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评估一项靶向药物干预计划的经济影响。

Evaluating the economic impact of a targeted medication intervention program.

作者信息

Rhodes Sarah A, Reynolds Abigale E, Marciniak Macary W, Ferreri Stefanie P

机构信息

Physicians Pharmacy Alliance, Cary, NC, USA.

出版信息

J Pharm Pract. 2013 Dec;26(6):562-73. doi: 10.1177/0897190013491767. Epub 2013 Jun 26.

DOI:10.1177/0897190013491767
PMID:23804242
Abstract

OBJECTIVE

To calculate the return on investment (ROI) for a targeted medication intervention program developed by corporate management of a community pharmacy.

DESIGN

Retrospective analysis and cross-sectional survey.

SETTING

Regional community pharmacy chain in North Carolina.

PARTICIPANTS

Targeted medication interventions completed from February 1, 2010, to July 31, 2010, were included in the retrospective analysis. Community pharmacists employed by the pharmacy chain that completed the questionnaire were included in the cross-sectional analysis.

INTERVENTION

Targeted medication intervention services were provided to the patient and documented by the pharmacist.

MAIN OUTCOME MEASURE

The ROI for a community pharmacist-provided targeted medication intervention program.

RESULTS

Of the 180 pharmacists, 69 completed the questionnaire (38% response rate). The average time to complete one targeted medication intervention was calculated to be 22.63 minutes. The total cost for providing a targeted medication intervention program during the study time frame was $15 760.86. Total revenue was $15 216.00; therefore, the program resulted in an ROI to the pharmacy chain of negative 3%.

CONCLUSION

This 6-month study resulted in an ROI to the pharmacy chain of negative 3%. Under the current reimbursement model, for this program to break even, the average time to complete one targeted medication intervention must equal 21.85 minutes or less.

摘要

目的

计算社区药房企业管理层制定的靶向药物干预项目的投资回报率(ROI)。

设计

回顾性分析和横断面调查。

地点

北卡罗来纳州的区域社区药房连锁。

参与者

2010年2月1日至2010年7月31日完成的靶向药物干预纳入回顾性分析。完成问卷的连锁药房雇佣的社区药剂师纳入横断面分析。

干预措施

向患者提供靶向药物干预服务并由药剂师记录。

主要观察指标

社区药剂师提供的靶向药物干预项目的投资回报率。

结果

180名药剂师中,69名完成了问卷(回复率38%)。完成一次靶向药物干预的平均时间计算为22.63分钟。研究时间段内提供靶向药物干预项目的总成本为15760.86美元。总收入为15216.00美元;因此,该项目给连锁药房带来的投资回报率为负3%。

结论

这项为期6个月的研究使连锁药房的投资回报率为负3%。在当前报销模式下,该项目要实现收支平衡,完成一次靶向药物干预的平均时间必须等于或少于21.85分钟。

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