Management of drug volume-based procurement and utilization in a hospital
Xu Zhong, Yang Shisheng, Chen Yiyan, Zhuang Zhicheng, Gong Kai, Hou Yihan, Lin Hongwei, Chen Youfen
Published 2020-12-02
Cite as Chin J Hosp Admin, 2020, 36(12): 1024-1028. DOI: 10.3760/cma.j.cn111325-20200414-01096
Abstract
ObjectiveTo analyze the management practice and effect of implementing national volume based procurement(VBP) drugs in a tertiary public hospital.
MethodsThe hospital established a multi-disciplinary cooperation management mechanism of VBP drugs with " up and down linkage, category management, business intelligent supervision" . The data of VBP drug procurement, patients′ medical expenses, prescription dressing change times and patients′ satisfaction rate from March to December in 2019 were analyzed.
ResultsIn 2019, the completion rate of hospital procurement task was 186.20%, and the procurement task was overfulfilled. The frequency and average daily cost of VBP were reasonable, which had good social and economic effects. The hospital′s accumulated medical insurance balance from March to December in 2019 was 9.833 million RMB; compared with the same period in 2018, the average hospitalization cost, average hospitalization drug cost and average hospitalization medical insurance cost in 2019 decreased by 1.7%, 2.6% and 2.6% respectively. Some VBP drugs had the phenomenon of " second drugs substitution" , and cardiovascular disease-related drugs accounted for a large proportion. The patient satisfaction was not affected.
ConclusionsThe VBP drug management mode of " up and down linkage, category management, business intelligent supervision" has been initially established in the hospital, which can not only complete the national procurement task, but also provide guarantee for clinical treatment demand.
Key words:
Group purchasing; Volume-based procurement and utilization of drugs; Pharmacological category management; Business intelligent supervision
Contributor Information
Xu Zhong
Medical Administration Department, First Affiliated Hospital of Xiamen University, Xiamen 361003, China
Yang Shisheng
Medical Administration Department, First Affiliated Hospital of Xiamen University, Xiamen 361003, China
Chen Yiyan
Medical Administration Department, First Affiliated Hospital of Xiamen University, Xiamen 361003, China
Zhuang Zhicheng
Medical Administration Department, First Affiliated Hospital of Xiamen University, Xiamen 361003, China
Gong Kai
Medical Administration Department, First Affiliated Hospital of Xiamen University, Xiamen 361003, China
Hou Yihan
Medical Administration Department, First Affiliated Hospital of Xiamen University, Xiamen 361003, China
Lin Hongwei
Medical Administration Department, First Affiliated Hospital of Xiamen University, Xiamen 361003, China
Chen Youfen
Medical Administration Department, First Affiliated Hospital of Xiamen University, Xiamen 361003, China
