Using the costs of drug therapy to screen patients for a community pharmacy-based medication review program

Détails

ID Serval
serval:BIB_47881B2562D7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Using the costs of drug therapy to screen patients for a community pharmacy-based medication review program
Périodique
Pharmacy World & Science
Auteur(s)
Krähenbühl Jean-Marc, Decollogny Anne, Bugnon Olivier
ISSN
0928-1231
Statut éditorial
Publié
Date de publication
2008
Peer-reviewed
Oui
Volume
30
Numéro
6
Pages
816-822
Langue
anglais
Notes
SAPHIRID:68476
Résumé
Objectives: To measure the positive predictive value (PPV) of the cost of drug therapy (threshold = 2000 Swiss francs [CHF], US$1440, <euro>1360) as a screening criterion for identifying patients who may benefit from medication review (MR). To describe identified drug-related problems (DRPs) and expense problems (EPs), and to estimate potential savings if all recommendations were accepted. Setting Five voluntary Swiss community pharmacies. Methods: Of 12,680 patients, 592 (4.7%) had drug therapy costs exceeding 2000 CHF over a six-month period from July 1 to December 31, 2002. This threshold limit was set to identify high-risk patients for DRPs and EPs. Three pharmacists consecutively conducted a medication review based on the pharmaceutical charts of 125 sampled patients who met the inclusion criterion. Main outcome measure: The PPV of a threshold of 2000 CHF for identifying patients who might benefit from a MR: true positives were patients with at least one DRP, while false positives were patients with no DRP. Results: The selection based on this criterion had a PPV of 86% for detecting patients with at least one DRP and 95% if EPs were also considered. There was a mean of 2.64 (SD = 2.20) DRPs per patient and a mean of 2.14 (SD = 1.39) EPs per patient. Of these patients, 90% were over 65 years old or were treated with at least five chronic medications, two common criteria for identifying patients at risk of DRPs. The main types of DRPs were drug-drug interactions, compliance problems and duplicate drugs. Mean daily drug cost per patient was CHF 14.87 (US$10.70, <euro>10.10). A potential savings of CHF 1.67 (US$1.20, <euro>1.14) per day (11%) was estimated if all recommendations to solve DRPs and EPs suggested herein were implemented. Conclusion: Further studies should investigate whether the potential benefit of medication reviews in preventing DRPs and containing costs in this patient group can be confirmed in a real practice environment. [Authors]
Pubmed
Web of science
Création de la notice
16/03/2009 17:43
Dernière modification de la notice
03/03/2018 16:50
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