医院中具有成本效益和可持续的药物使用:一种系统和基于实践的方法
Michiel Zietse1, Shannon L van der Zeeuw2, Anne-Sophie Klein Gebbink2
1Department of Hospital Pharmacy, Erasmus University Medical Center, Rotterdam, The Netherlands. m.zietse@erasmusmc.nl.
Applied health economics and health policy
|December 20, 2024
概括
一个新的8步效率模型系统地确定了医院中具有成本效益的药物使用. 这一框架通过优化高成本药物管理来提高财务可持续性和患者护理质量.
科学领域:
- 药物经济学 药物经济学
- 医疗保健服务研究 医疗服务研究
- 药物管理 药物管理
背景情况:
- 医疗保健成本正在上升,挑战了财务可持续性.
- 干预性药物经济学促进了具有成本效益的药物使用.
- 目前的药物成本节约工作是分散的,需要综合的方法.
研究的目的:
- 开发一个可扩展的框架来识别和实施在医院中具有成本效益和可持续的药物使用.
- 解决对药物开支管理的系统,全医院的方法的需求.
主要方法:
- 开发并应用了一种新的"8步效率模型".
- 确定了高成本药物,并进行了系统的评估.
- 多学科团队评估了药物使用的成本效益策略.
主要成果:
- 评估了39种高成本药物,占国家开支的57%.
- 对27种药物 (51%的支出) 确定了成本效益和可持续性倡议.
- 实际应用,如减少浪费和优化剂量,产生了显著的节省.
结论:
- 开发了一个系统的,可扩展的模型,以提高高成本药物的成本效益.
- 该模式促进了财务可持续性,患者护理质量和可持续的药物使用.
- 这一框架可以作为其他医疗机构的蓝图.
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