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Medicaid, FDA reform key issues building steam in Congress. 医疗补助、食品药品监督管理局改革等关键问题在国会形成了动力。
Formulary
Pub Date : 1995-05-01
B Gatty
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引用次数: 0
Evaluating the value, accuracy, and operational feasibility of DUE criteria. 评估DUE标准的价值、准确性和操作可行性。
Formulary
Pub Date : 1995-05-01
R Ben-Joseph, R Segal, W L Russell, T Oh

The purpose of this investigation was to evaluate the value, accuracy, and operational feasibility of indicators/criteria in a drug use evaluation (DUE) examining IV histamine2-receptor antagonists (H2-RA). Pharmacists in 40 hospitals collected DUE data concurrent with hospital stays on a total of 1,200 patients. After completing the DUE, pharmacist data collectors were asked to evaluate each DUE criterion. Most reported that criteria relating to indications for use, therapeutic drug monitoring, and adverse drug reactions/drug interactions should be included in a DUE, but some criteria were not easy to collect or were inaccurate. The data suggest the need to carefully select DUE criteria that can be used for continuous improvements that meet JCAHO accreditation requirements.

本研究的目的是评估IV组胺2受体拮抗剂(H2-RA)的用药评价(DUE)指标/标准的价值、准确性和操作可行性。40家医院的药剂师收集了1200名患者住院期间的DUE数据。完成DUE后，要求药师数据收集者评估每个DUE标准。大多数报告说，与使用适应症、治疗药物监测和药物不良反应/药物相互作用有关的标准应包括在DUE中，但一些标准不容易收集或不准确。数据表明需要仔细选择DUE标准，这些标准可用于持续改进，以满足JCAHO认证要求。
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引用次数: 0
Initiating a drug blood level monitoring program through CQI. 通过CQI启动药物血药浓度监测项目。
Formulary
Pub Date : 1995-05-01
T Tse, A J Madura

A blood level monitoring program was developed at St. James Hospital and Health Centers--a 472-bed community hospital located in Chicago Heights, IL. The primary goal of the program was to improve patient care by ensuring that drug levels were within their target range for the condition being treated. Additional benefits obtained from the program included meeting Joint Commission on Accreditation of Healthcare Organization's standards for medication monitoring and generating additional revenue for the institution from pharmacokinetic consults. Highlights of the service and its implementation are presented in this article.

圣詹姆斯医院和健康中心(位于伊利诺伊州芝加哥高地的一家拥有472张床位的社区医院)开发了一项血液水平监测计划。该计划的主要目标是通过确保药物水平在治疗条件的目标范围内来改善患者护理。该项目获得的其他好处包括满足医疗机构药物监测标准认证联合委员会的要求，并从药代动力学咨询中为机构带来额外收入。本文将重点介绍该服务及其实现。
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引用次数: 0
Physicians' perceptions and knowledge of drug costs: results of a survey. 医生对药品成本的认知和知识:一项调查的结果。
Formulary
Pub Date : 1995-05-01
L P Barclay, R C Hatton, P L Doering, J W Shands

The objective of this survey was to determine physicians' opinions of the importance of drug costs, sources of drug cost information used, preferences for mechanisms to lower drug costs, and to assess knowledge of the relative cost of common drugs. A questionnaire containing opinion statements and five categories of drugs to be ranked from least to most expensive was sent to 598 physicians at our tertiary-care, university-affiliated teaching hospital. In all, 398 (66.6%) surveys were completed. Survey results indicate that physicians are interested in lowering the cost of drug therapy, and that they are knowledgeable of relative drug costs but would like more cost information to make more informed prescribing decisions. Most believe that a readily available drug cost index is the most beneficial mechanism to decrease drug expenditures.

本调查的目的是确定医生对药品成本重要性的看法、使用的药品成本信息来源、降低药品成本机制的偏好，并评估对常见药品相对成本的了解。我们向我们大学附属的三级医疗教学医院的598名医生发送了一份问卷，其中包含意见陈述和从最便宜到最贵的五类药物。共完成调查398份(66.6%)。调查结果表明，医生对降低药物治疗的成本很感兴趣，他们了解相关的药物成本，但希望获得更多的成本信息，以便做出更明智的处方决定。大多数人认为，一个现成的药品成本指数是减少药品支出的最有利的机制。
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引用次数: 0
The eyes have it 眼睛里有
Formulary
Pub Date : 1900-01-01 DOI: 10.1056/nejm195602092540615
K. Hitchens
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引用次数: 0
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