Pugh C B
Department of Pharmacy and Pharmaceutics, Virginia Commonwealth University/Medical College of Virginia School of Pharmacy.
Am Pharm. 1995 Feb;NS35(2):17-23. doi: 10.1016/s0160-3450(15)30205-1.
Medicaid pharmacy providers in Virginia were surveyed to estimate the potential impact of the Omnibus Budget Reconciliation Act of 1990, which mandated prospective drug use review (DUR) beginning January 1, 1993. The data measure which DUR activities were being performed by pharmacists before the law took effect, and the survey compares and contrasts these data with the activities mandated by full compliance with the law. Many respondents already perform several of the required DUR activities, and nearly all agree that full compliance requires more time to process each prescription order. Barriers to full compliance include lack of time to counsel patients adequately, lack of patient-specific information, and no compensation for offering clinical/cognitive services.
对弗吉尼亚州医疗补助计划的药房供应商进行了调查，以评估1990年《综合预算协调法案》的潜在影响，该法案规定从1993年1月1日起进行前瞻性药物使用审查（DUR）。这些数据衡量了在该法律生效前药剂师正在开展哪些药物使用审查活动，并且该调查将这些数据与完全遵守该法律所规定的活动进行了比较和对比。许多受访者已经开展了几项规定的药物使用审查活动，而且几乎所有人都认为完全遵守规定需要更多时间来处理每份处方订单。完全遵守规定的障碍包括没有足够时间对患者进行充分咨询、缺乏患者特定信息以及提供临床/认知服务没有补偿。
