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评估药学住院医师参与试验性药物服务的经济价值。

Assessing the Economic Value of Pharmacy Resident Participation in an Investigational Drug Service.

作者信息

Brown Jamie N, Gordon Sara E, Tillman Frank, Jacob Sherin, Britnell Sara R

机构信息

Pharmacy Service, Durham Veterans Affairs Health Care System, Durham, NC, USA.

Department of Pharmacy Practice, 446733University of North Carolina at Chapel Hill Eshelman School of Pharmacy, Chapel Hill, NC, USA.

出版信息

J Pharm Pract. 2021 Feb;34(1):23-27. doi: 10.1177/0897190019850938. Epub 2019 Jun 23.

Abstract

PURPOSE

Completion of postgraduate residency training gives pharmacists an opportunity to gain advanced practice experience, yet the availability of these positions is often limited. Through participation in an investigational drug service (IDS), residency programs may be able to expand learning experiences while demonstrating a financial benefit to the institution. The purpose of this assessment is to examine the economic value generated by pharmacy resident involvement within an IDS.

METHODS

This was a single-center retrospective record review. All resident dispensations within the IDS from January 1, 2016, to December 31, 2017, were evaluated for cost avoidance, revenue, and waived revenue. Cost avoidance was defined as the cost of medications the institution would have incurred had the sponsor not provided therapies free of charge. Medical center contract acquisition costs were used to determine cost avoidance. Total economic value accounted for the personnel costs of resident dispensations. Descriptive statistics were utilized for all assessments.

RESULTS

A total of 444 resident dispensations occurred during the study period on 15 IDS protocols. The total cost avoidance for resident dispensations was US$144 898. Total revenue for these dispensations was US$1424, and waived revenue fees totaled US$17 625. After accounting for the personnel cost of dispensations by the residents, the total economic value of resident participation in the IDS was US$159 150.

CONCLUSION

Resident participation in the IDS contributed economic value to the institution. The IDS provides a unique learning experience for the pharmacy residents, cost savings for the institution, and supports the advancement of patient care.

摘要

目的

完成研究生住院医师培训使药剂师有机会获得高级实践经验,但这些职位的空缺往往有限。通过参与研究性药物服务(IDS),住院医师培训项目或许能够拓展学习体验,同时向机构展示经济收益。本评估的目的是考察药剂住院医师参与IDS所产生的经济价值。

方法

这是一项单中心回顾性记录审查。对2016年1月1日至2017年12月31日期间IDS内所有住院医师调配的药物进行成本规避、收入和免收费收入评估。成本规避定义为若申办方未免费提供治疗,机构本应承担的药物成本。医疗中心合同购置成本用于确定成本规避情况。总经济价值包括住院医师调配药物的人员成本。所有评估均采用描述性统计。

结果

在研究期间,15个IDS方案共发生444次住院医师药物调配。住院医师调配药物的总成本规避为144,898美元。这些调配的总收入为142�美元,免收费收入总计17,625美元。在计入住院医师调配药物的人员成本后,住院医师参与IDS的总经济价值为159,150美元。

结论

住院医师参与IDS为机构创造了经济价值。IDS为药剂住院医师提供了独特的学习体验,为机构节省了成本,并支持了患者护理的进步。

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