Investigation of Cost and Medical Service Fee for Pharmaceutical Management in Home Medical Care

Honma, Katsuaki; Sakai, Ritsuko; Takeshima, Akiko; Shimamori, Yoshimitsu; Hayase, Yukitoshi

doi:10.1248/yakushi.124.693

YAKUGAKU ZASSHI

2004

DOI: 10.1248/yakushi.124.693

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Investigation of Cost and Medical Service Fee for Pharmaceutical Management in Home Medical Care

Katsuaki Honma¹,

Ritsuko Sakai²,

Akiko Takeshima³

et al.

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Nationwide Study on Relations between Workload and Outcomes of Home Visiting Service by Community Pharmacists

Onda

Imai²,

Nanaumi³

et al. 2015

YAKUGAKU ZASSHI

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A nationwide survey was conducted to verify relations between the workload of home-visiting service by community pharmacists and outcomes. Data were collected on 5447 patients from 1890 pharmacies. Most (61.9％) pharmacists visited patients' homes twice monthly, spending there a net average of 20.6 work minutes. At the time of the survey, 29.8 ％ of the patients had improvement of adherence compared with at start of home visits; 65.5％ had no change, and 1.4％ had gotten worse. Similarly, 41.6％ had decreased unused medications, 54.4％ had no change, and 2.3％ had increased. Home-visiting pharmacists found adverse drug events (ADEs) caused by drug administration in 14.4％ of their patients. They dealt with 44.2％ of these cases by discontinuing administration of the responsible drug, 24.5％ by reducing the dosage, and 18.3％ by changing drugs, with a total of 88.1％ having been improved. Prescription changes intended to correct problems occurred in 37.1％ of the patients. In patients whom the pharmacists visited more often, a higher percent had ADEs, had their prescription changed to correct problems, and had improved adherence and unused medications. The average actual work time was longer in patients whose outcomes improved than in those whose outcomes did not. A higher involvement in homecare by pharmacists was found to improve outcomes of drug treatment.

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Nationwide Study on Relations between Workload and Outcomes of Home Visiting Service by Community Pharmacists

Onda

Imai²,

Nanaumi³

et al. 2015

YAKUGAKU ZASSHI

View full text Add to dashboard Cite

show abstract

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Investigation of Cost and Medical Service Fee for Pharmaceutical Management in Home Medical Care

Cited by 1 publication

References 0 publications

Nationwide Study on Relations between Workload and Outcomes of Home Visiting Service by Community Pharmacists

Nationwide Study on Relations between Workload and Outcomes of Home Visiting Service by Community Pharmacists

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