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Related Experiment Videos

Controlling financial variables--changing prescribing patterns.

P W Abramowitz

    American Journal of Hospital Pharmacy
    |March 1, 1984
    PubMed
    Summary
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    Hospital pharmacies can control costs through formulary management and clinical pharmacy services. Strategies include optimizing drug lists, P&T committee interventions, and targeted patient care programs for significant savings.

    Area of Science:

    • Health Management
    • Pharmaceutical Sciences
    • Clinical Pharmacy

    Background:

    • Hospital pharmacy departments face increasing pressure to manage drug expenditures effectively.
    • Traditional cost-containment methods require strategic integration with clinical services.

    Purpose of the Study:

    • To review and synthesize effective techniques for cost containment in hospital pharmacy.
    • To highlight the roles of formulary management, pharmacy and therapeutics committees, and clinical pharmacy services.

    Main Methods:

    • Review of formulary management strategies: deletion of equivalents, inclusion of cost data, regular updates.
    • Analysis of Pharmacy and Therapeutics (P&T) committee interventions: drug monographs, cost impact statements, policy development (stop orders, restricted use).

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  • Evaluation of clinical pharmacy activities: physician education, target drug/disease programs, specialized therapy team participation, patient training.
  • Main Results:

    • Formularies can control costs via strategic drug selection and regular content review.
    • P&T committees can implement cost-saving policies and drug evaluations.
    • Clinical pharmacy services demonstrate significant potential for cost reduction through optimized prescribing and patient management.

    Conclusions:

    • A multifaceted approach combining formulary control, P&T committee oversight, and clinical pharmacy services is crucial for effective hospital pharmacy cost containment.
    • Tailoring these strategies to specific hospital needs and resources enhances their impact on controlling healthcare costs.