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从药房角度出发的药物治疗管理服务的回顾性财务分析。

Retrospective financial analysis of medication therapy management services from the pharmacy's perspective.

机构信息

Towncrest Pharmacy, Iowa City, IA 52242, USA.

出版信息

J Am Pharm Assoc (2003). 2010 Jan-Feb;50(1):62-6. doi: 10.1331/JAPhA.2010.08154.

DOI:10.1331/JAPhA.2010.08154
PMID:20097640
Abstract

OBJECTIVE

To determine the net financial gain or loss for medication therapy management (MTM) services provided to patients by an independent community pharmacy during 16 months of operation.

DESIGN

Retrospective study.

SETTING

Independent community pharmacy in Iowa City, IA, from September 1, 2006, to December 31, 2007.

PATIENTS

Patients receiving MTM services during the specified period who had proper documentation of reimbursement for the services.

INTERVENTION

MTM services were provided to the patient and documented by the pharmacist or student pharmacist.

MAIN OUTCOME MEASURE

Net financial gains or losses for providing MTM services. Sensitivity analyses included costs that might be incurred under various conditions of operation.

RESULTS

103 initial and 88 follow-up MTM visits were conducted during a 16-month time period. The total cost for these services to the pharmacy was $11,191.72. Total revenue from these services was $11,195.00; therefore, the pharmacy experienced a net financial gain of $3.28. Sensitivity analyses were conducted, revealing the net gain/loss to the pharmacy if a student pharmacist was used and the net gain/loss if the pharmacist needed extra training to provide the services. Using a student pharmacist resulted in a net gain of $6,308.48, while extra training for the pharmacist resulted in a net loss of $1,602.72.

CONCLUSION

The MTM service programs showed a positive financial gain after 16 months of operation, which should encourage pharmacists to incorporate these services into their practice.

摘要

目的

确定在独立社区药房提供药物治疗管理(MTM)服务 16 个月的净财务收益或损失。

设计

回顾性研究。

地点

爱荷华市独立社区药房,2006 年 9 月 1 日至 2007 年 12 月 31 日。

患者

在指定期间接受 MTM 服务且服务报销有适当记录的患者。

干预措施

MTM 服务由药剂师或学生药剂师提供给患者并记录。

主要观察结果

提供 MTM 服务的净财务收益或损失。敏感性分析包括在各种运营条件下可能产生的成本。

结果

在 16 个月的时间内进行了 103 次初始和 88 次随访 MTM 访问。这些服务对药房的总成本为 11,191.72 美元。这些服务的总收入为 11,195.00 美元;因此,药房获得了 3.28 美元的净财务收益。进行了敏感性分析,揭示了如果使用学生药剂师和药剂师提供服务所需的额外培训,药房的净收益/损失。使用学生药剂师可获得 6,308.48 美元的净收益,而药剂师的额外培训则导致净损失 1,602.72 美元。

结论

MTM 服务计划在运营 16 个月后显示出积极的财务收益,这应鼓励药剂师将这些服务纳入其实践。

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