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Pharmaceutical review using telemedicine--a before and after feasibility study
Louise K Poulson1, Lisa Nissen, Ian Coombes
1Pharmacy Department, Toowoomba Hospital, Toowoomba, Queensland, Australia. louise_poulson@health.qld.gov.au
Journal of Telemedicine and Telecare
|February 9, 2010
Summary
Telepharmacy, using remote pharmacist services, proved effective for pharmaceutical reviews in rural hospitals lacking on-site pharmacists. This approach maintained similar activity rates and intervention potential compared to traditional in-person reviews.
Area of Science:
- Health Sciences
- Pharmacy Practice
- Rural Health
Background:
- Limited access to qualified pharmacists in rural Queensland public hospitals.
- Reliance on supply nurses for pharmaceutical services in these facilities.
Purpose of the Study:
- To assess the feasibility of replicating face-to-face pharmaceutical reviews using telemedicine.
- To evaluate the effectiveness of telepharmacy in rural inpatient settings.
Main Methods:
- A two-phase feasibility study involving a single coordinating pharmacist.
- Phase 1: Weekly in-person pharmaceutical reviews.
- Phase 2: Remote reviews via telephone or videoconference.
Main Results:
- No significant difference in pharmaceutical activity rates between face-to-face and remote reviews.
- Similar rates of pharmacist-initiated recommendations and implemented changes.
- Increased number of major interventions in Phase 2 (remote) compared to Phase 1 (in-person).
Conclusions:
- Telepharmacy is a viable method for delivering pharmaceutical reviews to rural inpatient facilities.
- This technology can help bridge the gap in pharmaceutical services where on-site pharmacists are unavailable.
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