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Improving Patient Access to Hospital Pharmacists Using eConsults: Retrospective Descriptive Study
Vera Weinberg1, Eva van Haren1, Kim B Gombert-Handoko1
1Leiden University Medical Center, Leiden, Netherlands.
JMIR Formative Research
|January 27, 2023
Summary
Patients increasingly use electronic consults (eConsults) to ask hospital pharmacists medication-related questions. Most eConsults concern medication verification and logistics, improving patient communication and potentially reducing errors.
Area of Science:
- Digital Health
- Pharmaceutical Care
- Health Informatics
Background:
- Electronic consults (eConsults) enhance healthcare access and reduce costs.
- eConsults improve patient participation and shared decision-making.
- Hospital pharmacists are accessible via eConsults for medication-related patient queries.
Purpose of the Study:
- To evaluate the prevalence of eConsults sent to hospital pharmacists.
- To analyze the content and subjects of patient-sent eConsults.
Main Methods:
- Retrospective descriptive study at Leiden University Medical Center (March 2017-December 2021).
- Analysis of patient characteristics, medication use, and eConsult content.
- Assessment of eConsult appropriateness for hospital pharmacists.
Main Results:
- 983 eConsults from 808 patients were analyzed.
- Medication verification (42.5%) and logistics (27.7%) were the most common subjects.
- Cardiology patients most frequently used eConsults, primarily during office hours.
Conclusions:
- eConsults facilitate direct patient communication with hospital pharmacists.
- The study highlights the importance of eConsults for medication reconciliation and patient empowerment.
- eConsults can reduce medication errors and improve access to pharmaceutical care.
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