Pharmacoeconomic, Medication Access, and Patient-Satisfaction Analysis of a Pharmacist-Managed VTE Clinic Compared to Primary Care Physician Outpatient Therapy.

التفاصيل البيبلوغرافية
العنوان:	Pharmacoeconomic, Medication Access, and Patient-Satisfaction Analysis of a Pharmacist-Managed VTE Clinic Compared to Primary Care Physician Outpatient Therapy.
المؤلفون:	Howell CW; Department of Pharmacy, Eskenazi Health, Indianapolis, IN, USA., Walroth TA; Department of Pharmacy, Eskenazi Health, Indianapolis, IN, USA., Beam DM; Indiana University, School of Medicine, Indianapolis, IN, USA., Geik CA; Department of Pharmacy, Eskenazi Health, Indianapolis, IN, USA., Howell MM; Department of Pharmacy, Eskenazi Health, Indianapolis, IN, USA., Macik MR; Department of Pharmacy, Eskenazi Health, Indianapolis, IN, USA., Schmelz AN; Department of Pharmacy, Eskenazi Health, Indianapolis, IN, USA., DiRenzo BM; Department of Pharmacy, Eskenazi Health, Indianapolis, IN, USA.
المصدر:	Journal of pharmacy practice [J Pharm Pract] 2022 Apr; Vol. 35 (2), pp. 212-217. Date of Electronic Publication: 2020 Oct 14.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Sage Publications Country of Publication: United States NLM ID: 8900945 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-1937 (Electronic) Linking ISSN: 08971900 NLM ISO Abbreviation: J Pharm Pract Subsets: MEDLINE
أسماء مطبوعة:	Publication: <2002-> : Thousand Oaks, Calif. : Sage Publications Original Publication: [Philadelphia, PA] : W.B. Saunders, [1988]-
مواضيع طبية MeSH:	Physicians, Primary Care* , Venous Thromboembolism/chemically induced , Venous Thromboembolism/drug therapy, Anticoagulants/therapeutic use ; Economics, Pharmaceutical ; Health Services Accessibility ; Humans ; Outpatients ; Patient Satisfaction ; Personal Satisfaction ; Pharmacists ; Retrospective Studies
مستخلص:	Venous thromboembolism (VTE) is a common medical condition often treated with direct oral anticoagulants (DOACs). Current literature supports outpatient treatment of select, low-risk VTE patients by a pharmacist with DOACs; however, no studies exist to demonstrate if a pharmacist-managed VTE clinic provides financial benefit compared to physician-managed outpatient care. To compare the financial implications and patient satisfaction of pharmacist-managed VTE care versus outpatient VTE care by a primary care physician. A single-center retrospective chart review was conducted on all patients seen at a pharmacist-managed VTE clinic for safety and reimbursement outcomes between August 1, 2018 and July 31, 2019. These data points were used to assess the primary endpoint of net gain per patient visit and secondary outcomes, including patient satisfaction score. The primary outcome median (IQR) for net gain per visit was $16.57 (16.57, 16.57) for the pharmacist-managed group and $64.37 (47.04, 64.37) in the physician-managed group with a 95% CI of 39.13-47.80. The median cost to the organization per visit was $4.96 (4.96, 4.96) for the pharmacist-managed group and $39.41 (23.65, 39.41) for the physician managed group with a 95% CI of 26.57-34.45. Statistical difference was also found for a secondary outcome of percentage of days covered for the pharmacist-managed group compared to the physician managed group, median (IQR) 100% (76,100) vs 92.2% (67.2, 98.9) respectfully, with a p-value of 0.043. The pharmacist-managed VTE clinic, although financially sustainable, provides significantly less net revenue per patient than physician managed clinics, demonstrating the need for increased payer recognition for pharmacists.
فهرسة مساهمة:	Keywords: clinic; patient-satisfaction; pharmacist-managed; pharmacoeconomics; venous thromboembolism
المشرفين على المادة:	0 (Anticoagulants)
تواريخ الأحداث:	Date Created: 20220429 Date Completed: 20220502 Latest Revision: 20220502
رمز التحديث:	20231215
DOI:	10.1177/0897190020966210
PMID:	35484867
قاعدة البيانات:	MEDLINE

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تدمد:	1531-1937
DOI:	10.1177/0897190020966210