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  1. Programmatic role of the infectious diseases physician in controlling antimicrobial costs in the hospital : Value of the infectious diseases specialist.

    Article - En anglais

    Controlling antimicrobial costs has preoccupied infectious diseases physicians (IDPs).

    IDPs have controlled antimicrobial costs by the use of eight strategies : education, formulary restriction, pharmacy justification, formulary substitution, computer surveillance, laboratory item cost listing, purchase plans, and multidisciplinary approaches.

    Most strategies had input from IDPs and resulted in cost savings (up to $500,000 annually), particularly during the initiation periods.

    Educational efforts were successful in reducing costs but needed continual intervention.

    Formulary restriction was the most straightforward cost-control mechanism.

    Restriction of « target antimicrobials » has given way to « switch » therapy between expensive and less costly agents or between parenteral and oral regimens.

    Switch therapy is facilitated through the use of innovative order forms and on-line computer interaction.

    Computer surveillance has a capacity for interactive controls.

    Purchase plans may give way to centralized pharmacy monitoring, a strategy that is attractive to managed care organizations.

    Multidisciplinary antimicrobial management programs (AMPs) offer the best potential for sustaining savings in antimicrobial costs.

    Ten recommendations lay a groundwork for IDPs to translate their expertise into leadership of AMPs.

    Mots-clés Pascal : Infection, Coût, Aspect économique, Traitement, Education, Médecin, Antimicrobien, Hôpital, Economie santé

    Mots-clés Pascal anglais : Infection, Costs, Economic aspect, Treatment, Education, Physician, Antimicrobial agent, Hospital, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0239669

    Code Inist : 002B05A02. Création : 11/06/1997.