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Documenting the value of pharmacist interventions

R L Dobie1, K L Rascati

  • 1Central Pharmacy, Inc., Carrizo Springs, TX.

American Pharmacy
|May 1, 1994
PubMed
Summary
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Community pharmacists in rural Texas identified 47 interventions, saving an estimated $20,000 in healthcare costs. This study highlights the economic value of pharmacist interventions in patient care.

Area of Science:

  • Health Economics
  • Pharmacy Practice
  • Clinical Pharmacy

Background:

  • Pharmacist interventions are crucial for optimizing patient outcomes and ensuring medication safety.
  • Quantifying the economic impact of these interventions is essential for demonstrating their value to healthcare systems.
  • Previous studies have explored interventions by pharmacy students, necessitating a comparison with practicing community pharmacists.

Purpose of the Study:

  • To measure the incidence and types of pharmacist interventions in rural community pharmacies.
  • To assign an economic value to pharmacist interventions based on avoided medical costs.
  • To compare findings with a prior study involving pharmacy student externs.

Main Methods:

  • Pharmacists in four rural Texas pharmacies documented interventions on 1,500 new prescriptions each.

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  • A standardized training program and intervention report form were utilized.
  • Interventions were independently evaluated by a physician and clinical pharmacist for clinical significance and economic value.

    • Main Results:

    • A total of 47 interventions were documented, representing a 0.78% intervention rate across 6,000 prescriptions.
    • The estimated economic value of these interventions was approximately $20,000.
    • The average economic value per intervention was about $3.50 per prescription processed.

    Conclusions:

    • Community pharmacists in rural settings perform valuable interventions that contribute to cost savings.
    • The study provides evidence for the economic impact of pharmacist services in primary care settings.
    • Findings support the integration and recognition of pharmacists as key members of the healthcare team.