Discussion on Formulation Strategy of Medication Indexes in Clinical Departments of Hospital / 中国药房

ABSTRACT

OBJECTIVE:To understand the formulation method of medication index in clinical departments of the local hospital and the improvement of hospital medication index after the formulation of medication index. METHODS:Retrospective analysis was used to summarize and analyze the formulation,revision and application of 5 medication indexes(the proportion of drug cost in medical income,utilization rate of antibiotics in the inpatients,AUD of inpatients,the proportion of antibiotics cost in drug income,the proportion of national essential medicine cost in drug income)in clinical departments of 4 general hospitals of Nanyang. RESULTS:The medication indexes of clinical departments in 4 hospitals were formulated primarily during 2009-2014. The formulation of medication indexes in clinical departments was passed and implemented by Pharmaceutical Administration and Drug Treatment Committee/Antibiotics Management Group on the basis of the previous indicators of clinical departments. Till 2017,the times of medication indexes revision were 0.42-0.58 time/year. Before the formulation of medication indexes in clinical departments,5 indexes of each hospital were mostly not in line with the regulation of health administration department. During Jul. 2016-Jun. 2017,5 medication indexes of 4 hospitals ranged 32%-41%,47%-53%,30-37 DDD,13%-20%,21%-32%, respectively. Rational drug indexes conformed to the provisions of the administrative department of health basically. The author provided related suggestions about departments in charge of formulating and adjusting medication indexes,methods for the primary formulation and modification of medication indexes,formulation of medication indexes in special department,management measures after the formulation of medication indexes. CONCLUSIONS:At present,the formulation and management of medication indicators in 4 hospitals of local area develop well,and effectively promote the level of clinical rational drug use.