农村社区药房的专业服务成本评估:一个单心的探索方法
Luis A Martínez1,2, Cristina García1,3,4, Lucrecia Moreno3,4
1Community Pharmacist, 02161 Albacete, Spain.
Pharmacy (Basel, Switzerland)
|October 27, 2023
概括
评估农村药房中药房服务 (PSs) 的成本,如药品发行 (MDS),合规辅助 (MCAS) 和认知查 (CISS),揭示了它们的财务影响. 这一分析有助于理解医疗保健系统的资源配置.
科学领域:
- 卫生经济学 卫生经济学
- 药房实践 在药房实践.
- 医疗保健管理的管理
背景情况:
- 由于成本上升,可持续性问题和人口老龄化,全球卫生保健系统面临着越来越大的压力.
- 临床专业药房服务 (PSs) 可以减轻医疗保健系统的压力,但会带来提供成本.
- 了解特定PS的成本对于资源分配和服务实施至关重要.
研究的目的:
- 评估在农村社区药房环境中提供三个不同的专业药房服务 (PSs) 的提供成本.
- 具体来说,是为了确定与药物配送服务 (MDS),多部门合规援助系统服务 (MCAS) 和认知障碍查服务 (CISS) 相关的成本.
主要方法:
- 使用基于时间驱动的活动成本计算 (TDABC) 模型进行了成本分析.
- 药剂师每次服务所花费的时间都被仔细记录下来.
- 相关费用从药房的会计记录中提取出来.
主要成果:
- 药品配送服务 (MDS) 费用:2.24欧元 (4.80分钟).
- 多部门合规援助系统 (MCAS) 服务成本:8.73欧元 (18.33分钟).
- 认知障碍查服务 (CISS) 费用:56.72欧元 (122.20分钟).
- 这些服务的总提供时间占药剂师有效工作时间的85%.
结论:
- 量身定制的成本分析是关于实施专业药房服务的知情决策的重要工具.
- 为了准确的成本评估,需要对不同类型和地点的药房进行进一步的广泛研究.
- 调查结果可以为讨论药房服务的适当融资和报酬模式提供信息.
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