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中国初级卫生保健:2021,35(6):21-24
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贵州省基本医疗保险药品价值评价指标体系的应用研究
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中文摘要: 目的:将贵州省基本医疗保险药品价值评价指标体系进行实证应用。方法:选取用于糖尿病和肺癌治疗的8种 药品进行评价,调查对象为贵州省内三甲医院长期从事以上2类药品研究的临床药师和医师,以自制问卷为调查工具对8种 药品进行价值评价。同时采用 Excel 2010和 SPSS 18.0软件对评价结果进行整理和分析。结果:评价结果经相关临床药师和 医师等熟悉本研究所评价药品的人员验证,认为评价结果与实际情况较符合。以评价总分均值来看,糖尿病治疗药品按均值 大小排序结果是:阿卡波糖咀嚼片[(62.66±6.09)分]、利拉鲁肽注射液[(60.93±10.70)分]、沙格列汀二甲双胍Ⅰ[(58.85±8.75) 分]、格列苯脲片[(57.96±5.47)分]。肺癌治疗药品按均值大小排序结果是:吉非替尼片[(68.21±6.11)分]、甲磺酸奥希替尼片 [(66.56±7.38)分]、注射用培美曲塞二钠[(64.78±3.96)分]、注射用卡瑞利珠单抗[(57.24±6.28)分]。结论:贵州省基本医疗保险药 品价值评价指标体系可操作性较强,适用性较好。
Abstract:OBJECTIVE The evaluation index system of drug value of basic medical insurance in Guizhou Province was applied empirically. METHODS Eight drugs for the treatment of diabetes and lung cancer were selected for evaluation. The subjects of the survey were clinical pharmacists and physicians who had been engaged in the research of the two drugs for a long time in the first-class hospitals in Guizhou Province. The self-made questionnaire was used as a survey tool to evaluate the value of the eight drugs. At the same time,Excel 2010 and SPSS 18.0 were used to sort and analyze the evaluation results. RESULTS The evaluation results were verified by relevant clinical pharmacists,physicians and other personnel familiar with the evaluated drugs,and it was considered that the evaluation results were in good agreement with the actual situation. According to the mean value of the total score,the drugs for diabetes treatment were Acarbose Chewable Tablets(62.66±6.09)>Liraglutide Injection(60.93±10.70)>Saxa⁃ gliptin and Metformin Hydrochloride Sustained-release Tablets (Ⅰ) (58.85±8.75)>Glibenclamide Tablets (57.96±5.47). The drugs for lung cancer were: Gefitinib Tablets (68.21±6.11)>Osimertinib Mesylate Tablets (66.56±7.38)>Pemetrexed Disodium for Injec⁃ tion (64.78±3.96)>Camrelizumab for Injection (57.24±6.28). CONCLUSION The drug value evaluation index system of Guizhou ba⁃ sic medical insurance had strong operability and applicability.
文章编号:3202106007     中图分类号:R197    文献标志码:
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