知识与财富的链接
目的 探索影响静脉用药调配中心（简称“静配中心”）运营成本的因素,为规范建设与运行静配中心、有关部门制定收费标准提供参考。 方法 通过问卷星平台发放问卷,以《静脉用药调配中心建设与管理指南》（试行）为标准,考察人均日调配量、单位面积调配量、洁净区单位面积调配量、操作台承担的调配量、日均工作时间、每袋成本,采用Excel、SPSS软件分析。 结果 符合要求的91份数据分为1组（≤1 000袋,10份）、2组（1 001～2 000袋,56份）、3组（2 001～3 000袋,21份）、4组（≥3 001袋,4份）,除日均工作时间和每袋成本外,其余指标随工作量增加而增大;日工作时间2组最长（约11.28 h）;每袋成本随工作量增加而降低;线性回归显示,人均日调配量对每袋成本的影响有统计学差异（P<0.05）。414份数据按工作量和人均日调配量分为1组（小于组）、2组（符合组）、3 组（大于组）,结果显示,除每袋成本外,各指标均为3组>2组>1组;每袋成本3组<2组<1组;线性回归显示,人均日调配量对每袋成本的影响有统计学差异（P<0.05）。 结论 本研究中,静配中心的运营成本受人均日调配量的影响,医疗机构应充分考虑人员数量的适配性。规范建设和运行下,平均每袋成本在5.89～6.49元之间,建议调配费不低于该范围,以保障静配中心可持续发展。
OBJECTIVE To explore the factors influencing the operating costs of the Pharmacy Intravenous Admixture Service （PIVAS）, thus providing references for standardizing the construction and operation of PIVAS, and establishing charging standards by relevant departments. METHODS Questionnaires were distributed by the WJX platform. Based on the “Guidelines for the Construction and Management of PIVAS” （trial）, the daily per capita allocation, per unit area allocation, per unit area allocation in clean areas, allocation undertaken at workstations, daily average working hours, and cost per bag were analyzed. Data processing and analysis were conducted using Excel and SPSS software. RESULTS A total of 91 eligible sets were divided into group 1 （≤1 000 bags, 10 copies）, group 2 （1 001-2 000 bags, 56 copies）, group 3 （2 001-3 000 bags, 21 copies）, and group 4 （≥3 001 bags, 4 copies）. Except for the average daily working time and the cost per bag, the remaining indicators increased with the increase in the workload. The longest daily working time was detected in group 2, with about 11.28 h. The cost per bag decreased with an increasing workload. Linear regression showed a significant effect of daily dispensing per capita on the cost per bag （P<0.
05）. The 414 sets of data were divided into group 1 （lower than the workload and daily per capita allocation）, group 2 （equivalent to the workload and daily per capita allocation） and group 3 （greater than the workload and daily per capita allocation） according to the workload and daily per capita allocation. The results showed that, except for the cost per bag （group 3P<0.05）. CONCLUSION In this study, the operating cost of PIVAS is affected by the daily per capita allocation, and the adaptability of personnel numbers should be fully considered in the medical institutions. Under the standardized construction and operation, the average cost per bag is between 5.89 RMB and 6.49 RMB. The redeployment fee is recommended not to be lower than this range, thus ensuring the sustainable development of PIVAS.
