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目的:分析军队人员药品费用结构,推动合理用药工作。方法:运用合理用药及药品费用分析系统,对某军队医院军队人员2003-2008年门诊、住院药品费用等数据进行统计分析,比较应用该系统前后药品费用增长幅度。结果:应用该系统前,2003年1月-2005年12月军队人员门诊和住院人均日药费分别为19.98元、30.99元、70.23元和91.60元、119.59元、161.88元;应用该系统后,2006年1月-2008年12月药费为83.88元、90.19元、93.30元和161.88元、238.57元、245.24元。两者比较,应用该系统后,军队人员门诊和住院人均日药品费用增幅下降显著;药品费用占其他医疗费用的比例也呈下降趋势。结论:采用合理用药及药品费用分析系统可在一定程度上控制药品费用的过快增长,有利于推动临床合理用药工作。
Objective: To analyze the cost structure of medicines for military personnel and promote rational drug use. Methods: By using the system of rational drug use and drug cost analysis, the data of outpatient service, hospitalization cost and other data of military personnel in a military hospital from 2003 to 2008 were statistically analyzed to compare the increase of drug cost before and after the application of the system. Results: Before the system was applied, the average daily cost of outpatient service and hospitalization for military personnel from January 2003 to December 2005 was 19.98 yuan, 30.99 yuan, 70.23 yuan and 91.60 yuan respectively, and 119.59 yuan and 161.88 yuan respectively. After the system was applied, January 2006 - December 2008 drug costs were 83.88 yuan, 90.19 yuan, 93.30 yuan and 161.88 yuan, 238.57 yuan, 245.24 yuan. The comparison between the two shows that after the system was applied, the increase rate of per capita daily drug expenses for military personnel out-patient and in-hospital decreased significantly; the proportion of drug expenses in other medical expenses also showed a downward trend. Conclusion: The rational use of drugs and drug cost analysis system can control the excessive growth of drug costs to a certain extent, is conducive to promoting clinical rational drug use.