Risk stratification-based tiered medication therapy management for outpatients with asthma: a practical prospective...

Area of Science:

• Clinical Pharmacy
• Health Services Research
• Pharmacoeconomics

Background:

• Asthma management requires effective medication therapy management (MTM).
• Current MTM services may not optimally stratify patient risk or resource allocation.
• A novel tiered MTM approach could enhance outpatient asthma care.

Purpose of the Study:

• To explore and evaluate a new model of tiered MTM services for outpatients with bronchial asthma.
• To assess the multidimensional value (economic, clinical, humanistic) of this T-MTM model using the ECHO framework.

Main Methods:

• A single-center, prospective, randomized controlled, open-label study involving 126 asthma patients.
• Patients were divided into an observation group (T-MTM services) and a control group (traditional MTM services).
• Comparison of economic, clinical, and humanistic outcomes before and after intervention.

Main Results:

• The T-MTM group showed significantly superior economic, clinical (ACT score, adherence), and humanistic outcomes post-intervention (p < 0.05).
• Cost-utility ratio improved, and asthma control scores exceeded the minimum clinically important difference.
• Pharmacist efficiency increased by ~35%, with reduced service time per patient.

Conclusions:

• Risk-stratified tiered MTM services effectively improve pharmacist efficiency and patient outcomes in asthma care.
• This model optimizes pharmacy service resources and enhances patient self-management.
• The T-MTM model is a valuable, promotable modification for outpatient asthma pharmacy services.