调剤薬局におけるコストダウン（分包纸、薬袋）

Feb 1, 20190 likes4,058 views

kamadaakihiro

调剤薬局における大きなランニングコストの一つである分包纸コストの削减方法や、薬袋の削减についてのスライドです。

分包消耗品のコスト
インクリボン（４００ｍ）約5,000円
＊両面使用はメーカー推奨ではない。
＊リフィルタイプは2割程度コスト↓
140W セロポリ（30）（330m）
1本約8,500円（込）
70W セロポリ（30）（280m）
1本約8,000円（込）
2

１包化した場合のコストを計算してみると
? 1包（80mm)あたりの分包紙コスト
(80/280000mm)×8000円＝2.2856円
? 1包（80㎜）あたりの印字コスト
（55/400000mm)×5000円＝0.6875円？（印字幅による）
（注）インクリボンを両面使用すると、さらにコストは半分
? １包（80㎜）当たりの分包コスト＝2.9731円
? 空包も考慮すると、1包（80mm）≒3円が妥当なところ？
例えば、分3?28日分を印字分包した場合のコストは
3円×２８×３＝252円となる。
3

分包紙を80㎜→60㎜に短くすると
? 分3?28日分一人当たりのコストは 252円×（60/80)=189円
よって、一人当たり63円のコスト削減となる。
? 1日平均10人とすると、コスト削減額は630円
? 年間稼働日数230日で計算すると、
年間144,900円のコスト削減となる。
? 他にも、分包紙?インクリボンの取替回数も削減できる。
貴薬局で実施したら、年間どの位のコスト削減になりますか？
5

薬袋、薬情用紙の値段を知っていますか？
? 一般に、「指抜き」つきの薬袋のコストは
A5???2.6円 B4???2.9円 A4???3.7円
? 一般に、薬情用の印刷紙コストは
A4???0.57円（ASKUL super economy）
? 一般に、レジ袋は１枚１円～５円
? 処方修正の時、薬袋を再印刷していませんか？
? Do処方なら、薬情不要の方はいませんか？
? 調剤明細書を減らす声がけをしていますか？
? 湿布処方に、薬袋は必要？ 6

湿布の調剤における記載方法について
医薬品の被包に直接記入する方法
（処方変更になるとロスになるのが欠点）
レセコンから印刷された薬袋を利用する方法
（薬袋コストがかかるのが欠点）
7

湿布に添付する薬袋を止めたら???
? 薬袋1枚あたりのコストはA5版 2.6円
? 1日当たりの湿布処方件数を30件とすると
1日あたり2.6円×３０＝78円のコスト削減（インクトナー費除く）
230日/年?稼働とすると、７８×２３０＝17,940円のコスト削減
となる。
? 但し、調剤行為を満たす条件や、調剤過誤防止に役立っている場合も
あるので、廃止するには十分検討する必要がある。
8

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