The impact of pharmacist practice of medication therapy management in ambulatory care: an experience from a comprehensive Chinese hospital

作者：Qingli Meng, Lulu Sun, Yingjie Ma, Yuanyuan Wei, Xiaowei Ma, Lu Yang, Zhengzheng Xie, Fang Li, Zhe Wang, Xiaomei Tao, Xia Zhen, Rui Jin, Hong-Yan Gu · 发表于：BMC Health Services Research · 年份：2023 · DOI：10.1186/s12913-023-09164-6 · 被引用次数：20 · 研究领域：Pharmaceutical Practices and Patient Outcomes、Medication Adherence and Compliance、Antibiotic Use and Resistance

BACKGROUD: With the reform of medical system in China, Beijing municipal hospitals explored a new pharmaceutical care model and set up medication therapy management services (MTMs) in ambulatory care since 2019. We were one of the first hospitals to set up this service in China. At the present, there were relatively few reports about the effect of MTMs in China. In this study, we summarized the implementation of MTMs in our hospital, explore the feasibility of pharmacist-led MTMs in ambulatory care and the impact of MTMs on patients' medical costs. METHODS: A retrospective study was conducted in a university-affiliated, tertiary comprehensive hospital in Beijing, China. The patients who received at least one MTMs and with complete medical records and pharmaceutical documents from May 2019 to February 2020 were included. Pharmacists provided pharmaceutical care for patients according to the MTMs standards issued by the American Pharmacists Association, identified the numbers and classification of the patients' perceived medication-related demands, identified medication-related problems (MRPs), and developed the medication-related action plans (MAPs). All MRPs found by pharmacists, pharmaceutical interventions, and resolving recommendations were documented, and calculate the cost of treatment drugs that patients can reduce. RESULTS: A total of 112 patients received MTMs in ambulatory care, among them 81 cases with the completed record were included in this study. 67.9% of patie...