浏览全部资源
扫码关注微信
- Journal Information
- Archive
- Submission
- For Reviewers
- Statement and Policies
Cost calculation of centralized dispensing of 4 categories of drugs in pharmacy intravenous admixture service
- ZHONGGUO YAOFANG Vol. 35, Issue 11, Pages: 1386-1390(2024)
- 作者机构：
1.西安交通大学第一附属医院药学部，西安 710061
2.西安医学院药学院，西安 710021
- 作者简介：
- 基金信息：
DOI：10.6039/j.issn.1001-0408.2024.11.18
CLC： R95Published：15 June 2024，
Received：10 January 2024，
Revised：22 April 2024，
扫 描 看 全 文
李长琨,王启阳,张晓霞等.静脉用药调配中心集中调配4类药品的成本测算 Δ[J].中国药房,2024,35(11):1386-1390.
LI Changkun,WANG Qiyang,ZHANG Xiaoxia,et al.Cost calculation of centralized dispensing of 4 categories of drugs in pharmacy intravenous admixture service[J].ZHONGGUO YAOFANG,2024,35(11):1386-1390.
李长琨,王启阳,张晓霞等.静脉用药调配中心集中调配4类药品的成本测算 Δ[J].中国药房,2024,35(11):1386-1390. DOI： 10.6039/j.issn.1001-0408.2024.11.18.
LI Changkun,WANG Qiyang,ZHANG Xiaoxia,et al.Cost calculation of centralized dispensing of 4 categories of drugs in pharmacy intravenous admixture service[J].ZHONGGUO YAOFANG,2024,35(11):1386-1390. DOI： 10.6039/j.issn.1001-0408.2024.11.18.
摘要
目的
2
测算静脉用药调配中心（PIVAS）集中调配4类药品（普通药物、抗菌药物、危害药品和全胃肠外营养液）的成本，为相关部门制定收费标准提供参考依据。
方法
2
通过问卷调查法收集陕西省12家医疗机构的PIVAS运营成本，包括人力成本、医疗卫生材料成本、固定资产折旧及修缮成本、水电成本与管理成本，综合采用操作时间分配系数法和工作量分配系数法对以上成本进行分配，计算得到4类药品的单位调配成本。
结果
2
陕西省PIVAS调配普通药物、抗菌药物、危害药品和全胃肠外营养液的年均总成本分别为（2 195 900.25±1 680 893.73）、（746 341.59±725 839.39）、（331 420.15±183 258.83）、（330 322.68±277 281.70）元，其中人力成本占比最大，平均占比为85.49%。调配1组普通药物、抗菌药物和危害药品的成本分别为5.89、7.60、14.37元，调配1袋全胃肠外营养液的成本为32.15元（不含一次性静脉营养袋成本）。
结论
2
本研究所得不同类别静脉药物的调配成本计算方法及数据，可为相关部门制订和调整PIVAS收费标准提供参考。
Abstract
OBJECTIVE
2
To calculate the cost of centralized dispensing of four categories of drugs （ordinary drugs， antibacterial drugs， hazardous drugs， and parenteral nutrition solutions） in pharmacy intravenous admixture service （PIVAS）， and provide reference for setting charging standards for relevant departments.
METHODS
2
The operating costs of PIVAS in 12 medical institutions from Shaanxi province were collected through questionnaire survey， including labor costs， medical and health material costs， fixed asset depreciation and repair costs， water and electricity costs， and management costs. The operation time allocation coefficient method and workload allocation coefficient method were comprehensively used to allocate the above costs， and the unit preparation costs of four categories of drugs were calculated.
RESULTS
2
The average annual total costs of dispensing ordinary drugs， antibacterial drugs， hazardous drugs， and parenteral nutrition solutions in Shaanxi province were （2 195 900.25±1 680 893.73） yuan， （746 341.59±725 839.39） yuan， （331 420.15±183 258.83） yuan， and （330 322.68±277 281.70） yuan， respectively， with labor costs accounting for the highest proportion， averaging 85.49%. The costs of dispensing a set of ordinary drugs， antibacterial drugs， and hazardous drugs were 5.89， 7.60， and 14.37 yuan， respectively； the cost of dispensing one bag of parenteral nutrition solution was 32.15 yuan （excluding the cost of disposable intravenous nutrition bags）.
CONCLUSIONS
2
The cost calculation method and data of different types of intravenous drugs obtained in this study can provide reference for relevant departments to formulate and adjust PIVAS fee standards.
关键词
静脉用药调配中心药品调配成本测算操作时间分配系数法工作量分配系数法人力成本
Keywords
drug dispensingcost calculationoperation time allocation coefficient methodworkload allocation coefficient methodlabor cost
references
吴迪，张明霞，韦薇，等. 基于甘肃省医疗机构PIVAS建设及运行现状调查的多中心横断面研究[J]. 中国医院药学杂志，2022，42（15）：1594-1599.
WU D，ZHANG M X，WEI W，et al. Based on the current status of PIVAS construction and operation in medical institutions in Gansu：a cross-sectional study[J]. Chin J Hosp Pharm，2022，42（15）：1594-1599.
张惠霞，李宁，周艳萍，等. 某院PIVAS助班护士效率提升研究[J]. 西北国防医学杂志，2020，41（10）：646-650.
ZHANG H X，LI N，ZHOU Y P，et al. Research on improvement of allocative efficiency of PIVAS assistant nurses in a hospital[J]. Med J Natl Defending Forces Northwest China，2020，41（10）：646-650.
葛孟华，余利荣，李明祥，等. 静脉药物中心在基层医院的实践作用[J]. 现代医院管理，2010，8（4）：65-66.
GE M H，YU L R，LI M X，et al. Practical role of intravenous drug preparation center in primary hospitals[J]. Mod Hosp Manag，2010，8（4）：65-66.
杨春松，张天一，张伶俐，等. 我国静脉用药集中调配中心成本测算现状及系统评价[J]. 中国药房，2019，30（19）：2707-2711.
YANG C S，ZHANG T Y，ZHANG L L，et al. Status quo of cost estimation and systematic review in pharmacy intravenous admixture services in China[J]. China Pharm，2019，30（19）：2707-2711.
董卫华，岳媛，马娟鹃，等. 陕西省医疗机构静脉用药调配中心运行情况调研[J]. 中国医院药学杂志，2019，39（20）：2019-2024.
DONG W H，YUE Y，MA J J，et al. Investigation and study on PIVAS in hospitals of Shaanxi province[J]. Chin J Hosp Pharm，2019，39（20）：2019-2024.
李鹏，朱龙社，张方，等. 医院静脉用药集中成品输液全成本核算[J]. 西南国防医药，2019，29（6）：716-718.
LI P，ZHU L S，ZHANG F，et al. Total cost accounting of finished infusion for centralized configuration of intravenous drugs in hospitals[J]. Med J Natl Defending Forces Southwest China，2019，29（6）：716-718.
王人英，曾晓华，陈倩超，等. 某肿瘤专科医院危害药品静脉的明细成本分析[J]. 今日药学，2014，24（12）：894-896，911.
WANG R Y，ZENG X H，CHEN Q C，et al. Detailed cost accounting for cytotoxic drugs in PIVAS of intravenous tumor hospital[J]. Pharm Today，2014，24（12）：894-896，911.
王振，李祥. 某市级公立医院静配中心成品输液成本核算探讨[J]. 中国医疗管理科学，2023，13（5）：123-127.
WANG Z，LI X. Costing of infusion products in intravenous admixture service of a municipal public hospital[J]. Chin J Med Manag Sci，2023，13（5）：123-127.
郝洁. 公立医院项目成本核算方法的比较和分析[J]. 商业会计，2021（22）：92-96.
HAO J. Comparison and analysis of project cost accoun- ting methods in public hospitals[J]. Commer Account，2021（22）：92-96.
国家卫生健康委. 公立医院成本核算规范[EB/OL].（2021-02-03）[2023-12-01]. http：//www.nhc.gov.cn/caiwusi/s7785t/202102/e3fa2383ac944459b304c497359b07-b1.shtmlhttp://www.nhc.gov.cn/caiwusi/s7785t/202102/e3fa2383ac944459b304c497359b07-b1.shtml.
National Health Commission of the People’s Republic of China. Standardized cost accounting for public hospitals[EB/OL]. （2021-02-03）[2023-12-01]. http：//www.nhc.gov.cn/caiwusi/s7785t/202102/e3fa2383ac944459b304c-497359b07b1.shtmlhttp://www.nhc.gov.cn/caiwusi/s7785t/202102/e3fa2383ac944459b304c-497359b07b1.shtml.
北京市市场监督管理局. 静脉用药集中调配规范[EB/OL].（2020-04-01）[2023-12-01]. https：//dbba.sacinfo.org.cn/stdDetail/aab09054e65883689e69ffa53aec537c9c7dcb-12f35eb693d31aa99f087bd3f5https://dbba.sacinfo.org.cn/stdDetail/aab09054e65883689e69ffa53aec537c9c7dcb-12f35eb693d31aa99f087bd3f5.
Beijing Municipal Administration for Market Regulation. Standards for centralized preparation of intravenous medications [EB/OL].（2020-04-01）[2023-12-01]. https：//dbba.sacinfo.org.cn/stdDetail/aab09054e65883689e69ffa53aec-537c9c7dcb12f35eb693d31aa99f087bd3f5https://dbba.sacinfo.org.cn/stdDetail/aab09054e65883689e69ffa53aec-537c9c7dcb12f35eb693d31aa99f087bd3f5.
国家卫生健康委. 抗肿瘤药物临床应用管理办法[EB/OL].（2020-12-28）[2023-12-01]. http：//www.nhc.gov.cn/yzygj/s7659/202012/a7600740bed44d1db7015ca5a1be2cc-0.shtmlhttp://www.nhc.gov.cn/yzygj/s7659/202012/a7600740bed44d1db7015ca5a1be2cc-0.shtml.
National Health Commission of the People’s Republic of China. Regulations on the clinical application management of antitumor drugs [EB/OL].（2020-12-28）[2023-12-01]. http：//www.nhc.gov.cn/yzygj/s7659/202012/a7600740- bed44d1db7015ca5a1be2cc0.shtmlhttp://www.nhc.gov.cn/yzygj/s7659/202012/a7600740-bed44d1db7015ca5a1be2cc0.shtml.
杨春松，张天一，张伶俐，等. 我国静脉用药集中调配中心收费现状的系统评价[J]. 中国药房，2019，30（17）：2414-2418.
YANG C S，ZHANG T Y，ZHANG L L，et al. Systematic evaluation of current status of charges in PIVAS of China[J]. China Pharm，2019，30（17）：2414-2418.
海沙尔江·吾守尔，伊里哈尔·雪克来提，陈迹. 新疆医科大学第一附属医院静脉用药调配成本测算[J]. 药品评价，2014，11（2）：40-42，45.
Haishaerjiang·Wushouer，Yilihaer·Xuekelaiti，CHEN J. Cost calculation of pharmacy intravenous admixture service in the First Affiliated Hospital of Xinjiang Medical University[J]. Drug Eval，2014，11（2）：40-42，45.
林阳. PIVAS的成本测算与收费水平探讨[J]. 药品评价，2010，7（4）：48-52.
LIN Y. Investigation of cost calculation and charge level of PIVAS[J]. Drug Eval，2010，7（4）：48-52.
0
Views
0
下载量
0
CSCD
- L-PDFDownload
- WORDDownload
- Meta-XMLDownload
- BibTeXDownload
- EndnoteDownload
- RefMan Download
- NoteExpressDownload
- NoteFirstDownload
Publicity Resources
Related Articles
Related Author
Related Institution
- Address：8th Floor, Sihuan Building, No. 129 Daping Main Street, Yuzhong District, Chongqing, China Postal code：400042
- Technical support is provided by Beijing Founder Electronics co., LTD 渝ICP备15012710号
公网安备50010302001817 - It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
- Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.