Marshman J A
Can J Hosp Pharm. 1982 Mar-Apr;35(2):39-41.
In the current climate of budgetary restraint in the health care system, cost effectiveness is a concept which surfaces with increasing frequency, especially in reference to health care services funded by government. Since significant elements of pharmacy services in Canada are thus funded (including in most provinces, hospital pharmacy services, and prescription drug plans for senior citizens), it is important that pharmacy "tune into" the concept, and recognize it as an essential criterion to be met in the maintenance of existing services and in the development of new services. Prerequisite to a consideration of cost effectiveness is, of course, consideration of effectiveness; and a statement about the effectiveness; and a statement about the effectiveness of a service implies a potential for measurement of effect or outcome. In the 1980s, as pharmacy focuses its efforts on patients rather than products, that effect must surely be defined in "people" terms. One of the important dimensions of today's patient-focussed pharmacy services is patient counselling, more broadly, patient education.
在当前医疗保健系统预算紧缩的大环境下，成本效益是一个愈发频繁出现的概念，尤其在涉及政府资助的医疗保健服务方面。鉴于加拿大药房服务的重要组成部分是由政府资助的（包括在大多数省份，医院药房服务以及老年人处方药计划），药房“了解”这一概念并将其视为维持现有服务和开发新服务时必须满足的一项基本标准，这一点很重要。当然，考虑成本效益的前提是考虑效益；而关于一项服务效益的陈述意味着对效果或结果进行衡量的可能性。在20世纪80年代，随着药房将工作重点从产品转向患者，这种效果肯定必须从“人的角度”来界定。当今以患者为中心的药房服务的一个重要方面是患者咨询，更广泛地说，是患者教育。
