Biomaterial Database

Antimicrobial formulary management: a consultant's perspective. 1991

M S Holzman

McFaul & Lyons, Inc., Trenton, New Jersey 08619.

Health care administrators are concerned with the need for cost containment, including how pharmacies may contribute to cost savings. They also must be aware of how quality assurance activities and cost containment are related. Various techniques are available for reducing antibiotic costs, such as formulary alternatives, improving pricing, use of guidelines, controlling dosage frequency and strength, and converting from intravenous to oral route of administration. Two kinds of savings are involved: soft and hard. Soft savings are usually not real in the sense that overall hospital expenses will probably not be reduced as a result of implementing change. Hard savings will increase a hospital's profits and reduce expenses as a result of the intended change.

UI	MeSH Term	Description	Entries
D011320	Primary Health Care	Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)	Primary Care,Primary Healthcare,Care, Primary,Care, Primary Health,Health Care, Primary,Healthcare, Primary
D011357	Product Line Management	Management control systems for structuring health care delivery strategies around case types, as in DRGs, or specific clinical services.	Line Management, Product,Line Managements, Product,Management, Product Line,Managements, Product Line,Product Line Managements
D011785	Quality Assurance, Health Care	Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.	Quality Assessment, Health Care,Health Care Quality Assessment,Health Care Quality Assurance,Healthcare Quality Assessment,Healthcare Quality Assurance,Quality Assessment, Healthcare,Quality Assurance, Healthcare,Assessment, Healthcare Quality,Assessments, Healthcare Quality,Assurance, Healthcare Quality,Assurances, Healthcare Quality,Healthcare Quality Assessments,Healthcare Quality Assurances,Quality Assessments, Healthcare,Quality Assurances, Healthcare
D003164	Competitive Bidding	Pricing statements presented by more than one party for the purpose of securing a contract.	Contract Bidding,Request for Proposal,Bidding, Competitive,Bidding, Contract,Biddings, Competitive,Biddings, Contract,Competitive Biddings,Contract Biddings,Proposal, Request for,Proposals, Request for,Request for Proposals
D003253	Consultants	Individuals referred to for expert or professional advice or services.	Advisory Services,Services, Advisory,Advisory Service,Consultant,Service, Advisory
D003363	Cost Control	The containment, regulation, or restraint of costs. Costs are said to be contained when the value of resources committed to an activity is not considered excessive. This determination is frequently subjective and dependent upon the specific geographic area of the activity being measured. (From Dictionary of Health Services Management, 2d ed)	Cost Containment,Containment, Cost,Containments, Cost,Control, Cost,Controls, Cost,Cost Containments,Cost Controls
D003365	Costs and Cost Analysis	Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.	Affordability,Analysis, Cost,Cost,Cost Analysis,Cost Comparison,Cost Measures,Cost-Minimization Analysis,Costs and Cost Analyses,Costs, Cost Analysis,Pricing,Affordabilities,Analyses, Cost,Analyses, Cost-Minimization,Analysis, Cost-Minimization,Comparison, Cost,Comparisons, Cost,Cost Analyses,Cost Comparisons,Cost Measure,Cost Minimization Analysis,Cost, Cost Analysis,Cost-Minimization Analyses,Costs,Measure, Cost,Measures, Cost
D004363	Drug Utilization	The utilization of drugs as reported in individual hospital studies, FDA studies, marketing, or consumption, etc. This includes drug stockpiling, and patient drug profiles.	Utilization, Drug,Drug Utilizations,Utilizations, Drug
D005377	Financial Management, Hospital	The obtaining and management of funds for hospital needs and responsibility for fiscal affairs.	Hospital Financial Management,Hospital Financial Managements,Financial Managements, Hospital,Management, Hospital Financial,Managements, Hospital Financial
D005572	Formularies, Hospital as Topic	Works about formularies concerned with PHARMACEUTICAL PREPARATIONS prescribed in hospitals.	Hospital Formularies as Topic