Impact of clinical pharmacist engagement in ward teams on the number of drug-related readmissions among older patients with dementia or cognitive impairment: An economic evaluation

Research in Social & Administrative Pharmacy : RSAP
Maria SjölanderMaria Gustafsson

Abstract

Clinical pharmacists play an increasing role in the pharmacological treatment of hospital-admitted older patients with dementia or cognitive impairment. In an earlier randomised controlled trial, clinical pharmacist involvement in the ward team could significantly reduce drug-related readmissions in patient subgroups. However, the economic impact of the intervention has not been addressed so far. To evaluate the economic impact of clinical pharmacist engagement in hospital ward teams for medication therapy management in older patients with dementia or cognitive impairments. Economic evaluation of a randomised controlled trial conducted in two hospitals in Northern Sweden between January 2012 and December 2014. Participants included 460 hospital-admitted older patients with dementia or cognitive impairments. Patients were randomly assigned to usual care, or usual care with pharmacist intervention; the intervention consisted of medication reconciliation, medication review, and participation in ward rounds. The outcomes were measured as drug-related readmissions to hospital as assessed by a group of external experts, 180 and 30 days after discharge. Costs included pharmacists' direct labour costs for the interventions, average cos...Continue Reading

Citations

Aug 21, 2020·Research in Social & Administrative Pharmacy : RSAP·Amandine BaudouinCatherine Rioufol
Oct 15, 2020·International Journal of Clinical Pharmacy·Teddy NovaisChristelle Mouchoux
Jul 7, 2021·Journal of the American Medical Directors Association·Jesús Ruiz-RamosConxita Mestres

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