Abstract：Objective To explore the role of the chief pharmacist system in medical institutions in improving the service level of pharmacists, promoting rational drug use, and reducing the cost of medical insurance drugs. Methods Taking 2022 as the experimental group, the chief pharmacist system was implemented to centrally manage drug-related matters, and through the performance evaluation of rational drug use, the implementation of pharmaceutical management and therapeutics committee management, drug procurement budget, the establishment of a prescription review center, and the role of clinical pharmacists, the application of basic drugs and medical insurance drugs was promoted to procure drugs in a centralized manner, and participate in the development of clinical pathways and disciplines. The chief pharmacist system was not implemented in 2021 as the control group. In 2021 and 2022, the proportion of drugs, the use rate of antimicrobial drugs, the intensity of use of drugs and other rational drug use indicators, as well as economic indicators such as drug costs were compared and analyzed. Results From January to December 2022, the use rate and intensity of antimicrobial drugs in obstetrics, gynecology and hospital-wide inpatients decreased significantly, the proportion of clinical use of essential drugs increased, and the volume of drugs purchased with volume successfully completed the task. The per capita drug cost for outpatient patients decreased by (95.66±15.18) yuan, and the per capita drug cost for inpatients decreased by (221.18±36.48) yuan. Conclusion The implementation of the chief pharmacist system in medical institutions can promote the rational use of drugs, reduce the cost of drugs for patients, and promote the rational use of drugs in clinical practice and the control of medical insurance costs.
石祥奎,牛勇,刘源,刘波,王海舰,葛翠华,黄亭,沐宇. 医疗机构施行总药师制对促进临床合理用药和医保控费的作用探索[J]. 中国校医, 2023, 37(12): 938-940,953.
SHI Xiangkui, NIU Yong, LIU Yuan, LIU Bo, WANG Haijian, GE Cuihua, HUANG Ting, MU Yu. Exploration of effect of chief pharmacist system in medical institutions on promoting clinical rational drug use and medical insurance cost control. Chinese Journal of School Doctor, 2023, 37(12): 938-940,953.
2023, Vol. 37 
