Sylvester K L, Wudds T W
Hosp Formul. 1986 Mar;21(3):357-60, 369-70.
The effects of implementing a closed formulary system and group purchasing in a 343-bed, private, nonprofit community hospital were evaluated by use of price and value indexes. Four therapeutic categories were analyzed: antihistamines and decongestants, antitussives, antacids, and topical corticosteroidal creams and ointments. Overall savings in the four therapeutic categories evaluated totaled $681.33. The findings indicated differences in cost may exist between formulary and nonformulary drugs, but the direction and magnitude of that difference vary with the therapeutic category. The impact of group purchasing affiliation on overall purchase cost is discussed and additional cost-control methods are presented.
通过使用价格和价值指数，对一家拥有343张床位的私立非营利性社区医院实施封闭式处方集系统和集中采购的效果进行了评估。分析了四个治疗类别：抗组胺药和解充血药、止咳药、抗酸药以及局部用皮质类固醇乳膏和软膏。在所评估的四个治疗类别中，总体节省费用总计681.33美元。研究结果表明，处方药物和非处方药物之间可能存在成本差异，但这种差异的方向和幅度因治疗类别而异。讨论了集中采购联盟对总体采购成本的影响，并提出了其他成本控制方法。
