Models of hospital drug policy in the UK.
Pharmacists in UK National Health Service (NHS) hospitals have a long tradition of involvement in the development of drug policy.
This paper describes various approaches that have been employed in the development and implementation of drug policy in hospitals and examines the evidence for their effectiveness and acceptability in the context of a changing health service.
A series of focused interviews was conducted with a range of staff, including doctors, nurses, pharmacists and managers at eight hospitals.
Interview sites were selected on the basis of a national survey of clinical pharmacy roles and were broadly representative of UK NHS hospitals.
Inteview data were analysed using constant comparison and analytic induction.
Three models used in the development of drug policy were identified :
a'traditional'model, in which a drug and therapeutics committee establishes a hospital-wide formulary which is implemented by pharmacists ;
a'combined'model, in which there is much more emphasis on tailoring policies and feedback to specialties or clinical directorates ;
and a'medical control'model, in which prescribing decisions are made by individual doctors without reference to explicit policies and with little active pharmacy involvement.
Pharmacy involvement was seen as vital to the development of effective policies but hospital-specific factors influenced the choice of model at particular sites. (...)
Mots-clés Pascal : Royaume Uni, Europe, Monde, Hôpital, Politique, Pharmacie hospitalière, Prescription, Médecin, Pratique professionnelle, Personnel sanitaire, Travailleur social, Milieu hospitalier, Pharmacien, Europe Ouest, Aspect politique, Géographie, Soin, Politique sanitaire, Service hospitalier, Organisation hospitalière, Dispensation médicament, Distribution, Médicament
Mots-clés Pascal anglais : United Kingdom, Europe, World, Hospital, Policy, Hospital pharmacy, Prescription, Physician, Professional practice, Health staff, Social worker, Hospital environment, Chemist, Western Europe, Political aspect, Geography, Care, Health policy, Hospital ward, Hospital organization, Drug dispensation, Distribution, Drug
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 21/07/1998.