Establishment and Application of Charge-by-dose Model for Pediatric Drugs in Our Hospital
- VernacularTitle:我院儿科药品按剂量收费模式的建立与应用
- Author:
Hongyun LI
1
;
Hua SU
1
;
Shuang LU
1
;
Lijuan LIU
2
Author Information
1. Pharmacy Intravenous Admixture Service，the Second People’s Hospital of Liaocheng/Liaocheng Second Hospital Affiliated to Shandong First Medical University，Shandong Linqing 252600，China
2. ICU，the Second People’s Hospital of Liaocheng/Liaocheng Second Hospital Affiliated to Shandong First Medical Un iversity，Shandong Linqing 252600，China
- Publication Type:Journal Article
- Keywords:
Pediatric drug use;
Charge model;
Charge-by-dose;
Drug savings;
Quantity of drug use;
Amount of drug use
- From:
China Pharmacy
2020;31(17):2158-2162
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE：To establish c harge-by-dose model for pediatric drugs in our hospital ，so as to provide reference for reducing patients ’expenditure，saving medical insurance funds and reducing drug proportion. METHODS ：Since June 2019，a total of 12 kinds of drugs with heavy usage ，high price and large savings in our hospital were selected to establish pediatric charge-by-dose list. The drugs included in the list were split into 1/2 or 1/5 small-sized drug for charge-by-dose model. The process，quality control standards and surplus （loss）drug record of charge-by-dose model were formulated to coordinate the use of pediatric drugs between pharmacies and pediatric departments. The quantity and amount of drugs which were split ，and the drug proportion in pediatric departments were compared between charge-by-dose model and charge-by-unit model （theoretical value of dosage conversion in the same period ）during Jun.-Dec. 2019. RESULTS ：From Jun. to Dec. 2019，the quantities of split drugs each month with charge-by-dose model and charge-by-unit model were （3 346.43±734.73）and（6 821.71±1 468.81）；the amounts of split drugs each month with two models were （53 576.03±10 958.78）yuan and （112 642.75±21 308.77）yuan， respectively，with statistical significance （P＜0.05）. The drug proportion in four pediatric internal medicines departments and one neonatal medicine department had decreased to varying degrees. CONCLUSIONS ：Pediatric drug charge by dose can reduce the use and amount of drugs ，save medical insurance expenditures ，decrease the drug proportion of department.
