Condron J H, Mann J L
Kitchener-Waterloo Hospital, Kitchener, Ontario.
Can J Hosp Pharm. 1994 Oct;47(5):203-8.
This mailed survey was a follow-up to a 1989 study to assess the status of pharmacy-directed, drug-related, patient care programs in response to the Pharmaceutical Inquiry of Ontario (Lowy Inquiry). A specific focus on Therapeutic Interventions and Drug Utilization Review/Evaluation Programs was adopted because the earlier study indicated a significant "financial return" for pharmacist time spent on these initiatives. A response rate of 62.2% (89 out of 143 hospitals) was achieved compared with an 80% response rate in 1989. Therapeutic interventions were performed by 97.7% of hospitals which identified an average of 184 therapeutic interventions per month and an 84.3% acceptance rate by prescriber. Based on data from 53 hospitals, an average of 29 minutes was taken on each intervention and financial data from 10 hospitals showed cost savings/avoidance of $49.34 per intervention. Drug Utilization program data was available from 45% of hospitals and specific financial data was provided by 29.2% of institutions. Cost savings/avoidance data demonstrated a return of $29.99 for every dollar invested in pharmacist time performing these activities. Collectively, both programs were recognized for their value in optimizing pharmacotherapy, improving patient outcomes as well as demonstrating a financial return to the institution. Despite the recessionary times, these programs are easily justified since they more than pay their own way.
这项邮寄调查是对1989年一项研究的后续跟进，该研究旨在评估针对安大略省药学调查（洛维调查）的由药学指导的、与药物相关的患者护理项目的现状。由于早期研究表明药剂师在这些项目上花费的时间有显著的“财务回报”，因此特别关注治疗干预和药物利用审查/评估项目。此次调查的回复率为62.2%（143家医院中的89家），而1989年的回复率为80%。97.7%的医院开展了治疗干预，平均每月确定184次治疗干预，处方医生的接受率为84.3%。根据53家医院的数据，每次干预平均耗时29分钟，10家医院的财务数据显示每次干预节省/避免成本49.34美元。45%的医院提供了药物利用项目数据，29.2%的机构提供了具体财务数据。成本节省/避免数据表明，在药剂师开展这些活动上每投入1美元可获得29.99美元的回报。总体而言，这两个项目在优化药物治疗、改善患者治疗效果以及为机构带来财务回报方面的价值得到了认可。尽管处于经济衰退时期，但这些项目很容易得到合理的解释，因为它们的收益超过了成本。
