Rosenbaum C L, Fant W K, Miyagawa C I, Armitstead J A
College of Pharmacy, Ohio Northern University, Ada.
Am J Hosp Pharm. 1991 Oct;48(10):2154-7.
The potential for justifying the cost of a part-time clinical pharmacist position was evaluated. Patients in the medical and surgical intensive-care units of a community hospital were monitored two hours per day for 32 weekdays by a part-time staff pharmacist. The pharmacist completed an initial review of the charts of all patients newly admitted to the units and further evaluated each medical record for at least five minutes each day to determine the need for drug therapy interventions. The pharmacist contacted physicians to make any recommendations for changes in therapy. At the end of the study, the pharmacist calculated the difference in the costs of the original and recommended drug regimens for all recommendations accepted by physicians. A total of 147 patients were monitored during the 32-day period. There were 122 recommended interventions for 60 patients, and 101 (83%) of these recommendations were accepted. Estimated drug cost savings totaled $1651.35, but the cost of the pharmacist, $2599.35, resulted in a net cost to the hospital of $948. There was no significant difference in drug cost savings with respect to the day of the week when the monitoring was performed, the time of day, or the interaction of day with time. A part-time clinical pharmacist in the intensive-care unit of a community hospital reduced the costs associated with drug therapy, but the savings realized were not sufficient to offset the cost of the position.
对设立兼职临床药剂师职位的成本合理性进行了评估。一名兼职药剂师在一家社区医院的内科和外科重症监护病房，于32个工作日每天对患者进行两小时的监测。药剂师对所有新入住这些病房的患者病历进行初步审查，并每天对每份病历至少进一步评估五分钟，以确定是否需要进行药物治疗干预。药剂师与医生联系，就治疗方案的更改提出任何建议。在研究结束时，药剂师计算了医生接受的所有建议中，原药物治疗方案与推荐药物治疗方案的成本差异。在这32天期间，共监测了147名患者。针对60名患者有122项推荐干预措施，其中101项（83%）建议被采纳。估计节省的药物成本总计1651.35美元，但药剂师的成本为2599.35美元，导致医院净成本为948美元。在进行监测的星期几、一天中的时间或星期与时间的交互方面，药物成本节省没有显著差异。社区医院重症监护病房的兼职临床药剂师降低了与药物治疗相关的成本，但实现的节省不足以抵消该职位的成本。
