| 摘要: |
| 目的:调研广东省深圳市三级医院静脉用药调配中心(PIVAS)的现状,为PIVAS 的建设和发展提供参考。方法:设计问
卷,对广东省深圳市三级医院的PIVAS 进行多中心横断面调研,包含PIVAS 开展时间、PIVAS 数量、床位数目、面积、设备配备、
人员模式、成本和收益等数据,分析各医疗机构中PIVAS 建设的差异。结果:收集问卷13 份,回复率为100%。PIVAS 运行时间
1~10 年不等(中位数5 年);建筑面积135~760 m2 ,其中≤500 m2 占53. 85%(7/ 13),>500 m2 占46. 15%(6/ 13);日均调配输液
量≤500 袋占53. 85%(7/ 13),501~1 000 袋占15. 38%(2/ 13),1 001~2 000 袋占30. 77%(4/ 13);PIVAS 人员模式方面,采用药
学管理占84. 62%(11/ 13),药护管理占15. 38%(2/ 13)。有84. 62%机构认为PIVAS 目前的普通药物与抗生素配置费收取不合
理,100%认为PIVAS 目前的抗肿瘤药物配置费、肠外营养配置费收取不合理。结论:近年来,广东省深圳市三级医院PIVAS 逐
步发展壮大,新开的PIVAS 增加了许多信息化、智能化设备投入,成本也随之增加。因PIVAS 工作人员紧缺,大部分医疗机构
仅开展了部分液体调配,无法开展全院区的全医嘱调配。目前,总体的配置费标准偏低,一定程度上影响了PIVAS 发展。 |
| 关键词: 静脉用药调配中心 成本 收费 调研 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2024.08.007 |
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| 基金项目:基金项目:深圳市卫生经济学会科研基金,编号202487。 |
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| Current Situation and Service Efficiency of Pharmacy Intravenous Admixture Services in Tertiary Hospitalsin Shenzhen: a Cross-Sectional Survey Based on 13 Institutions |
| Gan Jingfang1, Li Chuyu1, Qiu Wentao1, Lin Zhesi1, Liu Miaona1, Guo Huijuan2 |
| (1. National Clinical Research Center
for Infectious Diseases, the Third People’ s Hospital of Shenzhen, the Second Affiliated Hospital of Southern University of Science and
Technology, Guangdong Shenzhen 518112, China; 2. Shenzhen Bao’ an District Women’ s and Children’ s Hospital, Guangdong
Shenzhen 518133, China) |
| Abstract: |
| Objective: To investigate the current situation of pharmacy intravenous admixture services (PIVAS) in tertiary hospital in
Shenzhen, so as to provide reference for the construction and development of PIVAS. Methods: A questionnaire was designed to perform
a multi-center cross-sectional survey of PIVAS in tertiary hospitals in Shenzhen, Guangdong Province, including data such as
development time of PIVAS , number of PIVAS, number of beds, area, equipment, staffing patterns, cost and benefits. Differences in
construction of PIVAS in different medical institutions were analyzed. Results: Totally 13 questionnaires were collected, with a response
rate of 100%. The development time of PIVAS ranged from 1 to 10 years (with the median of 5 years). The floor space of PIVAS ranged
from 135 to 760 m2 , with 53. 85% (7/ 13) ≤500 m2 , and 46. 15% (6/ 13) >500 m2 . The average daily volume of dispensed infusion
was 53. 85% (7/ 13) for ≤500 bags, 15. 38% (2/ 13) for 501 to 1,000 bags, and 30. 77% (4/ 13) for 1,001 to 2,000 bags. As for
the staffing patterns of PIVAS, the use of pharmacy management accounted for 84. 62% (11/ 13), and pharmacy nursing management
accounted for 15. 38% (2/ 13). Totally 84. 62% (11/ 13) institutions considered that the current allocation fees for generic drugs and
antibiotics charged by PIVAS were irrational, and 100% considered that the current allocation fees for antineoplastic drugs and parenteral
nutrition charged by PIVAS were irrational. Conclusion: In recent years, PIVAS in tertiary hospitals in Shenzhen, Guangdong
Province, has developed well, and newly opened PIVAS increase many inputs of informatization and intelligent equipment, and the cost
increases as well. Due to the shortage of PIVAS staff, most of the healthcare organizations only carry out partial liquid dispensing and are
unable to carry out full medical dispensing for the whole hospital. Currently, the overall allocation fee standard is low, which affects the
development of PIVAS. |
| Key words: pharmacy intravenous admixture services costs charge survey |
