Research on formulating an adaptive index criterion of hospital pharmaceutical management under new medical reform: estimating method and process_Chinese Journal of Evidence-Based Medicine

Authors：

WANG Yingqiang ¹ ,  WU Xueying ² ,  SHEN Hong ¹ , LI Chaojin ³ , GUO Qiuhong ^1,4 , WANG Chongwei ⁵

1. Department of Medical Administration, 363 Hospital, Chengdu, 610041, P.R.China;
2. Department of Neurology, 363 Hospital, Chengdu, 610041, P.R.China;
3. Department of Pharmacy, 363 Hospital, Chengdu, 610041, P.R.China;
4. Department of Medical Record, 363 Hospital, Chengdu, 610041, P.R.China;
5. Department of Information, 363 Hospital, Chengdu, 610041, P.R.China;

Corresponding author：

WU Xueying, Email: 3123596960@qq.com; SHEN Hong, Email: 937834610@qq.com

Keywords：

New medical reform; Pharmaceutical management; Drug proportion; Index criteria; Estimating process

DOI：

10.7507/1672-2531.201710062

Video：

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To achieve policy goals of new medical reform, a control line of drug proportion was delimited for hospitals by the Department of National Administration. However, to formulate criteria of drug proportion in a scientific and rational approach has been a challenge, which plagued numerous medical workers. This study aims to analyze the baseline data of drug proportion and its impact factors in clinical departments, and quality control charts are applied to explore an estimating method and process for rationally formulating an index criterion of pharmaceutical management, so as to provide a reference for hospital management practice.

Citation： WANG Yingqiang, WU Xueying, SHEN Hong, LI Chaojin, GUO Qiuhong, WANG Chongwei. Research on formulating an adaptive index criterion of hospital pharmaceutical management under new medical reform: estimating method and process. Chinese Journal of Evidence-Based Medicine, 2018, 18(7): 740-745. doi: 10.7507/1672-2531.201710062 Copy

1.	闫军峰, 夏训良, 张金安. 医院药品管理药占比控制中存在的问题及探讨. 药物流行病学杂志, 2015, 24(5): 295-297.
2.	徐敢, 王冲. 药占比在医院管理评价工作中的管制价值和社会效果分析. 中国药房, 2015, 26(34): 4762-4765.
3.	李鹏飞, 吴淑艳, 江桃红, 等. 药占比作为医院管理评价指标存在的问题及对策研究. 安徽卫生职业技术学院学报, 2017, 16(1): 4-5.
4.	陈刚. 药占比管制能控制医疗费用吗?—基于县级医院的理论与实证分析. 财经论丛, 2014, 8(8): 87-96.
5.	乔丽名, 张殿勇, 杨国士. 某院降低药占比的做法与成效. 解放军医院管理杂志, 2014, 21(4): 373-374.
6.	周枫, 傅全威. 从药占比看医院管理成效. 解放军医院管理杂志, 2013, 20(5): 488, 493.
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8.	国务院. 关于印发"十三五"深化医药卫生体制改革规划的通知. 国发[2016]78 号, 2016.
9.	国家卫生和计划生育委员会. 2016 中国卫生和计划生育统计年鉴, 2017.
10.	Benneyan JC, Lloyd RC, Plsek PE. Statistical process control as a tool for research and healthcare improvement. Qual Manag Health Care, 2003, 12(6): 458-464.
11.	Alemi F, Sullivan T. Tutorial on risk adjusted X-bar charts: applications to measurement of diabetes control. Qual Manag Health Care, 2001, 9(3): 57-65.
12.	Boggs PB. Rethinking asthma from business to bedside. Ann Allergy Asthma Immunol, 2005, 95(5 Suppl 1): S3-9.
13.	Schuh A, Canham-Chervak M, Jones BH. Statistical process control charts for monitoring military injuries. Inj Prev, 2017, 23(6): 416-422.
14.	梁桂玲, 林佩彤, 曾少婷, 等. P 控制图在医疗质量管理中的应用探讨. 中国病案, 2014, 15(4): 51-53.
15.	祝文彩, 季伙燕, 王惠民. 用单值-移动极差法建立 HBsAg 定量检测室内质量控制图. 临床检验杂志, 2014, 32(8): 634-636.
16.	Wheeler DJ. Advanced topics in statistical process control: the power of Shewhart's Charts. Knoxville, Tennessee: SPC Press, 1995, 1-465.
17.	王应强, 罗倩倩, 郭秋鸿, 等. 基于曲线估计及趋势季节模型预测医疗机构出院人次的应用研究. 中国循证医学杂志, 2017, 17(10): 1145-1149.
18.	马佩杰, 张妍, 田青, 等. 某院降低药占比以促进合理用药的干预效果分析. 中国药房, 2015, 26(16): 2290-2292.

1. 闫军峰, 夏训良, 张金安. 医院药品管理药占比控制中存在的问题及探讨. 药物流行病学杂志, 2015, 24(5): 295-297.
2. 徐敢, 王冲. 药占比在医院管理评价工作中的管制价值和社会效果分析. 中国药房, 2015, 26(34): 4762-4765.
3. 李鹏飞, 吴淑艳, 江桃红, 等. 药占比作为医院管理评价指标存在的问题及对策研究. 安徽卫生职业技术学院学报, 2017, 16(1): 4-5.
4. 陈刚. 药占比管制能控制医疗费用吗?—基于县级医院的理论与实证分析. 财经论丛, 2014, 8(8): 87-96.
5. 乔丽名, 张殿勇, 杨国士. 某院降低药占比的做法与成效. 解放军医院管理杂志, 2014, 21(4): 373-374.
6. 周枫, 傅全威. 从药占比看医院管理成效. 解放军医院管理杂志, 2013, 20(5): 488, 493.
7. 国务院办公厅. 关于城市公立医院综合改革试点的指导意见. 国办发[2015]38 号, 2015.
8. 国务院. 关于印发"十三五"深化医药卫生体制改革规划的通知. 国发[2016]78 号, 2016.
9. 国家卫生和计划生育委员会. 2016 中国卫生和计划生育统计年鉴, 2017.
10. Benneyan JC, Lloyd RC, Plsek PE. Statistical process control as a tool for research and healthcare improvement. Qual Manag Health Care, 2003, 12(6): 458-464.
11. Alemi F, Sullivan T. Tutorial on risk adjusted X-bar charts: applications to measurement of diabetes control. Qual Manag Health Care, 2001, 9(3): 57-65.
12. Boggs PB. Rethinking asthma from business to bedside. Ann Allergy Asthma Immunol, 2005, 95(5 Suppl 1): S3-9.
13. Schuh A, Canham-Chervak M, Jones BH. Statistical process control charts for monitoring military injuries. Inj Prev, 2017, 23(6): 416-422.
14. 梁桂玲, 林佩彤, 曾少婷, 等. P 控制图在医疗质量管理中的应用探讨. 中国病案, 2014, 15(4): 51-53.
15. 祝文彩, 季伙燕, 王惠民. 用单值-移动极差法建立 HBsAg 定量检测室内质量控制图. 临床检验杂志, 2014, 32(8): 634-636.
16. Wheeler DJ. Advanced topics in statistical process control: the power of Shewhart's Charts. Knoxville, Tennessee: SPC Press, 1995, 1-465.
17. 王应强, 罗倩倩, 郭秋鸿, 等. 基于曲线估计及趋势季节模型预测医疗机构出院人次的应用研究. 中国循证医学杂志, 2017, 17(10): 1145-1149.
18. 马佩杰, 张妍, 田青, 等. 某院降低药占比以促进合理用药的干预效果分析. 中国药房, 2015, 26(16): 2290-2292.

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