非分配性医院药房服务的支付——一项区域调查。

Payment for nondistributive hospital pharmacy services--a regional survey.

作者信息

Strandberg L R, Stennett D J, Simonson W

出版信息

Drug Intell Clin Pharm. 1978 Jul;12(7):410-2. doi: 10.1177/106002807801200705.

DOI:10.1177/106002807801200705

Abstract

Questionnaires were mailed to all (464) nongovernment, not-for-profit and investor owned for-profit hospital pharmacies in Washingon, Oregon and California. Responses were received from 350 institutions, a return rate of 75.4 percent. Pharmacists were asked to report data relating to the incidence of, the range of fees charged, and the extent of reimbursement received from third party carriers for the provision of nondistributive pharmacy services. The data received indicate that pharmacy consultation to physicians was provided by 77.9 percent of the respondents, drug therapy monitoring by 48.1 percent, generalized patient discharge consultation by 40.8 percent, CPR team participation by 27.2 percent, indepth patient discharge consultation by 17.5 percent and admitting medication history by 8.8 percent. Additionally, 12 institutions charged for providing 16 nondistributive pharmacy services. Directors of pharmacy from six hospitals indicated that they billed third party carriers for nondistributive pharmacy services as part of their total pharmacy charge via their usual billing procedure. All third party carriers billed in this manner paid for the nondistributive pharmacy service.

摘要

问卷被邮寄给华盛顿州、俄勒冈州和加利福尼亚州的所有（464家）非政府、非营利性以及投资者所有的营利性医院药房。收到了350家机构的回复，回复率为75.4%。药剂师被要求报告与提供非配药药房服务的发生率、收费范围以及从第三方承保机构获得的报销程度相关的数据。收到的数据表明，77.9%的受访者提供了对医生的药房咨询，48.1%提供了药物治疗监测，40.8%提供了一般化的患者出院咨询，27.2%参与了心肺复苏团队，17.5%提供了深入的患者出院咨询，8.8%提供了入院用药史。此外，12家机构对提供16项非配药药房服务收费。六家医院的药房主任表示，他们通过常规计费程序将非配药药房服务作为药房总收费的一部分向第三方承保机构开具账单。所有以这种方式计费的第三方承保机构都为非配药药房服务付费。