Klepcyk J C, Billups N F, Hicks C I
Am J Hosp Pharm. 1984 Oct;41(10):2056-60.
A fee-per-student reimbursement system for clinical clerkships that evolved between a college of pharmacy and a private community hospital is described. The faculty member is a hospital employee with the college compensating the hospital on a per-student basis for the provision of clerkship instruction. Both the hospital and the college were concerned about the allocation of costs, responsibility for the supervision of the program and personnel, and finding a way to accommodate their different goals and objectives. The hospital provides (1) the necessary clinical training facilities and resources for the clerkship program, (2) 60 hr/yr of drug-therapy lectures, and (3) 40 hr/yr of release time to attend faculty and department meetings at the college. The hospital employs the clinical pharmacist to provide clinical services to its family medicine center and the clerkship program. A written contract specifies the responsibilities of both parties, and an addendum is negotiated annually to state the actual fees, number of students per year, and number of hours spent in lectures and committee participation at the college. The contractual relationship has been extended successfully to four other sites. The college and the hospital have found this reimbursement approach to be flexible, effective in promoting organizational communication, and mutually beneficial in allowing both organizations to achieve their goals.
描述了一种在药学院与一家私立社区医院之间发展起来的针对临床实习的按学生付费报销系统。教员是医院员工，药学院按每个学生向医院支付实习指导费用。医院和药学院都关心成本分配、项目和人员监管责任，以及找到一种方法来协调它们不同的目标。医院提供：（1）实习项目所需的临床培训设施和资源；（2）每年60小时的药物治疗讲座；（3）每年40小时的脱产时间用于参加药学院的教员和部门会议。医院雇佣临床药剂师为其家庭医学中心和实习项目提供临床服务。一份书面合同规定了双方的责任，每年协商一份附录以说明实际费用、每年的学生人数以及在药学院讲座和参与委员会的时长。这种合同关系已成功扩展到其他四个地点。药学院和医院发现这种报销方式灵活，在促进组织沟通方面有效，并且对双方实现各自目标都有互利作用。
