 兴化 225700 
李 梅 兴化市人民医院药事办 江苏 兴化 225700 
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中文摘要:
      为分析和比较医院实施阳光用药监管平台合并驾照式管理对医保控费的成效,抽取2016年实施阳光用药监管平台合并驾照式管理前,和2017—2018年实施阳光用药监管平台合并驾照式管理后的处方,同时通过医院信息管理系统收集数据,比较实施前后药占比,抗菌药物费用、辅助用药费用、基本药物费用,次均费用,统筹支付比例情况。 结果显示,2016—2018年,住院患者药占比从40.94%逐步下降至33.63%,门诊患者药占比从36.14%下降至34.15%;药费中抗菌药物和辅助药品的费用不断下降,基本药物的费用比例不断上升;重点监控药品费用不断下降。次均费用呈逐年下降趋势,而统筹支付比例呈上升趋势。实施阳光用药监管平台合并驾照式管理能够提升用药合理性,降低药品费用,从而对医保费用进行有效控制。
英文摘要:
      To evaluate the effectiveness of hospital?implemented Sunshine Medication Supervision Platform (SMSP) combined with Driver License Scoring?like Management (DLSM) for decreasing the cost of medical insurance, the prescriptions pre (2016) and post (2017—2018) the implementation of the DLSM were selected and the data were withdrawn via the hospital information management system, including the percentage of drug cost, basic medication cost, antibiotics cost, supplementary medication cost, sub?average costs and coordinated payment ratio. The results showed that the proportion of inpatients and outpatients decreased gradually from 2016 (40.94%, 36.14%) to 2018 (33.63%, 34.15%). The costs of antibiotics and supplementary medication of total medication costs continued to decrease. The proportion of expenses continued to rise and the cost of key monitoring drugs continued to decline. The average cost per year was decreasing year by year, while the proportion of overall payment was on the rise. The implementation of the SMSP combined with DLSM can improve the rationality of medication and reduce the cost of medicines, thus effectively controlling the cost of medical insurance.
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