药品托管是近几年出现的一种新的药品经营管理模式。本院是一家由政府主办非赢利性的三级综合医院,于2006年开业,设有临床科室30个,现有病床360张(1期),尝试药品托管模式。通过1年的药品托管,我们体会到了药品托管带来的好处,也体会到了药品托管带给我们的无奈。1药品托管的好处1．1药品托管后,杜绝了药品回扣,医生根据患者病情用药,特别是抗生素的使用趋于合理性。不象以前开药有提成,医生常开价格较贵的抗生素类药品。药品托管后,抗生素类药品消耗量最大的是价格低廉的品种,标准规格用的多,奇异规格用的少,如0．5g头孢唑林、1g的头孢曲松、1g的氨苄西林、1g的头孢噻肟用得多,见表1中排名,而价格 Drug custody is a new drug management model emerged in recent years. The hospital is a non-profit, Grade III General Hospital run by the government. Opened in 2006, it has 30 clinical departments and 360 beds (1 phase) to try drug custody mode. Through the one-year drug custody, we realized the benefits of drug custody, but also realized the helplessness of drug custody. 1 The benefits of drug custody 1.1 Drugs custody, eliminate the drug rebate, the doctor according to the patient’s condition medication, especially the use of antibiotics tends to be reasonable. Unlike the previous prescription drugs, doctors often open more expensive antibiotics. After the drug is managed, the antibiotics consumption is the most expensive varieties, the standard specifications with more, with less singular specifications, such as 0.5g cefazolin, 1g of ceftriaxone, 1g of ampicillin, 1g of Cefotaxime is much more used, see Table 1 rankings, and the price