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The cost effectiveness of a pharmacist reviewing medication among the elderly in the community

journal contribution
posted on 01.12.2001, 00:00 authored by A Harris, Elena GospodarevskayaElena Gospodarevskaya, J Callaghan, I Story
Aims: The study aims to assess the cost effectiveness of medication review and advice by a consultant pharmacist to elderly people living in the community in Australia. Method: The quality of life and cost of health and social services for a cohort of elderly patients seen by an aged care assessment team (ACAT) wai measured at initial referral and at one month follow up. Sites in Melbourne and Ballarat were chosen and analysed separately. A second subsequent cohort was assessed by a team, which included a pharmacist who provided advice to the team and the patient's GP. Quality of life zuas measured using the SF-36 and the AQoL. Results: Patients seen by an ACAT had a quality of life considerably below full health. Overall there was no significant change in quality of life in either group by either measure. The additional cost of the pharmacist was less than $77 per patient. Compared to no intervention, there zuas some evidence of an increase in the cost of prescription pharmaceuticals, and a reduction in home care assistance and medical care costs in Melbourne but not in Ballarat. Cost data were highly skewed however, making statistical tests of cost differences problematic. The addition of a pharmacist may be cost reducing in some settings especially if inpatient episodes for assessment and treatment can be clvoided, but the study was not able to demonstrate a statistically significant reduction in overall costs associated with pharmacist review and advice.

History

Journal

Australasian journal on ageing

Volume

20

Issue

4

Pagination

179 - 186

Publisher

Blackwell Publishers

Location

Oxford, Eng.

ISSN

1440-6381

eISSN

1741-6612

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2001, AJA, Inc.