Hatoum H T, Hutchinson R A, Elliott L R, Eck T A
College of Pharmacy, University of Illinois, Chicago 60612.
Am J Hosp Pharm. 1988 Jun;45(6):1328-33.
The costs involved in dispensing a prescription in an outpatient pharmacy at a 450-bed teaching hospital were studied. Work sampling was used to determine pharmacist and technician time involved in dispensing a prescription, and other direct and indirect costs involved in dispensing a prescription were isolated. The cost per prescription was calculated as the total of personnel costs for dispensing plus other costs, excluding the cost of the drug. Average of 2.68 and 3.37 minutes of pharmacist and technician time, respectively, were directly involved in dispensing each prescription. The standard auxiliary times per prescription were calculated to be 1.17 minutes and 4.66 minutes for the two groups, respectively. Total pharmacy personnel time consumed in dispensing a prescription was 13.33 minutes. Total calculated personnel cost included in dispensing a prescription was +3.14. Adding to this figure other direct and indirect costs resulted in a total cost of +5.42 for dispensing a prescription. Although the time and cost figures identified are unique to this outpatient pharmacy, other institutions can use these microcosting techniques to provide data that can be useful in the negotiation of contracts for the provision of pharmaceutical services to ambulatory patients.
对一家拥有450张床位的教学医院门诊药房调配处方所涉及的成本进行了研究。采用工作抽样法来确定调配一张处方所需的药剂师和技术人员时间，并分离出调配处方所涉及的其他直接和间接成本。每张处方的成本计算为调配人员成本与其他成本之和，不包括药品成本。调配每张处方分别直接涉及药剂师和技术人员的平均时间为2.68分钟和3.37分钟。两组每张处方的标准辅助时间分别计算为1.17分钟和4.66分钟。调配一张处方消耗的药房人员总时间为13.33分钟。调配一张处方计算得出的总人员成本为3.14美元。在此数字基础上加上其他直接和间接成本，调配一张处方的总成本为5.42美元。尽管所确定的时间和成本数字是该门诊药房所特有的，但其他机构可以使用这些微观成本核算技术来提供有助于为门诊患者提供药品服务合同谈判的数据。
