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A retrospective cohort study on a pharmaceutical consultation mode of multidisciplinary individualized medication recommendations
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  • Xiucong Fan,
  • Danxia Chen,
  • Siwei Bao,
  • Rong Bai,
  • Fang Fang,
  • Xiaohui Dong,
  • Yuyi Zhang,
  • Xiaogang Zhang,
  • Yabin Ma,
  • Xiaobo Zhai
Xiucong Fan
Tongji University Affilliated East Hospital
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Danxia Chen
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Xiaohui Dong
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Yuyi Zhang
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Xiaogang Zhang
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Xiaobo Zhai
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Abstract

Aims: To develop a pharmaceutical consultation mode of multidisciplinary individualized medication recommendations, to improve the quantity and quality of clinical pharmacists’ consultations Methods: A retrospective study of 542 clinical pharmacists-led consultations was conducted. In the pre-intervention group, medication advice was given based on the purpose of the consultation. In the post-intervention group, a consultation mode of multidisciplinary individualized medication recommendation was implemented, in which clinical pharmacists with specialties of anticoagulation, gastroenterology and nutrition were asked to give individualized medication recommendations and a set of evaluation criteria for rational drug use was formulated. Outcomes, including the patterns and number of consultations, individualized medication recommendations, acceptance rate and effectiveness rate, were compared between the two periods. Results: A total of 651 cases were reviewed, and 542 cases of which meeting the predesigned inclusion and exclusion criteria were included, with 94 and 448 patients in the pre-intervention and post-intervention groups, respectively. The total number of consultations increased year by year, so did the number of general consultations, multidisciplinary difficult consultations, departments applying for general consultations, departments applying for multidisciplinary difficult consultations, anti-infection consultations and non-anti-infection consultations in details. The effectiveness rate of consultations in the post-intervention group was 81.7% vs 70.2% in the pre-intervention group (P < 0.05). No difference was shown between two groups in acceptance rate (96.9% vs 95.7%, p=0.578).