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目的:探讨在临床用药“双十”公示的方法与效果。方法:在临床用药“双十”公示过程中建立管理协作组织,并通过用药培训、制度建设、行政监督、定期公布与考核进行系统管理。结果:通过“双十”公示活动,使药品费用占总费用由公示前的72.9%下降到公示后的54.3%;公示前后进入前十位的药品应用频度和月平均用药金额比较,有显著差异(P>0.05),公示后比公示前药品应用频度和平均费用得到有效改善;公示后(2005～2007年)月平均用药金额比较,无显著差异(P<0.05),经系统管理药品费用没有发生明显变化。结论:深入持续开展医院管理年的“双十”公示活动,对合理用药进行系统管理有重要意义。
Objective: To explore the method and effect of clinical medication “double ten ” publicity. Methods: The establishment of management cooperative organizations in the process of clinical drug use, “double ten ” publicity, and systematic management through drug training, system construction, administrative supervision, regular publication and assessment. Results: Through the “Double Ten ” publicity activities, the total cost of medicines decreased from 72.9% before the publicity to 54.3% after the publicity; the application frequency of the drugs entering the top ten before and after publicity was compared with the monthly average medication amount, There was a significant difference (P> 0.05). After the publicity, the frequency and average cost of drugs before public use were effectively improved. There was no significant difference (P <0.05) between the average monthly drug amount after public notification (2005 ~ 2007) No significant changes in the cost of administering medicines. CONCLUSION: It is of great significance to carry out systematic “double 10 ” publicity campaigns in hospital management year in-depth and carry out systematic management of rational drug use.