Haig G M, Kiser L A
Department of Pharmacy, Toledo Hospital, OH 43606.
Am J Hosp Pharm. 1991 Jul;48(7):1457-62.
The financial impact of pharmacist participation on a medical team in a tertiary-care teaching hospital was studied prospectively. Two medical teams, one with and one without a pharmacist, operated simultaneously for 11 months. Physicians and a pharmacist on the teams rotated monthly during the first five months of the study. Subsequently, the hospital administrator, who was unaware that the controlled study was under way, permanently assigned an attending physician to the team that did ot have a pharmacist. After patients' discharge, pharmacy costs, pharmacy charges, hospital charges, and length of stay (LOS) were compared for the two teams. Data analysis was separated into four phases: phase 1, during which attending physicians rotated monthly; phase 2, with a permanent attending physician; phase 3, which encompassed the entire 11 months; and phase 4, which encompassed the 11-month period but omitted patients whose LOS exceeded 30 days. Data were analyzed for a total of 619 patients on the two teams. In phase 1, the team with a pharmacist had significantly lower per-patient pharmacy costs, pharmacy charges, hospital charges, and LOS. In phase 2, no significant differences were found between the teams. In phase 3, the only significant difference was that the team with a pharmacist had lower pharmacy costs and pharmacy charges. In phase 4, the team that included a pharmacist had significantly lower pharmacy costs ($105 difference), pharmacy charges ($368 difference), hospital charges ($2065 difference), and LOS (1.3-day difference). Participation of pharmacists on the medical team can significantly reduce pharmacy costs and charges, hospital charges, and LOS.
前瞻性地研究了药剂师参与三级护理教学医院医疗团队所产生的财务影响。两个医疗团队，一个有药剂师，一个没有药剂师，同时运作了11个月。在研究的前五个月，团队中的医生和药剂师每月轮换。随后，不知情该对照研究正在进行的医院管理人员将一名主治医师永久分配到没有药剂师的团队。患者出院后，比较了两个团队的药房成本、药房收费、医院收费和住院时间（LOS）。数据分析分为四个阶段：第1阶段，主治医师每月轮换；第2阶段，有一名固定的主治医师；第3阶段，涵盖整个11个月；第4阶段，涵盖11个月期间，但排除住院时间超过30天的患者。对两个团队共619名患者的数据进行了分析。在第1阶段，有药剂师的团队每位患者的药房成本、药房收费、医院收费和住院时间显著更低。在第2阶段，两个团队之间未发现显著差异。在第3阶段，唯一的显著差异是有药剂师的团队药房成本和药房收费更低。在第4阶段，包括药剂师的团队药房成本（相差105美元）、药房收费（相差368美元）、医院收费（相差2065美元）和住院时间（相差1.3天）显著更低。药剂师参与医疗团队可显著降低药房成本和收费、医院收费以及住院时间。
