(1) In the general environment of China's healthcare system, the hospital "drug share ratio" should be a term that is mentioned more frequently. As an important indicator for controlling medical costs, the drug ratio has become common knowledge, and its effect on controlling drug costs is obvious to all.

(2) Drug ratio = drug income (excluding Chinese medicine tablets) / medical income = drug income (excluding Chinese medicine tablets) / (drug income + non-drug income). According to the formula of drug share ratio, there are 3 ways to reduce the "drug share ratio", one is that the hospital drug revenue decreases, and the hospital non-drug revenue remains unchanged or decreases (the decrease is smaller than the decrease of the drug) or increases; the second is that the hospital drug revenue remains unchanged, and the hospital non-drug revenue increases; the third is that the drug revenue increases, and the non-drug revenue also increases, but the non-drug revenue also increases, but the non-drug revenue increases. The second is that hospital drug revenue remains unchanged and hospital non-drug revenue increases. The original intention of the state policy of controlling the "drug share ratio" is that medical institutions should realize a decrease in the drug share ratio through the first way (lowering the income of medical institutions from drugs, and no increase in the total cost of medical care). The drug ratio should be the result of rational use of drugs, not the cause of drug abuse, reasonable medical behavior will produce a reasonable drug ratio.

(3) Measures to control the normal drug ratio

(1) Government agencies are pressing ahead with policies on rationalizing the use of medicines and adjusting hospital fee structure policies;

2) Hospitals formulate a reasonable drug access system, dynamically adjust the structure of hospital drug lists; pay attention to the rational use of drugs; and optimize the hospital assessment system;

(3) Strengthen the publicity of rational use of medicines and raise the awareness of rational use of medicines among the consuming public;

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Drug Ratio = Drug Revenue / (Drug Revenue + Medical Revenue + Other Revenue), which, in layman's terms, is the percentage of the total amount spent on drugs during a patient's visit to the doctor.

The former Ministry of Health's "Hospital Management Evaluation Guidelines (2008 Edition)" stipulates that the standard for the "drug ratio" in public tertiary general hospitals is ≤45%. In May 2015, the State Council issued a pilot guide to healthcare reform, striving to 100 pilot cities in 2017, public hospitals, the proportion of drugs (excluding traditional Chinese medicine tablets) fell to less than 30%, the purpose of which is to reduce the current inflated prices of medicines, to change the status quo of medicines to support the medical care of the people, and to reduce the cost of medical care for the general public. With the full promotion of zero-differential pricing of medicines in China, the drug share ratio has been reduced to a certain extent, and the drug share ratio of some medical institutions has been lower than 30%.

Is China's drug ratio high?? By the data of China's per capita consumption amount of drugs, per capita GDP, and the ratio of health cost to GDP, it is speculated that China's drug ratio is higher than that of developed countries in Europe and the United States.

What is the problem to be solved by controlling the drug ratio?Theoretically, the following three problems should be solved: first, to solve the problem of drug abuse, especially the abuse of complementary medicines and antibiotics, which has been a global topic, especially in China; second, to solve the problem of expensive medical care; and third, to solve the problem of unstandardized treatment.

How can healthcare organizations reduce their drug ratios?This can be done in the following ways. First, limiting the use of auxiliary drugs and antibiotics, limited purchasing, and moving those with inaccurate efficacy out of the hospital catalog; second, implementing a prescription review system and insisting on regular inspections of the rational application of medicines; third, monthly quality control by the quality control department of each department's drug ratio, and formulating incentives and penalties; fourth, strict prescribing and discharging of medicines; and fifth, monthly focusing on the monitoring of the top-ranked drugs in terms of the amount of medicines used.

(This answer was provided by Chen Jiasheng, Sun Yat-sen Memorial Hospital, Sun Yat-sen University)

Welcome to "Yixian Pharmacist", which contains articles on the rational use of medication for various diseases!

The drug ratio is simply the percentage of drug revenue in the total hospital revenue total, and its basic algorithm is: drug ratio = drug revenue / (medical revenue + drug revenue + other revenue).

Inflated drug prices and clinical drug abuse are considered to be one of the root causes of the high cost of medical care in China. Correspondingly, controlling the drug ratio is considered a good prescription to prevent drug abuse, promote rational use of drugs, reduce medical costs and save the medical insurance fund. As a result, the drug share ratio is now an important indicator for hospitals to be assessed by the health administrative departments of different parts of China.

On May 17, 2015, the General Office of the State Council issued the Guiding Opinions on the Pilot Comprehensive Reform of Urban Public Hospitals, which explicitly proposed that it would strive to reduce the proportion of drugs in public hospitals in pilot cities (excluding traditional Chinese medicines and tablets) to about 30% in 2017 as a whole.

Some scholars have also reminded: the proportion of drugs is not a "golden target". Even if the proportion of drugs is not high, there may be irrational structure of drugs and other issues, we can not just pursue a low "proportion of drugs", but also need to have supporting reform measures to support.

The implementation of the national pharmaceutical reform to reduce the proportion of drugs, aimed at solving the problem of the people's high cost of health care and reduce the use of antibiotics, the starting point is very good, but we have encountered new problems in the actual access to health care. However, we have encountered new problems in actual access to health care. Nowadays, there is a lack of many medicines in hospitals, and some doctors ask patients to buy medicines outside the hospitals!

Let me explain, drug ratio is a word that is often mentioned in hospitals, and in the pharmaceutical industry. It's often related to pharmaceutical prescriptions and the use of drugs.

The drug ratio specifically refers to the cost of a hospital visit and the cost of prescribing all medications, as a percentage of all costs for a single visit. It generally ranges from 20% to 60%. Hospitals will adjust this accordingly.

All costs of the visit include the cost of tests (e.g., EKG tests); medical supplies (e.g., IV tubes); and medications. The medication ratio is the proportion of all costs that medication accounts for. This means that by limiting the proportion of drug costs in this way, it usually encourages doctors to prescribe lower-cost drugs.

I hope my answer is helpful, feel free to like it and comment.

The drug share ratio is professionally defined as drug revenue/(drug revenue + medical revenue + other revenue), which is more easily understood as the total ratio of drug costs to medical costs during a patient's visit to the doctor. Now the new policy of medicine advocates the separation of medicine, should further reduce the proportion of drugs.

The calculation of the drug share ratio is a period of time (in months or years) patient drug costs / total costs, in accordance with the requirements of no more than 30%, outpatient and inpatient patients are generally calculated separately, outpatient drug share ratio is often slightly higher than the inpatient part. The proportion of drugs is an indicator that reflects the level of rational use of drugs in hospitals, and by reducing the proportion of drugs to promote the rational use of drugs, hospitals can take a variety of measures to reduce the proportion of auxiliary drugs, rational use of drugs and other measures to rationalize the structure of the use of drugs, reduce the economic burden on patients and reduce the proportion of drugs. Generally speaking, hospitals with a low medication ratio are more rational in the use of medication, and the economic burden on patients is small, which also represents a high level of medical care in hospitals. It is understood that at present, the proportion of drugs in the hospitals of Xiehe, 301 and other municipal hospitals in Beijing are all controlled at the target level.