【摘要】 目的：通过实现门诊维持性血液透析患者注射用药的住院化管理，降低其注射用药费用。方法：选取2019年3—9月青岛大学附属医院血液透析室收治的320例患者作为干预前，于2019年10月通过建立“血液透析室专用信息化药房”系统，将所有门诊血液透析患者纳入系统，并进行住院化管理；系统运行一段时间后，将2020年3—9月同一批患者的用药情况作为干预后。比较干预前后患者血液透析注射用药计费金额，研究其干预成果。结果：医院每月血液透析注射用药计费总金额数由（637824.7±66946.1）元降至（371624.1±121448.5）元，差异有统计学意义（t=5.226,P<0.05），平均每月节约血液透析注射用药费用约26.6万元。结论：实现门诊维持性血液透析患者注射用药的住院化管理，完善医疗机构信息化建设，能够有效降低医疗费用开支，节约国家医疗保险资源。更多还原

【Abstract】 Objective:To realize the hospitalization management of injection medication for outpatients with maintenance hemodialysis to reduce the cost of injecting drugs in outpatients with maintenance hemodialysis.Methods:Selecting 320 patients from hemodialysis room of the hospital from March to September 2019 as the pre intervention period.Starting from October 2019,pharmaceutical interventions were carried out with the help of a new information-based pharmacy system,and hospitalization management was achieved.From March to September 2020,the same batch of patients were sampled and counted as post intervention.The charging amount of hemodialysis injection medication for patients before and after intervention,and study the intervention results were compared.Results:Through this study,the total amount billed for hemodialysis injection drugs per month in the hospital decreased from(637 824.7±66 946.1) RMB to(371 624.1±121 448.5) RMB,and the reduction in the amount was statistically significant(t=5.226,P<0.05),resulting in an average monthly saving of approximately 266 000 RMB in hemodialysis injection drug costs.Conclusion:It is suggested to achieve the hospitalization management of injection medication for outpatients with maintenance hemodialysis,effectively reduce medical expenditure expenses,and save the national medicare resources.更多还原