Tice A D
Infections Limited, Physicians Medical Center, Tacoma, Washington 98405.
Rev Infect Dis. 1991 Jan-Feb;13 Suppl 2:S184-8. doi: 10.1093/clinids/13.supplement_2.s184.
This office-based program for parenteral therapy began with the im administration of therapy to outpatients in 1981. Since then it has expanded in scope and staff and has provided more than 1,200 courses of i.v. antibiotics. The success of the program is dependent on patients' ability to provide i.v. medication to themselves. These patients are trained and cared for by a team consisting of a physician who specializes in infectious diseases, nurses trained in i.v. techniques, a pharmacist, and microbiologists who are all part of a practice of the subspecialty of infectious diseases. This office model has resulted in excellent quality of care for patients who have experienced few adverse effects or complications. The cost savings of an office program are significant compared to hospitalization for i.v. administration of antibiotics, but issues related to reimbursement are a constant issue.
这个基于门诊的胃肠外治疗项目始于1981年为门诊患者进行肌内注射治疗。从那时起，其规模和人员不断扩大，已提供了超过1200个疗程的静脉抗生素治疗。该项目的成功取决于患者自行进行静脉用药的能力。这些患者由一个团队进行培训和护理，该团队包括一名传染病专科医生、接受过静脉技术培训的护士、一名药剂师以及微生物学家，他们都是传染病亚专业诊所的成员。这种门诊模式为患者提供了优质的护理，患者很少出现不良反应或并发症。与住院静脉注射抗生素相比，门诊项目节省的费用相当可观，但报销相关问题一直存在。
