A novel approach to medicines optimisation post-discharge from hospital: pharmacist-led medicines optimisation clinic.
In: International Journal of Clinical Pharmacy, Jg. 42 (2020-08-01), Heft 4, S. 1036-1049
Online
academicJournal
Zugriff:
Background There is a major drive within healthcare to reduce patient readmissions, from patient care and cost perspectives. Pharmacist-led innovations have been demonstrated to enhance patient outcomes. Objective To assess the impact of a post-discharge, pharmacist-led medicines optimisation clinic on readmission parameters. Assessment of the economic, clinical and humanistic outcomes were considered. Setting Respiratory and cardiology wards in a district general hospital in Northern Ireland. Method Randomised, controlled trial. Blinded random sequence generation; a closed envelope-based system, with block randomisation. Adult patients with acute unplanned admission to medical wards subject to inclusion criteria were invited to attend clinic. Analysis was carried out for intention-to-treat and per-protocol perspectives. Main Outcome Measure 30-day readmission rate. Results Readmission rate reduction at 30 days was 9.6% (P = 0.42) and the reduction in multiple readmissions over 180-days was 29.1% (P = 0.003) for the intention-to-treat group (n = 31) compared to the control group (n = 31). Incidence rate ratio for control patients for emergency department visits was 1.65 (95% CI 1.05-2.57, P = 0.029) compared with the intention-to-treat group. For unplanned GP consultations the equivalent incident rate ratio was 2.00 (95% CI 1.18-3.58, P = 0.02). Benefit to cost ratio in the intention-to-treat and per-protocol groups was 20.72 and 21.85 respectively. Patient Health Related Quality of Life was significantly higher at 30-day (P < 0.001), 90-day (P < 0.001) and 180-day (P = 0.036) time points. A positive impact was also demonstrated in relation to patient beliefs about their medicines and medication adherence. Conclusion A pharmacist-led post-discharge medicines optimisation clinic was beneficial from a patient care and cost perspective. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Clinical Pharmacy is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Titel: |
A novel approach to medicines optimisation post-discharge from hospital: pharmacist-led medicines optimisation clinic.
|
---|---|
Autor/in / Beteiligte Person: | Odeh, Mohanad ; Scullin, Claire ; Hogg, Anita ; Fleming, Glenda ; Scott, Michael G. ; McElnay, James C. |
Link: | |
Zeitschrift: | International Journal of Clinical Pharmacy, Jg. 42 (2020-08-01), Heft 4, S. 1036-1049 |
Veröffentlichung: | 2020 |
Medientyp: | academicJournal |
ISSN: | 2210-7703 (print) |
DOI: | 10.1007/s11096-020-01059-4 |
Schlagwort: |
|
Sonstiges: |
|