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儿科临床药师药学服务的成本-效益分析
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| 篇名： | 儿科临床药师药学服务的成本-效益分析 |
| TITLE： | |
| 摘要： | 目的：评价儿科临床药师为住院患儿提供药学服务的经济性。 方法：采用成本-效益分析方法。采集某项儿科临床药师干预住院患儿药物治疗的随机对照试验数据，研究对象为某院因呼吸系统、神经系统和消化系统疾病入院的0～18岁患儿；试验组患儿在常规医疗服务基础上接受儿科临床药师提供的药学服务，对照组患儿仅接受常规医疗服务；成本指标为临床药学服务成本，效益指标为降低的住院费用和药品费用，计算两组患儿的效益-成本比，并对结果进行敏感度分析。结果：与对照组比较，试验组患儿的住院费用和药品费用分别降低30.0％和33.7％，临床药学服务成本为184.1元/人，效益-成本比分别为9.45和4.61（均大于1），具有经济性。敏感度分析支持成本-效益分析结果。结论：儿科临床药师为住院患儿提供药学服务具有积极的经济效果。 |
| ABSTRACT： | OBJECTIVE： To evaluate the economics of pharmaceutical care for pediatric inpatients provided by pediatric clinical pharmacists. METHODS： The cost-benefit analysis method was adopted. Randomized controlled trial data about pediatric clinical pharmacists intervening in drug treatment of pediatric inpatients were collected. The research objects were 0-18 years old children who were hospitalized for respiratory system disease， nervous system disease and digestive system disease in a hospital. Trial group additionally received pharmaceutical care provided by pediatric clinical pharmacists on the basis of routine medical service， and control group only received routine medical service. Cost indexes were clinical pharmaceutical care cost， and benefit indexes were the decrease of hospitalization cost and drug cost. Benefit-cost ratio was calculated in 2 groups， and sensitivity analysis was also conducted. RESULTS： Compared with control group， hospitalization cost and drug cost of trial group decreased by 30.0％ and 33.7％； clinical pharmaceutical care cost was 184.1 yuan/person； benefit-cost ratio were 9.45 and 4.61 （both higher than 1）， with economics. The results of cost-benefit analysis were supported by sensitivity analysis. CONCLUSIONS： The pediatric clinical pharmacists providing pharmaceutical care for pediatric inpatients shows active economic effects. |
| 期刊： | 2018年第29卷第4期 |
| 作者： | 陈敏，张伶俐，张川，黄亮，胡志强 |
| AUTHORS： | CHEN Min，ZHANG Lingli，ZHANG Chuan，HUANG Liang，HU Zhiqiang |
| 关键字： | 临床药师；药学服务；儿童；成本-效益分析；药学服务成本；经济学评价 |
| KEYWORDS： | Clinical pharmacist； Pharmaceutical care； Children； Cost-benefit analysis； Pharmaceutical care cost； Economic evaluation |
| 阅读数： | 439 次 |
| 本月下载数： | 38 次 |
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