How to use structured decision making in developing therapeutic, cost-effective formulary systems.
The formulary decision-making process must evolve from a system which places a greater emphasis on the financial factors to one which includes therapeutic and patient outcomes. Ideally, all available options and possible consequences of a decision--economic as well as clinical--should be examined by P & T Committees. In this article, three methods to assist in formulary selection and management activities are described: the inventory management approach, the cost accounting approach, and the criteria-based protocol approach. All three methods have a place in the overall development and management of an effective therapeutic formulary system.
Parkland Memorial Hospital, Dallas, TX 75235.
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Crane
D000066:Accounting; D002985:Clinical Protocols; D003362:Cost-Benefit Analysis; D003659:Decision Making, Organizational; D005572:Formularies, Hospital as Topic; D007445:Inventories, Hospital; D010606:Pharmacy and Therapeutics Committee / Q000458:organization & administration*; D014481:United States