Dirks I, Pang F J
Am J Hosp Pharm. 1979 Mar;36(3):363-5.
The development of a per diem hospital pharmacy charge is reviewed after five years of use. The itemized pharmacy charges for every tenth patient (total of 250 patients) admitted to the hospital during a three-month period were studied to determine the average daily charges for drugs and pharmaceutical services. Six categories of rates were designated, based on the type of hospital service. A comparison of the actual charges and the projected per diem rate indicated that the per diem rate would produce the same revenue as the itemized charging method. A procedure for periodically monitoring the per diem rate was also established. The per diem pharmacy charges range from $3.50 (for patients admitted to the psychiatric service) to $12 (surgical patients). Intravenous solutions, i.v. admixtures, normal human serum albumin, drugs administered in the intensive care and cardiac care units, and drug with an acquistion cost of more than $10 are not included in the per diem charging system. The per diem system enabled the hospital to reduce administrative and accounting costs while continuing to provide quality pharmaceutical services.
在采用每日医院药房收费制度五年后，对其进行了评估。研究了三个月期间入院的每第十位患者（共250名患者）的详细药房收费情况，以确定药品和药学服务的每日平均费用。根据医院服务类型指定了六类费率。实际收费与预计每日费率的比较表明，每日费率将产生与详细收费方法相同的收入。还制定了定期监测每日费率的程序。每日药房收费从3.50美元（精神科服务患者）到12美元（外科患者）不等。静脉输液、静脉内混合液、正常人血清白蛋白、重症监护和心脏监护病房使用的药物以及采购成本超过10美元的药物不包括在每日收费系统中。每日收费系统使医院在继续提供优质药学服务的同时，降低了行政和会计成本。
