Cost avoidance, acceptance, and outcomes associated with a pharmacotherapy consult clinic in a veterans affairs medical center

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Abstract

A pharmacist-directed pharmacotherapy consult clinic (PCC) was established in an interdisciplinary primary care medicine continuity clinic. The pharmacist initiated or modified patient care plans in collaboration with primary care physicians and maintained care plans for 336 (32.8%) of 1023 patients enrolled in the continuity clinic. Clinical outcomes were positive in 88.3% of patient visits, with 95.7% attendance at the PCC clinic and 95% physician acceptance of pharmacist recommendations. Average reductions of 2.4 prescriptions/patient and 6.9 doses/day were achieved. Actual and potential cost avoidance totaled $54,730.56, with actual and potential savings realized compared with dollars spent at a ratio of 5.8:1. The pharmacist provided value-added services and contributed to decreased costs associated with care.

Original languageEnglish
Pages (from-to)1103-1111
Number of pages9
JournalPharmacotherapy
Volume18
Issue number5
StatePublished - Sep 1998

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Veterans
Pharmacists
Costs and Cost Analysis
Drug Therapy
Primary Care Physicians
Prescriptions
Primary Health Care
Patient Care
Medicine
Physicians

All Science Journal Classification (ASJC) codes

  • Pharmacology (medical)
  • Pharmacology, Toxicology and Pharmaceutics(all)

Cite this

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abstract = "A pharmacist-directed pharmacotherapy consult clinic (PCC) was established in an interdisciplinary primary care medicine continuity clinic. The pharmacist initiated or modified patient care plans in collaboration with primary care physicians and maintained care plans for 336 (32.8{\%}) of 1023 patients enrolled in the continuity clinic. Clinical outcomes were positive in 88.3{\%} of patient visits, with 95.7{\%} attendance at the PCC clinic and 95{\%} physician acceptance of pharmacist recommendations. Average reductions of 2.4 prescriptions/patient and 6.9 doses/day were achieved. Actual and potential cost avoidance totaled $54,730.56, with actual and potential savings realized compared with dollars spent at a ratio of 5.8:1. The pharmacist provided value-added services and contributed to decreased costs associated with care.",
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