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A retrospective cohort study on a pharmaceutical consultation mode of multidisciplinary individualized medication recommendations

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).