Sturgess R, Fenton-May V, Veitch B
St Mary's Hospital, Penarth, Wales, UK.
J Clin Pharm Ther. 1995 Aug;20(4):225-8. doi: 10.1111/j.1365-2710.1995.tb00653.x.
There have been various attempts to reduce the expenditure on drugs-limited lists, drug formularies, prescribing policies, etc. The number of occupied beds in hospitals has fallen, and other indicators of hospital work have altered little. In spite of this, the expenditure on drugs by the hospitals in Wales has continued to rise. Taking two groups (antibiotics and anaesthetic agents) as examples of the high-cost drugs, the expenditure has been related to a number of indicators of the workload of a hospital. No clear relationship between any one indicator has been demonstrated although the number of surgical day cases is an important factor.
人们已经尝试了各种方法来减少药品开支,如采用受限药品清单、药品处方集、开药政策等。医院的占用床位数有所下降,医院工作的其他指标变化不大。尽管如此,威尔士医院的药品开支仍在继续上升。以两组高成本药品(抗生素和麻醉剂)为例,开支与医院工作量的一些指标相关。虽然手术日间病例数是一个重要因素,但尚未证明任何一个指标之间存在明确的关系。