Cross-sectional study on balance of payments in PIVAS of medical institutions nationwide
- VernacularTitle:全国医疗机构PIVAS收支平衡情况的横断面研究
- Author:
Ke LI
1
;
Hongyan GU
1
;
Dechun JIANG
1
;
Lulu SUN
2
;
Yingbo ZHAO
2
Author Information
1. Dept. of Pharmacy，Beijing Shijitan Hospital Affiliated to Capital Medical University，Beijing 100038，China
2. Institute of Hospital Management，National Health Commission，Beijing 100044，China
- Publication Type:Journal Article
- Keywords:
pharmacy intravenous admixture services;
balance of payments;
charge standard;
operating cost;
questionnaire survey
- From:
China Pharmacy
2024;35(20):2449-2452
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To know about the pharmacy intravenous admixture charge and operation balance of pharmacy intravenous admixture services （PIVAS） in national medical institutions. METHODS Using questionnaire survey method， the national PIVAS leaders were invited to fill in the questionnaire， investigation and statistical analysis of the drug dispensing charge standard and the income and expenditure situations of PIVAS nationwide were conducted. RESULTS A total of 761 PIVAS completed the questionnaire， among which 466 PIVAS （61.2%） had already started implementing pharmacy intravenous admixture charge， mainly in tertiary hospitals. The charge standards for chemotherapy drugs and parenteral nutrition solutions were relatively high， while the standards for packaged drugs were the lowest， with differences in charge standards among provinces（P＜0.05）. Among the 25 provinces that reported annual drug preparation fee revenue， Hubei had the highest revenue in both 2019 and 2021. In 2019， the number of PIVAS with a balance of payments was more than that of PIVAS with an imbalance of payments， but the number of PIVAS with an imbalance of payments in 2021 exceeded the number of PIVAS with a balance of payments （P＜0.05）； among them， eight provinces were unbalanced in 2019 and 2021， such as Tianjin， Chongqing， Guizhou， etc. CONCLUSIONS PIVAS charge standards of the surveyed medical institutions in all provinces are not unified. It is suggested to improve the charge standard further， formulate the charge adjustment cycle， and promote a sustainable development of PIVAS.
