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静脉用药调配中心集中调配4类药品的成本测算                                                      Δ



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          李长琨 ,王启阳 ,张晓霞 ,崔承乾 ,庞成森 ,马 妮 ,张亚婷 ,封卫毅 ,董卫华 (1.西安交通大学第一附属
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          医院药学部,西安 710061;2.西安医学院药学院,西安 710021)
          中图分类号  R95      文献标志码  A      文章编号  1001-0408(2024)11-1386-05
          DOI  10.6039/j.issn.1001-0408.2024.11.18
          摘   要  目的  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  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  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  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。
          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

          Cost calculation of centralized dispensing of 4 categories of drugs in pharmacy intravenous admixture service
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          LI Changkun ,WANG Qiyang ,ZHANG Xiaoxia ,CUI Chengqian ,PANG Chengsen ,MA Ni ,ZHANG Yating ,
          FENG Weiyi ,DONG Weihua(1. Dept. of Pharmacy, the First Affiliated Hospital of Xi’an Jiaotong University,
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          Xi’an 710061, China;2. School of Pharmacy, Xi’an Medical College, Xi’an 710021, China)
          ABSTRACT    OBJECTIVE  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  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  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  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.
          KEYWORDS     PIVAS;  drug  dispensing;  cost  calculation;  operation  time  allocation  coefficient  method;  workload  allocation
          coefficient method; labor cost



              静脉用药调配中心(pharmacy intravenous admix‐            合理用药、降低医疗成本、提高患者满意度等方面发挥
          ture service,PIVAS)是医疗机构为患者提供静脉用药集                  着重要作用     [1―3] 。PIVAS运营需要付出大量成本,目前我
          中调配专业技术服务的部门,其在保证输液安全、促进                            国对危害药品、肠外营养液的调配均已实行收费,但对

              Δ 基金项目 陕西省自然科学基础研究计划项目(No.2023-JC-              集中调配的普通药物和抗菌药物,只有部分省市实行收
          YB-610)                                             费 。对 PIVAS 服务项目进行全面、合理收费是大势所
                                                                [4]
             *第一作者 硕士研究生。研究方向:临床药学、药事管理。                      趋,也是推动PIVAS建设以及促进已建成PIVAS发展的
          E-mail:913154611@qq.com
                                                              重要因素。陕西省尚未对普通药物与抗菌药物集中调
              # 通信作者 主任药师,硕士生导师。研究方向:临床药学、药事管
                                                                                                  [5]
          理。E-mail:dongweihua@xjtu.edu.cn                     配进行收费,亟须尽快制定相关收费标准 。国内已有

          · 1386 ·    China Pharmacy  2024 Vol. 35  No. 11                            中国药房  2024年第35卷第11期
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