检索历史 清除

为规范结余药品管理，提高医疗资源使用效率，促进医保基金合理使用，降低患者用药负担，自2023年5月起，某大型三级甲等医院开展了结余药品管理实践，从构建组织架构、明确职责、制定拆零计费和合理结余药品目录、建立规范管理流程和设置结余药品专项资金等多个方面推进和落实，初步实现了结余药品的有效管理。截至2023年11月，结余药品管理惠及患者136 908例，平均每位患者节约873.61元，累计节约医保资金约3 470万元，减少了医疗资源浪费，可为推动我国医疗机构结余药品规范化管理提供参考。未来，某医院应进一步扩大结余药品品种覆盖面，保障患者知情同意权益和建立完善的绩效奖励机制，促进结余药品管理的可持续发展。

To standardize the management of surplus drugs, improve the efficiency of medical resource utilization, promote the rational use of medical insurance funds, and reduce the financial burden on patients, a large tertiary hospital implemented a practice for managing surplus drugs starting in May 2023. This practice encompassed multiple aspects, including the establishment of organizational structure, clarification of responsibilities, formulation of billing for fractional doses and a reasonable surplus drugs list, establishment of standardized management processes, and allocation of special funds for surplus drugs. These efforts had initially achieved effective management of surplus drugs. As of November 2023, the management of surplus drugs had benefited 136 908 patients, with an average savings of 873.61 yuan per patient and a cumulative savings of approximately 34.7 million yuan in medical insurance funds. This practice had effectively reduced the wastage of medical resources, and could provide references for promoting standardized management of surplus drugs in medical institutions of China. In the future, the hospital should further expand the coverage of surplus drugs, ensure patients′ rights to informed consent, and establish a comprehensive performance incentive mechanism to promote the sustainable development of surplus drug management.