Schneider P J
Am J Hosp Pharm. 1981 Nov;38(11):1784-6.
Factors that will influence the future of comprehensive pharmaceutical services are discussed, and administrative strategies for developing clinical pharmacy services in hospitals are presented. The future of clinical pharmacy practice will be affected by: (1) health-manpower levels; (2) the trend toward centralized, prospective payment for health services; (3) emphasis on cost containment; and (4) the quality of existing pharmaceutical services. Of primary importance to the development of clinical services is to have in place a centralized, unified pharmaceutical service. A staff of qualified practitioners, as well as executive direction to determine goals and priorities, is needed. Valid clinical roles should be identified that meet health-care needs, meet legal and accreditation standards, avoid conflict with physician-roles help deal with the nursing shortage, and contain health-care costs. Cost of the clinical service must be determined so that financial support can be arranged.
本文讨论了将影响综合药学服务未来发展的因素，并提出了在医院发展临床药学服务的管理策略。临床药学实践的未来将受到以下因素的影响：（1）卫生人力水平；（2）卫生服务集中化、前瞻性支付的趋势；（3）对成本控制的重视；（4）现有药学服务的质量。对于临床服务的发展至关重要的是建立一个集中、统一的药学服务体系。需要一支合格的从业者队伍，以及确定目标和优先级的行政指导。应确定有效的临床角色，以满足医疗保健需求、符合法律和认证标准、避免与医生角色冲突、有助于应对护理短缺问题并控制医疗保健成本。必须确定临床服务的成本，以便安排财政支持。
