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药学福利管理与门诊药房服务

Pharmacy benefits management and ambulatory pharmacy services.

作者信息

Strandberg L R

机构信息

Oregon State University, Corvallis, OR 97331, USA.

出版信息

Pharm Pract Manag Q. 1996 Jan;15(4):19-26.

Abstract

The business of pharmacy is changing dramatically as new components are added to our health care system and new terms developed to describe existing functions. For example, payment for pharmacy products and services are increasingly coming under control of Pharmacy Benefits Management (PBM) companies who are also racing to develop Disease State Management Programs. Additionally, health care purchasers have welcomed the development of HEDIS (Health Employer Data Information Set) as another tool to evaluate both the cost and quality of health care provided to their enrollees. All this means pharmacy will have to change its paradigm from dispensing to managing the medication consumption/compliance process in addition to traditional dispensing activities.

摘要

随着新的组成部分被纳入我们的医疗保健系统,以及用于描述现有功能的新术语不断涌现,药学行业正在发生巨大变化。例如,药品和服务的支付越来越多地由药品福利管理(PBM)公司掌控,这些公司也在竞相开发疾病状态管理项目。此外,医疗保健购买者对HEDIS(健康雇主数据信息集)的开发表示欢迎,将其作为评估向参保人提供的医疗保健成本和质量的另一工具。所有这些意味着药学将不得不改变其模式,除了传统的配药活动外,还要从配药转变为管理药物消费/依从过程。

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