Impact of a pharmacist--physician collaborative care model on patient outcomes and health services utilization.
Purpose. The impact of a pharmacist--physician collaborative care model on patient outcomes and health services utilization is described. Methods. Six hospitals from the Carilion Clinic health system in southwest Virginia, along with 22 patient-centered medical home (PCMH) practices affiliated with...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 75; no. 14; pp. 1039 - 1048 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
7/15/2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130639253&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130639253 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 7/15/2018 vid: 75 iid: 14 pid: 622 pub: Oxford University Press / USA artinfo: ui: 130639253 130639253 130639253 10.2146/ajhp170789 130639253 ppf: 1039 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Impact of a pharmacist--physician collaborative care model on patient outcomes and health services utilization. aug: au: Matzke, Gary R. Moczygemba, Leticia R. Williams, Karen J. Czar, Michael J. Lee, William T. affil: Department of Pharmacotherapy and Outcome Sciences, Virginia Commonwealth University School of Pharmacy, Richmond, VA sug: subj: Collaboration Health Services Accessibility Joint Practice Interprofessional Relations Human Patient Centered Care Heart Failure Diagnosis Hypertension Diagnosis Hyperlipidemia Diagnosis Diabetes Mellitus Diagnosis Asthma Diagnosis Pulmonary Disease, Chronic Obstructive Diagnosis Depression Diagnosis Glycated Hemoglobin Blood Blood Pressure Lipoproteins, LDL Cholesterol Blood ab: Purpose. The impact of a pharmacist--physician collaborative care model on patient outcomes and health services utilization is described. Methods. Six hospitals from the Carilion Clinic health system in southwest Virginia, along with 22 patient-centered medical home (PCMH) practices affiliated with Carilion Clinic, participated in this project. Eligibility criteria included documented diagnosis of 2 or more of the 7 targeted chronic conditions (congestive heart failure, hypertension, hyperlipidemia, diabetes mellitus, asthma, chronic obstructive pulmonary disease, and depression), prescriptions for 4 or more medications, and having a primary care physician in the Carilion Clinic health system. A total of 2,480 evaluable patients were included in both the collaborative care group and the usual care group. The primary clinical outcomes measured were the absolute change in values associated with diabetes mellitus, hypertension, and hyperlipidemia management from baseline within and between the collaborative care and usual care groups. Results. Significant improvements (p < 0.01) in glycosylated hemoglobin, blood pressure, low-density-lipoprotein cholesterol, and total cholesterol were observed in the collaborative care group compared with the usual care group. Hospitalizations declined significantly in the collaborative care group (23.4%), yielding an estimated cost savings of $2,619 per patient. The return on investment (net savings divided by program cost) was 504%. Conclusion. Inclusion of clinical pharmacists in this physician--pharmacist collaborative care--based PCMH model was associated with significant improvements in patients' medication-related clinical health outcomes and a reduction in hospitalizations. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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