THE IMPACT OF CLINICAL PHARMACISTS CONSULTATIONS ON GERIATRIC-PATIENTS COMPLIANCE AND MEDICAL-CARE USE - A RANDOMIZED CONTROLLED TRIAL
THE IMPACT OF CLINICAL PHARMACISTS CONSULTATIONS ON GERIATRIC-PATIENTS COMPLIANCE AND MEDICAL-CARE USE - A RANDOMIZED CONTROLLED TRIAL
复制标题
DOI：
10.1093/geront/34.3.307
复制
发表时间：
1994-06-01
期刊：
影响因子：
5.7
通讯作者：
BIRD, JA
中科院分区：
文献类型：
--
作者：
LIPTON, HL;BIRD, JA
这项研究评估了临床药剂师、对药物方案的咨询、依从性和卫生服务使用对使用3种或更多药物的老年住院患者(N=706)的影响。药剂师在出院时和出院后3个月咨询实验患者，并根据需要咨询医生。控制组接受了通常的护理。在登记后6-8周，实验患者比对照组更了解药物治疗方案。在12-14周，他们服用的药物更少，复杂的方案也更少，依从性得分更高。这对服务使用或收费没有影响，可能是因为样本量不足和缺乏有针对性的药物组分析。结论：临床药师会诊可以改善老年患者的用药方案和依从性。研究结果进一步表明，由于使用了最有可能出现严重后果并容易受到医生处方错误影响的药物，有必要在大量高危患者中进行复制。
This study assessed the impact of clinical pharmacists, consultations on drug regimens, compliance, and health service use of geriatric hospitalized Patients (N = 706) discharged on 3 or more medications. Pharmacists consulted with experimental patients at discharge and 3 months thereafter, and with physicians as needed. Controls received usual care. At 6-8 weeks after enrollment, experimental patients were more knowledgeable about regimens than controls. At 12-14 weeks, they were on fewer medications and less complex regimens, and had better compliance scores. There was no effect on service use or charges, perhaps due to inadequate sample size and lack of targeted drug groups analysis. The authors conclude that clinical pharmacists' consultations can improve geriatric patients' drug regimens and compliance. Findings further suggest the need for replication among large cohorts of patients at high risk, due to the use of medications most likely to have a potential for serious outcomes and to be vulnerable to physician prescribing error.