[Time required and associated costs for implementation of home medication review with associated pharmaceutical and medical evaluation in the ambulatory health care sector]. / Zeitbedarf und Kosten für die Umsetzung eines Medikamentenreviews und assoziierter pharmazeutischer und medizinischer Evaluation im ambulanten Versorgungssektor.
Gesundheitswesen
; 74(5): 322-7, 2012 May.
Article
em De
| MEDLINE
| ID: mdl-21563050
ABSTRACT
INTRODUCTION:
We aimed to estimate the time which is needed to conduct a home medication review (HMR) in the context of the AGnES implementation studies (AGnES=GP-supporting, community-based, e-health-assisted, systemic intervention). In a subsequent step associated costs were calculated.METHODS:
IT-supported HMR were conducted by specially qualified AGnES-practice assistants to detect selected drug-related problems (DRP). The patient received pharmaceutical care by their local pharmacist and medical evaluation by their GP, respectively.RESULTS:
The data from 471 patients (w 339; m 132) were evaluated (median age w=81; m=78). The interview to detect selected DRP was 6 min (median) long. The subsequent drug record took 14.4 min. There was an additional effort for documentation of 5 min. The local pharmacist needed a median time of 15 min for pharmaceutical evaluation, whereas the GP needed 8 min. The estimated costs accounted for AGnES-practice assistant 9.12 ; pharmacist 11.05 ; GP 6.30 . The overall estimated costs were 26.47 .CONCLUSION:
For the first time we present objective costs which were associated with the implementation of HMR. Due to high DRP-induced costs the HMR should be mandatory for groups with a high risk like for the occurrence of DRP.
Texto completo:
1
Temas:
ECOS
/
Aspectos_gerais
/
Financiamentos_gastos
Bases de dados:
MEDLINE
Assunto principal:
Carga de Trabalho
/
Custos de Cuidados de Saúde
/
Serviços de Assistência Domiciliar
Tipo de estudo:
Evaluation_studies
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Health_economic_evaluation
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Risk_factors_studies
Aspecto:
Implementation_research
País/Região como assunto:
Europa
Idioma:
De
Revista:
Gesundheitswesen
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2012
Tipo de documento:
Article