Based On The Analytic Hierarchy Process(AHP) Research To The Hospital Pharmaceutical Costs

Under the implementation of the reform policy,control the hospital drugs cost excessive growth become the focus of the management of medical institutions at present.With the improvement of management level,the medicine proportion "indicators of performance evaluation hospital on the growth of a single drug cost control model,its shortcomings have appeared gradually.Therefore,we need to change thinking and perspective,to explore a more reasonable way to control the cost of hospital drug,seek a more comprehensive evaluation of hospital drug cost control level of regulatory system,this should be the focus of research.In addition,from the perspective of patients control their drug costs,thus reduce the medical burden.Objective:1?The analyzes of the factors which influence on hospital pharmaceutical costs.2?Based on Analytic Hierarchy Process(AHP)to build a model of evaluating factors affecting drug cost improve the hospital's ability to control drug costs,improve patient satisfaction.Methods:1?Through literature retrieval,Chinese technology periodical full-text database by computer retrieval,China academic journal full-text database and Medline database,collecting published both at home and abroad about the factors affecting cost of drug research.Chinese term for "drugs","impact factor" and "Analytic Hierarchy Process(AHP).The Medline database search keywords for drug cost,subheadings for influencing factors,to find relevant journal literature analysis.2?Through literature retrieval,Chinese technology periodical full-text database by computer retrieval,China academic journal full-text database and Medline database,collecting published both at home and abroad about the factors affecting cost of drug research.Chinese term for "drugs","impact factor" and "Analytic Hierarchy Process(AHP).The Medline database search keywords for drug cost,subheadings for influencing factors,to find relevant journal literature analysis.3?Survey: through survey,get the doctor prescription behavior and drug costs,specific design problems involve the doctor prescription behavior process of the main factors affecting its prescribed drugs,and the doctors on hospital pharmaceutical'understanding of the policies and measures of cost control.In our 200 questionnaires,163 valid questionnaires taken back,the recovery rate was 81.5%.Results:1?Hospital drug costs influence factors analysis and selection results :(1)Rational drug use of hospital pharmaceutical work expenses: the influence of screening "floor the rational use of antimicrobial agents","type I incision rational use of antimicrobial drugs","the doctor's advice comments on" for the effective index,from the aspect of pharmaceutical affairs management tips to influence the cost of the hospital drugs.(2)Impact of hospital pharmaceutical costs on the clinical departments: the doctor prescription behavior was analyzed through the form of questionnaire and screening of "clinical pathway" and "single disease payment" as effective index,from the aspect of clinical departments prompt influence on hospital pharmaceutical costs.(3)Hospital management to cope with the effects of the drug expenses: screening "medicine of appraisal management","implementation of medical insurance management policy","drug zero rate policy management" for the effective index,from the aspects of hospital management tip impact on hospital pharmaceutical costs.2?Based on the Analytic Hierarchy Process(AHP)based hierarchical model for hospital drug cost impact factors,establish the hospital drugs cost index system of influencing factors.3?According to the established index system of influencing factors of the hospital drugs cost the hospital drug cost control monitoring criteria.Conclusion:1?Current "medicine accounted for" in the form of index evaluation was carried out on the floor and drug expenses intervention and control,penalties shall be imposed for drug expenses exceeds the standard department.This form of assessment in the process of implementation also has exposed many problems such as making unreasonable assessment index,evaluation index is too single,doctors were the enthusiasm of critically ill patients.2?According to the results of AHP analysis hospital drug costs influence factors and formulate the "cost of hospital drug supervision criteria",the standard control to comprehensive evaluation of hospital management level and effect of the drug cost,comprehensive self-assessment in hospital medicine fees and administrative departments for public health has reference significance to the evaluation of hospital pharmaceutical costs.