Benefits, challenges and contributors to the introduction of new hospital-based outpatient clinic pharmacist positions

Snoswell, Centaine L.; Cossart, Amelia R.; Chevalier, Bernadette; Barras, Michael

doi:10.1016/j.rcsop.2022.100119

Cited by 8 publications

(8 citation statements)

References 38 publications

(65 reference statements)

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“…These impacts highlight reductions in hospitalization rates, problems related to pharmacotherapy and bed occupancy, as well as increased patient safety and satisfaction. 4 , 8 , 10 , 16 …”

Section: Discussionmentioning

confidence: 99%

“…These difficulties are associated with management, availability of an appropriate physical environment, integration with the multidisciplinary team, and acceptance of pharmaceutical interventions by health professionals, in addition to other problems that involve the consolidation of practices in health care. 10 , 11 In addition, the experiences of incorporating pharmaceutical care into geriatric hospital units need to be better disseminated. 12 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Experiences and strategies adopted for the implementation of pharmaceutical services in hospital geriatric units: A scoping review protocol

Oliveira¹,

Varallo²,

Pereira³

2023

Exploratory Research in Clinical and Social Pharmacy

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“…These impacts highlight reductions in hospitalization rates, problems related to pharmacotherapy and bed occupancy, as well as increased patient safety and satisfaction. 4 , 8 , 10 , 16 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Experiences and strategies adopted for the implementation of pharmaceutical services in hospital geriatric units: A scoping review protocol

Oliveira¹,

Varallo²,

Pereira³

2023

Exploratory Research in Clinical and Social Pharmacy

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“…The expanding role of hospital pharmacists embedded within outpatient clinics has been shown to improve patient safety, assist improvement in patient outcomes [16][17][18] and improve education on use of medicines and medication adherence, 19 however, this service requires appropriate resources.…”

Section: Discussionmentioning

confidence: 99%

Patient and family perceptions of the provision of medicines as part of virtual outpatient consultations for children during COVID-19 pandemic

et al. 2022

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ObjectivesTo evaluate (1) views and perceptions of patients/parents/carers and healthcare professionals on the medicines optimisation (MO) process following virtual outpatient clinic (VOC) during the COVID-19 pandemic and (2) the processes introduced at this time, identifying areas for improvements and suggest potential solutions.DesignA mixed-methods service evaluation using qualitative and quantitative methods of the MO pathway in children aged 0–18 years following VOC across three specialist children’s units.Semi-structured interviews were conducted over the telephone with the participants exploring their experiences and categorised into themes.Process mapping sessions with the multidisciplinary team identified areas for improvement and an ease impact framework developed for potential solutions.Outcome measures included: (1) themes from interviews, (2) patients satisfaction rates, (3) process maps and (4) development of a simplified future process.ResultsOne hundred and twenty-five patients’ families were contacted: 71 families consented to participate and their views were categorised into four main themes: (1) patient experience, (2) communication, (3) need for virtual video consultations for patient education by hospital pharmacists and (4) need for electronic processes to send prescriptions to local pharmacies.Median patient satisfaction rate was 96% (range 67%–100%). The convenience of receiving medications directly to patient’s homes; access to medicines information helplines and education provided by pharmacists were regarded as valuable. Communication between care providers, development of virtual video consultations by hospital pharmacists and electronic transfer of some prescriptions directly to community pharmacies were identified as areas of improvement.ConclusionsParticipants appreciated the pharmacy processes adopted during the pandemic, however, challenges and recommendations for improvement in delivering MO VOC were identified. As digital innovations evolve within the NHS, future research should focus on integrated care and improved communication between care providers with selected medications prescribed directly to community pharmacies using electronic prescription service, with clinical screening and education provided by hospital pharmacists.

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“…resolved recommendation for comparison between clinics. Health service benefits reported by local service experts as part of the other evaluation components 42,43 were included in binary form (Yes/No).…”

Section: Consequences (Outcomes)mentioning

confidence: 99%

Advanced‐scope pharmacist roles in medical outpatient clinics: a cost‐consequence analysis

Snoswell,

De Guzman,

Barras

2023

Internal Medicine Journal

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BackgroundThere is a growing body of evidence that supports the clinical effectiveness of pharmacist roles in outpatient settings. However, limited studies have investigated the economic efficiency of advanced‐scope outpatient pharmacist roles, particularly in the Australian setting. Assessing the overall costs and benefits of these outpatient pharmacist roles is needed to ensure service sustainability.AimsTo use a cost‐consequence approach to evaluate the advanced‐scope outpatient pharmacist roles across multiple clinic disciplines from the hospital perspective.MethodsA cost‐consequence analysis was undertaken using data from a previous clinical‐effectiveness study. All outpatient pharmacist consults conducted from 1 June 2019 to 31 May 2020 across 18 clinic disciplines were evaluated. Consequences from the pharmacist services included number of consults conducted, number of medication‐related activities and number of resolved recommendations.ResultsThe overall cost to the hospital for the outpatient pharmacist service across all clinics was AU$1 991 122, with a potential remuneration of AU$3 895 247. There were 10 059 pharmacist consults undertaken for the 12‐month period. Medication‐related activities performed by pharmacists primarily included 6438 counselling and education activities and 4307 medication list activities. When the specialist pharmacist roles were added to the outpatient clinics, several health service benefits were also realised.ConclusionsThe addition of pharmacist roles to outpatient clinics can increase the cost of services; however, they also can increase medication optimisation activities. Future research should examine a societal perspective that includes broader cost and effectiveness outcomes. This study could justify the implementation of advanced‐scope outpatient pharmacist roles in other Australian hospitals.

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Benefits, challenges and contributors to the introduction of new hospital-based outpatient clinic pharmacist positions

Cited by 8 publications

References 38 publications

Experiences and strategies adopted for the implementation of pharmaceutical services in hospital geriatric units: A scoping review protocol

Experiences and strategies adopted for the implementation of pharmaceutical services in hospital geriatric units: A scoping review protocol

Patient and family perceptions of the provision of medicines as part of virtual outpatient consultations for children during COVID-19 pandemic

Advanced‐scope pharmacist roles in medical outpatient clinics: a cost‐consequence analysis

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