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1998 national clinical pharmacy services study.

C L Raehl1, C A Bond

  • 1Department of Pharmacy Practice, Schools of Pharmacy and Medicine, Texas Tech University Health Sciences Center-Amarillo, USA.

Pharmacotherapy
|April 20, 2000
PubMed
Summary
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Hospital clinical pharmacy services expanded, particularly in drug therapy management and pharmacokinetics consultations. These direct patient care roles show continued growth in US hospitals.

Area of Science:

  • Health Sciences
  • Pharmacy Practice
  • Hospital Administration

Background:

  • Hospital-based clinical pharmacy services have evolved significantly over recent decades.
  • Assessing the scope and trends of these services is crucial for understanding healthcare delivery.
  • Previous national surveys have tracked the expansion of pharmacy services.

Purpose of the Study:

  • To determine the extent of hospital-based clinical pharmacy services in the United States in 1998.
  • To compare these findings with data from previous national surveys (1989, 1992, 1995).
  • To identify trends in pharmacists' patient care responsibilities.

Main Methods:

  • A national survey of 950 acute care hospitals in the United States was conducted in 1998.
  • Hospitals surveyed had 50 or more licensed beds.

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  • Fifteen specific clinical pharmacy services were assessed to evaluate pharmacists' patient care roles.

    • Main Results:

    • Drug therapy protocol management and clinical pharmacokinetics consultations saw substantial growth, offered in 70% and 80% of hospitals respectively in 1998.
    • Pharmacists' involvement in clinical research increased, with a 2.3-fold rise in mean funding between 1995 and 1998.
    • Provision of in-service programs decreased slightly, while other services remained stable.

    Conclusions:

    • Clinical pharmacy services continue to expand in US hospitals.
    • Pharmacists are increasingly involved in direct patient care, particularly in drug therapy management and pharmacokinetic consultations.
    • The trend indicates a growing role for clinical pharmacists in optimizing patient outcomes.