Abstract Objective To summarize the practice and effect of pharmaceutical administration in Beijing Friendship Hospital, Capital Medical University (“our hospital” for short), and to provide reference for drug management in public hospitals under the new situation. Methods The main measures of drug cost management in our hospital were introduced, and the total amount of outpatient drugs, inpatient drugs, adjuvant drugs, total number of outpatients and discharged patients were analyzed statistically from 2016 to 2019. The proportion of average outpatient drug cost, average inpatient drug cost and adjuvant drugs cost in the four years was compared, and the management effectiveness was comprehensively evaluated. Results From 2016 to 2019, the average drug cost per outpatient in our hospital gradually decreased, and decreased by 4.86%, 1.67% and 9.20% in 2017, 2018 and 2019 compared with the previous year (P＜0.05). The average drug cost per hospitalization decreased year by year, and decreased by 5.31%, 0.05% and 1.65% in 2017, 2018 and 2019, respectively, compared with the previous year (P＜0.05). The expense proportion of auxiliary drugs was decreased year by year, and decreased by 18.45%, 24.82% and 5.83% in 2017, 2018 and 2019 compared with the previous year. Conclusion Through multi-department co-management in our hospital, a new drug expense management mode is formed, which can be summed up as “budget leading, performance ending, to departments, overall management”. The management effectively reduces the average drug expenses per outpatient and inpatient as well as the expense proportion of auxiliary drugs, and improves the level of rational drug use in the hospital.
ZHANG Yang LI Zhe CHENG Sheng GUO Heng SHEN Su LI Xingang. Practice and effect analysis of detailed budget management of drug expenses in a class A general hospital in Beijing[J]. 中国医药导报, 2023, 20(3): 180-183.
