Mehl B
Am J Hosp Pharm. 1984 Apr;41(4):667-75.
A set of monthly indicators that can be used to track hospital drug costs is described; use of the indicators is illustrated using data from one hospital pharmacy department. Weighted for the top 100 drug products' contribution to drug expenditures, the drug-cost inflation index identifies changes in the price of drug products, and the drug-cost index accounts for changes attributed to newly marketed drug products and changes in drug use. Pharmacologic-cost indicators represent the expenditure for drug products in specific pharmacologic classifications per patient day, and disease-drug cost indicators represent the expenditure per day for drugs used to treat patients with specific diseases. Other indicators are the drug cost per patient day, per outpatient clinic visit, and per outpatient prescription. Indicators of intravenous solution cost per patient day, contrast media cost per radiologic procedure, and radiopharmaceuticals cost per procedure are described. Hospital pharmacy directors can use the indicators to develop accurate drug budgets and to monitor changes in drug costs on a routine basis; the indicators also can provide useful information in monitoring drug costs for diagnosis-related groups.
本文描述了一组可用于跟踪医院药品成本的月度指标；并使用一家医院药房部门的数据说明了这些指标的用法。药品成本通胀指数根据排名前100的药品对药品支出的贡献进行加权，可识别药品价格的变化，而药品成本指数则考虑了新上市药品导致的变化以及药品使用的变化。药理成本指标表示每位患者每天在特定药理分类中的药品支出，疾病药品成本指标表示用于治疗特定疾病患者的药品每天的支出。其他指标包括每位患者每天、每次门诊就诊和每张门诊处方的药品成本。本文还描述了每位患者每天的静脉输液成本、每次放射检查的造影剂成本和每次检查的放射性药物成本指标。医院药房主任可以使用这些指标来制定准确的药品预算，并定期监测药品成本的变化；这些指标还可以为监测诊断相关组的药品成本提供有用信息。
