Galt K A
Department of Clinical Pharmacy, Veterans Affairs Medical Center, Baylor College of Medicine, Houston, Texas, USA.
Pharmacotherapy. 1998 Sep-Oct;18(5):1103-11.
A pharmacist-directed pharmacotherapy consult clinic (PCC) was established in an interdisciplinary primary care medicine continuity clinic. The pharmacist initiated or modified patient care plans in collaboration with primary care physicians and maintained care plans for 336 (32.8%) of 1023 patients enrolled in the continuity clinic. Clinical outcomes were positive in 88.3% of patient visits, with 95.7% attendance at the PCC clinic and 95% physician acceptance of pharmacist recommendations. Average reductions of 2.4 prescriptions/patient and 6.9 doses/day were achieved. Actual and potential cost avoidance totaled $54,730.56, with actual and potential savings realized compared with dollars spent at a ratio of 5.8:1. The pharmacist provided value-added services and contributed to decreased costs associated with care.
在一个跨学科的基层医疗连续性诊所中设立了一个由药剂师主导的药物治疗咨询诊所（PCC）。药剂师与基层医疗医生合作启动或修改患者护理计划，并为连续性诊所登记的1023名患者中的336名（32.8%）维持护理计划。88.3%的患者就诊临床结果呈阳性，PCC诊所的出勤率为95.7%，医生对药剂师建议的接受率为95%。平均每位患者减少2.4张处方，每日减少6.9剂药物。实际和潜在的成本避免总计54730.56美元，实际和潜在节省与支出金额的比例为5.8:1。药剂师提供了增值服务，并有助于降低护理相关成本。
