“医药分开”背景下合理用药绩效考核探索与实践

摘要

介绍了“医药分开”背景下医院合理用药绩效考核方案及其效果,发现医院药占比逐年下降,处方合格率持续维持在99％以上,次(例)均药费明显降低,抗菌药使用率低于国家规定标准并趋于合理.合理用药绩效考核是促进医师合理用药、保障患者用药安全的有效工具.%The paper presented the scheme of performance appraisal on rational administration of drugs and its outcomes against the background of "separation of clinic from pharmacy" reform.It found the proportion of medicine decreasing year by year;pass rate of prescriptions above 99％;drug cost per visit decreasing significantly;and the usage rate of antibiotics up to the national standards in a rational trend.Rational drug use has become an effective tool in overseeing physicians' rational drug use and ensuring patient safety.