作者cjjh90562 (北極熊)
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時間Sun Dec 9 12:58:09 2012
題目
Retrospective Analysis of Estimated Cost Avoidance Following
Pharmacist-Provided Medication Therapy Management Services
作者
Branham AR, Katz AJ, Moose JS, Ferreri SP, Farley JF, Marciniak MW.
出處
Journal of pharmacy practice
摘要
Objective: To compare the estimated cost avoidance (ECA) of
pharmacist-provided medication therapy management (MTM) services among common
disease states encountered in community pharmacy practice. Design:
Retrospective analysis. Setting: Nine community pharmacies in North Carolina.
Patients: Three hundred and sixty-four patients who are 65 years of age or
older, a Medicare Part D beneficiary and a North Carolina resident.
Interventions: An MTM pharmacist-provider conducted medication reviews to
eligible patients between July 2009 and October 2009. For each encounter,
patient interventions, pharmacist recommendations, and ECA were recorded.
Main outcome measure: ECA. Results: In 9 pharmacy locations, 634 MTM
interventions were documented during the study period. The ECA in a 4-month
period yielded approximately $494 000. Comprehensive medication reviews, new
prescription counseling and appropriate medication administration, and
technique counseling made up nearly two-thirds of interventions. Overall, the
probability that an MTM intervention would result in an ECA greater than $0
was .35. Conclusions: Pharmacist-provided MTM effectively reduced costs
associated with patient medication use. Such interventions reduced costs in
overall health care specifically in the areas of cardiovascular,
gastroesophageal reflux disease, pulmonary, and diabetes groups.
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