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1995 National Clinical Pharmacy Services Study

C L Raehl1, C A Bond, M E Pitterle

  • 1Department of Pharmacy Practice, School of Pharmacy, Texas Tech University Health Sciences Center, Amarillo 79106, USA.

Pharmacotherapy
|April 17, 1998
PubMed
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Hospital clinical pharmacy services expanded significantly between 1992 and 1995, with increased direct patient care activities like drug therapy monitoring and consultations. Pharmacists are increasingly involved in higher-level patient care.

Area of Science:

  • Health Sciences
  • Pharmacy Practice
  • Hospital Administration

Background:

  • Hospital-based clinical pharmacy services are integral to patient care.
  • Understanding the scope and growth of these services is crucial for healthcare planning.

Purpose of the Study:

  • To assess the extent of clinical pharmacy services in U.S. hospitals in 1995.
  • To identify trends in the provision of patient care responsibilities by pharmacists.

Main Methods:

  • A survey of 1109 U.S. hospitals (acute care, general, medical-surgical, pediatric) with ≥50 beds.
  • Assessment of 15 specific clinical pharmacy services and pharmacists' patient care responsibilities.
  • Data collection on service growth from 1992 to 1995, clinical research involvement, and departmental reporting structures.

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Main Results:

  • Significant growth in services like pharmacokinetic consultations (16%), drug therapy protocol management (15%), and drug counseling (13%) from 1992-1995.
  • Pharmacists engaged in clinical research in 14% of hospitals, with an average annual budget.
  • Patient-focused care was predominant in 20% of hospitals, though most pharmacists reported through traditional channels.

Conclusions:

  • Clinical pharmacy services in U.S. hospitals demonstrated continued expansion in 1995.
  • Pharmacists are increasingly involved in direct patient care, including advanced drug therapy management and monitoring.
  • The trend indicates a growing role for clinical pharmacists in interdisciplinary patient care teams.