Kingston R L, Pfeifle C E, Cipolle R J, Zaske D E, Eells C B, Johnson H L
Am J Hosp Pharm. 1982 Jan;39(1):86-9.
A contractual model for comprehensive pharmaceutical services involving a major medical center pharmacy, a university, and a state department of corrections is described. Project goals and methods for the provision of services are described. These include areas of formulary development, inventory management, drug distribution, on-site placement of pharmacy operations, and educational development. Impact of the program was assessed over a 30-month period. Development of policies and procedures for drug use in a correctional setting enabled implementation of a strict patient population-specific drug formulary. Procedural changes resulted in an 83% decrease in on-site drug inventories and a 62% decrease in quarterly drug expenditures. A one-time saving of more than $26,500 resulted from the decrease in on-site inventory, and an annual saving of $44,000 is projected for decreased drug expenditures. All but five controlled substances were removed from the formulary, and only 13 nonprescription items remained in the formulary. An educational course on health care in correctional settings provided exposure for pharmacy students to this new area of institutional practice. The contractual model proved both cost-effective and functional for the department of corrections.
描述了一种涉及大型医疗中心药房、一所大学和一个州惩教部门的综合药学服务合同模式。阐述了项目目标和服务提供方法。这些包括处方集制定、库存管理、药品分发、药房业务的现场设置以及教育发展等领域。在30个月的时间里对该项目的影响进行了评估。制定惩教环境中药物使用的政策和程序，使得能够实施严格的针对特定患者群体的药品处方集。程序上的改变使现场药品库存减少了83%，季度药品支出减少了62%。现场库存减少一次性节省了超过26500美元，预计药品支出减少每年可节省44000美元。除了五种受控物质外，所有物质都从处方集中移除，处方集中仅保留了13种非处方药。一门关于惩教环境中医疗保健的教育课程让药学专业学生接触到了这个新的机构实践领域。该合同模式被证明对惩教部门既具有成本效益又能发挥作用。
