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1、临床药学办通报20235号关于5月门诊主要药事质控指标的通报各科室：现将门诊5月份药事主要控指标达标情况下发给你们（附后，红色代表超标），请超标科室进行原因查找，并持续改进，合理规范药物使用，凡无特殊原因超标一律与绩效挂钩。临床药事科医务科2023.6.22023年5月份主要指标控制情况类别科室x药占比基药处方比例次均药品费用（元）药品费用（元）总费用（元）药占比（%）基药处方人次处方人次基药比（%）老年二科47.1148.1197.92%老年全科医学门诊283.59302.5993.72%020.00%141.80哮喘门诊280.21300.2193.34%1250.00%140.11掘痫中
2、心门诊100726.55108759.0392.61%25435172.36%242.96上西分院门诊51334.6765050.4278.92%42156674.38%73.92老年慢病门诊8980.6712186.6773.69%697888.46%98.69心血管内科门诊（东）48759.8666843.4672.95%19021787.56%169.89结核门诊（东）312745.50429044.2172.89%31744870.76%338.26老年科系便民门诊26957.3237366.8672.14%15317786.44%72.96内科系便民门诊150495.95226191
3、.3366.53%66379183.82%135.61内分泌科门诊61150.3294639.7264.61%42347688.87%91.96神经内科门诊110554.45172071.9364.25%61169388.17%130.95慢阻肺门诊383.59605.5963.34%1250.00%191.80脑血管病科门诊36184.2257851.0262.55%18319593.85%140.17儿科便民门诊48388.9177378.2062.54%59475978.26%44.03心血管科门诊69646.57111468.6462.48%38746283.77%117.04普儿科门
4、诊106186.92173671.8561.14%1259159478.98%48.26普通内科门诊（东）50304.9385312.0858.97%33645973.20%92.26呼吸与危重症医学科诊断室。47797.2084523.8256.55%20726279.01%124.15风湿免疫门诊16419.2329716.2755.25%8910089.00%103.92全科医学门诊40571.3874973.7654.11%23929581.02%113.38消化内科门诊（一）46296.1391642.4150.52%15020373.89%194.52中西医结合神经内科门诊3753
5、9.2575137.6749.96%27238071.58%73.84肾内科门诊16113.5832743.0849.21%829883.67%89.52呼吸与危重症医学科诊断室（一）24121.8854788.8844.03%15019975.38%79.35全科医学科门诊（东）78886.18179346.9343.99%45460774.79%91.21咳嗽门诊794.601876.6042.34%66100.00%99.33消化内科门诊（二）42862.31105035.3140.81%28538075.00%82.57婴幼儿科门诊10887.6228417.7538.31%18323
6、976.57%34.56消化内科门诊（东）20482.9458966.8434.74%9516856.55%91.44感染科门诊（东）22702.8966931.2733.92%9612875.00%65.24肿瘤科门诊15214.2849468.2530.76%375172.55%169.78男科门诊11037.5437280.5829.61%223956.41%107.16中西医结合科门诊16906.4080538.9020.99%30240175.31%155.51血液透析科115530.50777348.3414.86%1067116291.82%92.57疼痛门诊6178.99445
7、49.5413.87%8617250.00%29.01中医内科门诊12586.66122096.4710.31%46573463.35%142.34康复医学科门诊2864.2330048.239.53%183650.00%22.55中医内科门诊1536.9660233.642.55%49758684.81%67.53康复医学科便民门诊90.0550183.390.18%44100.00%2.57内科系门诊1770832.143854939.8545.94%106681352278.89%107.6肿瘤微创介入科门诊751.30788.3095.31%33100.00%187.83肛肠科门诊（东
8、）155.69199.6977.97%010.00%77.85肛肠外科门诊6966.5112904.9453.98%255050.00%58.75微创介入门诊6336.9416415.4638.60%263183.87%140.82外科系便民门诊38477.44123977.3831.04%20832763.61%62.38耳鼻喉科门诊18693.1265170.8628.68%33041978.76%23.72神经外科门诊17188.6261109.2028.13%11014774.83%84.92皮肤科门诊49899.13186577.5526.74%22650344.93%61.68妇科
9、便民门诊1694.317021.3124.13%152755.56%31.38产科便民门诊1351.655977.6522.61%61346.15%38.62胸外科门诊8037.2736168.9222.22%417058.57%59.98泌尿外科门诊8124.8539656.7920.49%517171.83%45.39手外整形外科门诊729.473627.4720.11%7887.50%23.53骨科门诊一19986.59118789.9116.83%7226926.77%35.29普通外科门诊1182.257100.2516.65%101471.43%19.38普通外科门诊3179.14
10、19505.0416.30%374778.72%18.59眼科门诊15223.9698340.2815.48%7433122.36%15.27妇科门诊47814.08356731.0813.40%25853248.50%36.99产科自主门诊6536.8557492.0611.37%323982.05%33.87医疗美容整形外科736.086675.5811.03%88100.00%66.92产科门诊17153.08206924.588.29%10721749.31%22.81骨科门诊二51.761664.763.11%10.00%7.39口腔科门诊7924.67355461.172.23%4
11、2744097.05%4.29外科系门诊278194.761788280.2315.56%2073356858.10%31.29心理卫生特殊门诊605.63632.6395.73%1250.00%201.88老年精神门诊168.87177.8794.94%11100.00%168.87早期干预门诊91629.96110338.9683.04%41946390.50%176.21精神科系便民门诊603910.10732570.0582.44%1840207688.63%238.68精神性癫痫门诊46.6858.6879.55%11100.00%46.68情绪障碍门诊193124.59246494
12、.5978.35%945102492.29%154.47失眠门诊（一）182577.03249130.0373.29%1028126181.52%126.10物质依赖门诊49294.1768216.1772.26%686998.55%578.50心境障碍门诊187817.79268408.5169.97%855100984.74%147.76儿童心理门诊102621.55195052.0552.61%56261691.23%94.89失智失忆门诊6022.2412018.2450.11%334180.49%128.13心理卫生急诊室7138.0115738.5145.35%677984.81%
13、37.97精神康复指导门诊54415.5766841.5781.41%19822588.00%210.91精神科系门诊1479372.191965677.8675.26%6018686787.64170.35特需门诊29997.6434881.6486.00%9811485.96%236.20发热门诊5436.5614511.9737.46%9510689.62%29.98手术室14812.9240831.6136.28%101417.09%99.42急诊科37789.09250955.9715.06%12.51麻醉二科2389.2436360.656.57%2716216.67%12.47便
14、民门诊801.7518817.254.26%5955.56%57.27门诊合计3619695.909646586.6737.52189962449277.56%89.96附：门诊科室药事主要管理指标科室药占比2022年药品次均心血管科门诊55120内科系便民门诊55120消化内科门诊25100神经内科门诊60120癫痫中心门诊70200普通内科门诊（东）55120早期干预门诊70130心境障碍门诊70130情绪障碍门诊70100失眠门诊（一）70110精神科系便民门诊70200普儿科门诊5555血液透析科1290结核门诊55300急诊科1516门诊五官科1025外科2250妇产科1025门诊科室基药处方80%,请低于80%的科室注意基药的使用。医院2022年门诊次均药品费用75元，国家要求逐年降低，对增长较快的科室纳入科室考核（特殊原因请及时申述），特别是标红的科室严格控制次均费用。
