処方せんへの検査値記載による医療経済効果

抄録

Recently, laboratory data have begun to be printed on prescriptions in many hospitals, and there are already many reports of its usefulness. However, the medical-economic impact of printing laboratory data on prescriptions is not clear. Hence, this study aimed to clarify this impact. We extracted prescription inquiries from laboratory data, for three years after printing laboratory data on prescriptions in our hospital, and we analyzed the change in drug costs and medical-economic effects of pharmaceutical intervention. There were 79 cases in the hospital and 159 cases in a community pharmacy during the target period. Approximately 90％ of the prescriptions reduced drug costs in the hospital and community pharmacies, and the average reduction in costs was 75 yen per day in the hospital and 351 yen outside of the hospital. In addition, pharmaceutical intervention-which can prevent serious side effects-results in medical-economic effects in the order of 16 million yen in the hospital and 120 million yen outside of the hospital. And, if laboratory data are printed on all national prescriptions and pharmaceutical interventions are performed as in this result, this will produce great medical-economic effects of 220 billion yen. It was shown that printing laboratory data on prescriptions affords great improvement in not only medical safety but also medical-economic effects. It is hoped that more hospitals will issue prescriptions with laboratory data printed, and that this will contribute to medical safety and medical-economic well-being.