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Drug utilization & therapeutic intervention programs: pharmacy services that pay for themselves.

J H Condron¹, J L Mann

¹Kitchener-Waterloo Hospital, Kitchener, Ontario.

The Canadian Journal of Hospital Pharmacy

|October 1, 1994

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Pharmacy-led patient care programs, including Therapeutic Interventions and Drug Utilization Review/Evaluation, demonstrate significant financial returns and improved patient outcomes. These initiatives are cost-effective, justifying their value in healthcare institutions.

Area of Science:

Health Services Research
Pharmacy Practice
Pharmacoeconomics

Background:

Follow-up survey to a 1989 study assessing pharmacy-directed patient care programs.
Focus on Therapeutic Interventions and Drug Utilization Review/Evaluation Programs due to prior findings of significant financial return.
Investigated the impact of these programs in response to the Pharmaceutical Inquiry of Ontario (Lowy Inquiry).

Purpose of the Study:

To assess the current status of pharmacy-directed, drug-related patient care programs.
To evaluate the financial return and patient outcome benefits of Therapeutic Interventions and Drug Utilization Review/Evaluation Programs.

Main Methods:

Mailed survey distributed to 143 hospitals.
Achieved a 62.2% response rate (89 hospitals).

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Collected data on program implementation, intervention frequency, acceptance rates, time spent, and financial impact.

Main Results:

Therapeutic interventions were conducted by 97.7% of hospitals, averaging 184 per month with an 84.3% prescriber acceptance rate.
Each intervention averaged 29 minutes, yielding cost savings/avoidance of $49.34 per intervention.
Drug Utilization programs showed a return of $29.99 for every dollar invested in pharmacist time.

Conclusions:

Pharmacy-directed patient care programs optimize pharmacotherapy and improve patient outcomes.
These programs demonstrate a substantial financial return, proving their value and cost-effectiveness.
The findings justify the continuation and expansion of these essential pharmacy services.