Poretz D M
Infectious Diseases Physicians, Inc., Annandale, Virginia 22003.
Rev Infect Dis. 1991 Jan-Feb;13 Suppl 2:S142-6. doi: 10.1093/clinids/13.supplement_2.s142.
Outpatient parenteral treatment of infectious diseases has developed from primitive beginnings to its present state as the standard of care in many areas. The large infusion center described here is headed by physicians who specialize in infectious diseases and occupies a free-standing building where the pharmacy, laboratory, physicians' offices, examination rooms, and finance departments are centralized for efficiency, flexibility, and convenience. Each patient is seen by a physician, pharmacist, and nurse; these health care professionals share data about the patient and offer 24-hour coverage of questions and emergencies. Treating a wide variety of diseases, physicians utilize their experience and the center's intercommunication system to choose drugs most suitable for outpatient use and to carry on research. Costs in the center run between 50% and 60% lower than those in the hospital. Reimbursement, although difficult in the past, has improved considerably, but some third-party payers, including Medicare, have not reimbursed for outpatient intravenous antibiotic therapy.
传染病的门诊胃肠外治疗已从最初的简陋形式发展到如今在许多地区成为护理标准的状态。这里所描述的大型输液中心由传染病专科医生领导，占据一座独立的建筑，药房、实验室、医生办公室、检查室和财务部门集中设置，以提高效率、增强灵活性并提供便利。每位患者都由医生、药剂师和护士诊治；这些医疗保健专业人员共享患者数据，并提供24小时的问题解答和应急服务。在治疗多种疾病时，医生利用他们的经验和中心的内部通信系统来选择最适合门诊使用的药物并开展研究。该中心的成本比医院低50%至60%。报销虽然过去很困难，但现在已有显著改善，不过包括医疗保险在内的一些第三方支付方尚未为门诊静脉抗生素治疗提供报销。
