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目的:探讨药师依法执行药事照护的成效。方法:选定台北地区及高屏地区的1100位高就诊民众,由培训及格的药师执行药事居家照护。1年之后对成功访视的808例就诊资料作统计。结果:2009年2-12月与2010年2-12月的数据比较显示,在门诊就医总次数上平均每例下降27次,降低29%;在门诊医疗总花费上平均每例下降新台币15669元(共节约新台币1266万,n=808),降低20%;而在门诊药品费用上平均每例下降新台币5777元(共节约新台币468万元,n=808),降低19%。药事照护费用为385万元(成本),在门诊医疗费用上节省1266万元(效益),门诊的成本利益比为1∶3.3。结论:药师执行药事照护可改善高就诊民众的就医行为,且符合成本-效益。
Objective: To explore the effectiveness of pharmacists in carrying out medical care according to law. METHODS: A total of 1,100 high-paying residents in Taipei and Kaohsiung districts were selected and their home visits were carried out by trained and qualified pharmacists. A year later, 808 cases of successful visiting data for statistics. Results: Comparisons of data from February to December 2009 with January to December 2010 showed that the average number of outpatient visits was 27 cases per case, a decrease of 29%. In the total outpatient medical expenses, an average of NT 15669 (A total saving of NT $ 12.66 million, n = 808), a decrease of 20%. In the case of outpatient medicines, the average cost of NT $ 5777 (a total saving of NT $ 4.68 million, n = 808) decreased by 19%. Pharmacy care costs were 3.85 million yuan (cost), saving 12.66 million yuan in out-patient medical expenses (benefit), out-patient cost-benefit ratio of 1: 3.3. CONCLUSIONS: Pharmacists performing medicare care can improve the medical treatment of high-paying people and are cost-effective.