Cross-sectional study on balance of payments in PIVAS of medical institutions nationwide

LI Ke; GU Hongyan; JIANG Dechun; SUN Lulu; ZHAO Yingbo

doi:10.6039/j.issn.1001-0408.2024.20.01

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Cross-sectional study on balance of payments in PIVAS of medical institutions nationwide

更新时间：2024-10-25

- Cross-sectional study on balance of payments in PIVAS of medical institutions nationwide
- ZHONGGUO YAOFANG Vol. 35, Issue 20, Pages: 2449-2452(2024)
- 作者机构：
  
  1.首都医科大学附属北京世纪坛医院药学部，北京　100038
  2.国家卫生健康委医院管理研究所，北京　100044
- 作者简介：
- 基金信息：
- DOI：10.6039/j.issn.1001-0408.2024.20.01
  CLC： R95
- Published：30 October 2024，
  
  Received：07 March 2024，
  
  Revised：01 October 2024，
- 稿件说明：
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李柯,顾红燕,姜德春等.全国医疗机构PIVAS收支平衡情况的横断面研究 ^Δ[J].中国药房,2024,35(20):2449-2452.

LI Ke,GU Hongyan,JIANG Dechun,et al.Cross-sectional study on balance of payments in PIVAS of medical institutions nationwide[J].ZHONGGUO YAOFANG,2024,35(20):2449-2452.
李柯,顾红燕,姜德春等.全国医疗机构PIVAS收支平衡情况的横断面研究 ^Δ[J].中国药房,2024,35(20):2449-2452. DOI： 10.6039/j.issn.1001-0408.2024.20.01.

LI Ke,GU Hongyan,JIANG Dechun,et al.Cross-sectional study on balance of payments in PIVAS of medical institutions nationwide[J].ZHONGGUO YAOFANG,2024,35(20):2449-2452. DOI： 10.6039/j.issn.1001-0408.2024.20.01.

摘要

目的

了解全国医疗机构静脉用药调配中心（PIVAS）药物配置收费和运营收支平衡情况。

方法

采用问卷调查法，邀请全国各省份PIVAS负责人填写问卷，调查全国各省份PIVAS的药物配置收费标准和收入与支出情况，并进行统计分析。

结果

有761个PIVAS填写了问卷，其中有466个（61.2%）PIVAS已经开始实施静脉药物配置收费，且主要来自三级医院。化疗药和肠外营养液的配置收费标准较高，打包药的收费标准最低，且各省份间的收费标准存在差异（

＜0.05）。25个上报了全年药物配置收费收入的省份中，2019年和2021年均以湖北为最高。2019年PIVAS收支平衡的省份数多于收支不平衡的省份数，但2021年收支不平衡的省份数超过收支平衡的省份数（

＜0.05），其中，天津、重庆、贵州等8个省份的PIVAS在2019年和2021年均呈现收支不平衡的情况。

结论

全国各省份受访医疗机构PIVAS的药物配置收费标准均未统一，建议我国可进一步完善收费标准，确定收费调整周期，以促进PIVAS可持续发展。

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（

＜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 （

＜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.

关键词

静脉用药调配中心收支平衡收费标准运营成本问卷调查

Keywords

balance of paymentscharge standardoperating costquestionnaire survey

references

宋碧英，任俊辉，卢来春，等. 浅谈我院静脉药物配置中心成本管理的现状和对策[J]. 中国药房，2010，21（13）：1198-1200.

SONG B Y，REN J H，LU L C，et al. Views on the status quo and countermeasures of cost control in PIVAS[J]. China Pharm，2010，21（13）：1198-1200.

YANG C S，KANG B Y，ZHANG L L，et al. Construction situation，costs and charges associated with pharmacy intravenous admixture services：multi-center cross-sectional survey based on 137 medical institutions in mainland China [J]. BMC Health Serv Res，2020，20（1）：577.

王志明. 成本核算视角下公立医院经济效益及影响因素分析[J]. 环渤海经济瞭望，2021（2）：143-144.

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杨仕林，舒海燕. 基层二甲医院实行静脉用药调配中心的成本-效益分析[J]. 中国药业，2015，24（22）：145-146.

YANG S L，SHU H Y. Cost-benefit analysis of implemen-ting intravenous drug dispensing center in primary second-class hospitals[J]. China Pharm，2015，24（22）：145-146.

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ZHOU Q. Discussion on fine accounting of cost management in medical institutions[J]. Money China，2014（20）：35，94.

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