Rascati K L
Pharmacy Administration Division, College of Pharmacy, University of Texas at Austin 78712-1074.
Am J Hosp Pharm. 1988 Mar;45(3):639-41.
Literature pertaining to decentralization of drug distribution in hospitals since 1972 is reviewed. A chronological list of the articles cited, as well as information on the type of decentralization and outcomes in each article, was compiled. Advantages of decentralization reported in the literature include allowance for expansion of clinical services, more-efficient medication handling, improved communication between pharmacists and medical and nursing staff, decreased floor stock, and decreased medication-related nursing time. Some studies reported that the system minimally increased costs. Although the literature reviewed confirms that decentralization improves the quality of pharmaceutical services, more evidence of cost-effectiveness is needed.
本文回顾了自1972年以来有关医院药品配送去中心化的文献。编制了所引用文章的编年列表，以及每篇文章中关于去中心化类型和结果的信息。文献中报道的去中心化的优点包括允许扩展临床服务、更高效的药品处理、药剂师与医护人员之间改善沟通、减少病房库存以及减少与用药相关的护理时间。一些研究报告称该系统成本增加幅度极小。尽管所回顾的文献证实去中心化提高了药学服务质量，但仍需要更多成本效益的证据。
