Williams R B
Am J Hosp Pharm. 1984 Jan;41(1):133-41.
The process of preparing and justifying the budget for a new or improved hospital pharmacy service is described. Factors that influence the justification process include the rationale for the new service, facts needed for the decision-making process, the political process within the hospital, timing, and salesmanship. Steps preliminary to preparing the proposal include identifying hospital and departmental goals, relating the proposed service to those goals, assessing the odds of new service approval, and establishing priority for development of the proposal. The components of a formal proposal are discussed, including the budget that describes the financial feasibility of the service. A sample proposal is presented. Prospective pricing does not necessarily eliminate the opportunity for development of new hospital pharmaceutical services. However, the need, cost, revenue, and benefits of such services must be thoroughly justified on a hospital-specific basis.
本文描述了为新的或改进的医院药房服务编制预算并证明其合理性的过程。影响论证过程的因素包括新服务的基本原理、决策过程所需的事实、医院内部的政治过程、时机以及推销技巧。编制提案的前期步骤包括确定医院和科室目标、将提议的服务与这些目标联系起来、评估新服务获批的可能性以及确定提案开发的优先级。文中讨论了正式提案的组成部分，包括描述服务财务可行性的预算。还给出了一个提案样本。前瞻性定价不一定会消除开发新的医院药学服务的机会。然而，此类服务的需求、成本、收入和效益必须在特定医院的基础上进行充分论证。
