Smith E B, Hope S M, Halstead S K, Ford W M
Navajo Area Indian Health Service, Window Rock, AZ 86515.
Hosp Formul. 1990 Feb;25(2):193-6, 198.
The integration of formularies with pharmaceutical group purchasing and supply systems for multiple hospitals and ambulatory health centers in the Indian Health Service of the US Public Health Service is described. Two models by which these systems have been integrated are presented. The approach of one group of facilities for maintaining high-quality therapeutics in a cost-effective manner was to maintain separate P & T Committees and formularies for each facility, with one centralized drug procurement center. The other group developed a central P & T Committee and formulary to serve all area facilities, as well as continued to maintain a separate P & T Committee at each facility that could act between meetings of the central committee. These models of centralized procurement have provided both decreased drug costs and increased information on drug use within the multifacility systems. In both models, staff have reached consensus on drugs that will provide quality therapeutics in a cost-conscious environment.
本文描述了美国公共卫生服务局印第安卫生服务部中，将处方集与多家医院及门诊健康中心的药品集团采购和供应系统进行整合的情况。介绍了整合这些系统的两种模式。一组机构以具有成本效益的方式维持高质量治疗方法的做法是，为每个机构设立单独的药事与治疗学委员会和处方集，并设立一个集中的药品采购中心。另一组则设立了一个中央药事与治疗学委员会和处方集，为所有地区机构服务，同时在每个机构继续保留一个单独的药事与治疗学委员会，该委员会可在中央委员会会议期间发挥作用。这些集中采购模式既降低了药品成本，又增加了多机构系统内药品使用的信息。在这两种模式中，工作人员都就能够在注重成本的环境中提供高质量治疗的药物达成了共识。
