دورية أكاديمية
Pharmacist-coordinated multidisciplinary hospital follow-up visits improve patient outcomes.
| العنوان: | Pharmacist-coordinated multidisciplinary hospital follow-up visits improve patient outcomes. |
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| المؤلفون: | Cavanaugh JJ; University of North Carolina, Chapel Hill, NC 27599-7110. Jamie_Cavanaugh@med.unc.edu., Lindsey KN, Shilliday BB, Ratner SP |
| المصدر: | Journal of managed care & specialty pharmacy [J Manag Care Spec Pharm] 2015 Mar; Vol. 21 (3), pp. 256-60. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Academy of Managed Care Pharmacy Country of Publication: United States NLM ID: 101644425 Publication Model: Print Cited Medium: Internet ISSN: 2376-1032 (Electronic) Linking ISSN: 23760540 NLM ISO Abbreviation: J Manag Care Spec Pharm Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Alexandria, VA : Academy of Managed Care Pharmacy, [2014]- |
| مواضيع طبية MeSH: | Outcome Assessment, Health Care*, Patient Care Team/*organization & administration , Pharmacists/*organization & administration , Pharmacy Service, Hospital/*organization & administration, Adult ; Aged ; Aged, 80 and over ; Continuity of Patient Care/standards ; Female ; Follow-Up Studies ; Humans ; Male ; Medication Errors/prevention & control ; Middle Aged ; Patient Discharge/standards ; Patient Protection and Affordable Care Act ; Patient Readmission/statistics & numerical data ; Retrospective Studies ; United States |
| مستخلص: | Background: The Affordable Care Act of 2010 allows for the adjustment of reimbursement to health care centers based on 30-day readmission rates. High readmission rates may be explained by multiple events at discharge, including medication errors that occur during the transition of care from inpatient to outpatient. Pharmacist involvement at discharge has been shown to improve health outcomes in patients with chronic disease; however, there is limited knowledge regarding the benefits of a clinic appointment with a pharmacist postdischarge. Objective: To compare hospital readmission rates and interventions in a multidisciplinary team visit coordinated by a clinical pharmacist practitioner with those conducted by a physician-only team within an internal medicine hospital follow-up program. Methods: A retrospective observational study was completed. Patients seen between May 2012 and January 2013 in 1 of the 2 hospital follow-up program models (multidisciplinary team or physician-only team) were included. Results: A total of 140 patient visits were included for 124 patients. Patients seen by the multidisciplinary team had a 30-day readmission rate of 14.3% compared with 34.3% by the physician-only team (P=0.010). Interventions completed during the visits, including addressing nonadherence, initiating a new medication, and discontinuing a medication were also statistically different between the groups, with the multidisciplinary team completing these interventions more frequently. Conclusions: Hospital follow-up visits coordinated by the multidisciplinary team decreased 30-day hospital readmission rates compared with follow-up visits by a physician-only team. |
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| تواريخ الأحداث: | Date Created: 20150302 Date Completed: 20151201 Latest Revision: 20240110 |
| رمز التحديث: | 20240110 |
| مُعرف محوري في PubMed: | PMC10397914 |
| DOI: | 10.18553/jmcp.2015.21.3.256 |
| PMID: | 25726034 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2376-1032 |
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| DOI: | 10.18553/jmcp.2015.21.3.256 |