基于 QSCV 理念的区域医联体/医共体药事管理模式的实践研究

A Practical Study on the Pharmaceutical Management Model of Regional Medical Alliance and Medical Community Based on the Concept of Quality, Service, Cleanliness, and Value (QSCV)

关键词:  QSCV理念  医联体  医共体  药事管理

Key words:  QSCV  medical alliance  medical community  pharmaceutical management

摘要:

构建区域特色医联体/医共体药事管理同质化服务模式，提升基层药事服务能力和满意度，保障合理用药，有序推进新医改的进程。方法 基于QSCV理念，通过医联体/医共体建设的组织管理、资源配置、信息化建设、慢病健康管理以及质量评价等五个方面构建符合区域特色的医联体/医共体药事管理模式。结果 经过该特色区域医联体/医共体药事管理模式为期一年的运行，基层各项药事管理指标均有所提升。医联体/医共体内抗菌药物使用强度（DDDs）下降16.16%，I类切口手术预防用抗菌药物百分率下降56.05%，住院患者静脉输液每床日使用量下降21.5%。结论 应用区域医联体/医共体的运营管理策略及阿里健康智慧医疗于基层药事管理中，可提高基层药事管理规范率及基层药事服务水平。

Abstract:

To construct a homogeneous service model for pharmaceutical management of regional medical alliance and medical community, improve the capacity and satisfaction of primary pharmaceutical services, safeguard the rational use of medication, and promote the process of new healthcare reform in an orderly manner. METHODS Based on the concept of Quality, Service, Cleanliness, and Value (QSCV), a homogeneous service model for pharmaceutical management of medical alliance and medical community was constructed in line with regional characteristics through five aspects of organizational management, resource allocation, information construction, health management of chronic diseases, and quality evaluation.. RESULTS After one year of implementation of the constructed pharmaceutical management model, all the indicators of pharmaceutical management at the primary level have improved. In the context of the model, the antibiotic consumption intensity decreased by 16.16% (calculated by defined daily dosages [DDDs]), the percentage of antibiotics used for type I incision surgery decreased by 56.05%, and the daily use of intravenous infusions per bed for hospitalized patients decreased by 21.5%. CONCLUSION Applying the operational management strategies of regional medical alliance and medical community and AliHealth smart healthcare to primary-level pharmaceutical management can improve its standardization and service level.