Pharmacy administration in pilot hospitals with the separation policy between medicine and pharmacy
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摘要: 目的 了解上海市4家郊区三级医院实行医药分开后，对试点医院药事管理的影响，为医药分开政策在上海市的顺利推广实施提供参考。 方法 调研实行医药分开后，4家试点医院药品供应链情况，对比了市六医院与市六东院药品供应差异，及市六东院实行医药分开后合理用药指标的变化。 结果 ①4家试点医院药品供应链实行了院内专业化管理，节省了部分人员成本、设备成本以及药品占用资金。②在断货率上，市六东院药品断货率高于市六医院。③实行医药分开后，市六东院合理用药指标逐步趋向合理。 结论 医药分开既在一定程度上减轻了医院的成本压力，也促进了医院药事管理水平的提高。Abstract: Objective To provide the supporting evidence for the separation policy between medicine and pharmacy by investigating the effect of the policy on pharmacy administration in four three grade hospitals. Methods The drug supply chain management was researched in 4 pilot hospitals. Specifically, the difference between Shanghai Sixth People's Hospital and the Sixth People's Hospital East Campus was compared. Changes of rational drug use index before and after the separation policy were documented for the Sixth People's Hospital East Campus. Results ① 4 pilot hospitals with professional management of hospital drug supply chain achieved savings in staff, equipment and drug inventory. ② The Sixth People's Hospital East Campus has higher out of stock rate than Shanghai Sixth People's Hospital. ③ The rational drug use indicators were ameliorated after implementation of the separation policy in the Sixth People's hospital East Campus. Conclusions The separation policy between medicine and pharmacy not only reduces hospital cost, but also improves hospital pharmacy management.
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