Barriere S L
Department of Pharmaceutical Services, University of California, Los Angeles.
Pharmacotherapy. 1991;11(1 ( Pt 2)):4S-5S.
Increasing constraints on health care reimbursement, competition among hospitals, and new high-cost technologies all contribute to escalation of costs in hospitals. The goal in the 1990s is to provide optimum, cost-effective care for patients without compromising quality. Among many proved methods is an effective formulary system with explicit criteria for use of medications, guidelines for use in specialized circumstances, and suggestions for therapeutic alternatives. This last method of cost control received endorsement from several organizations and offers an important function for hospital pharmacists. Hospital pharmacies can play a major role in minimizing antimicrobial costs and promoting optimum patient care.
医疗保健报销限制的增加、医院之间的竞争以及新的高成本技术都导致了医院成本的上升。20世纪90年代的目标是在不影响质量的前提下为患者提供最佳的、具有成本效益的护理。众多已被证实的方法中有一种有效的处方集系统，该系统具有明确的用药标准、特殊情况下的使用指南以及治疗替代方案的建议。这种最后的成本控制方法得到了几个组织的认可，并为医院药剂师提供了一项重要职能。医院药房在降低抗菌药物成本和促进为患者提供最佳护理方面可以发挥主要作用。
