PHCY 6185: The Role of the Pharmacist

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PHCY 6185 The Role of the Pharmacist

• Lecture 2

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Pharmaceutical Care

• Is it Realistic?
• Is it Desirable?
• Is it Beneficial to the Patient?

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PHARMACY The State of the Profession

• Severe Pharmacist Shortage
• Prescription volume increasing
• Health Care Costs increasing
• Drug Related Problems/medication Errors costs are
  increasing

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Severe Pharmacist Shortage
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Prescription volume increasing
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Health Care Costs increasingGDP
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Cost of Medication Errorsin Billions of Dollars

• Johnson and Bootman 1995
• Ernst and Grizzle, 2001Direct costs only

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40-60 of drug related morbidity may be
prevented or minimized by pharmacists performing
patient focused care.

• Johnson and Bootman 1996 Cipolle and Strand 1996

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Cost Savings with Pharmaceutical Careadapted
from Johnson and Bootman AJHP 545554, 1997
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Minnesota Pharmaceutical Care Project6,614
Patients DTP in 62

• Number Percent
• Drug Tx Needed 1085 22
• Unnecessary Drug 370 8
• Wrong Drug 751 16
• Dosage Too Low 762 16
• ADR 997 21
• Dosage Too High 294 6
• Compliance 519 11
• TOTAL 4778 100

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Pharmaceutical Care

• Is it Realistic?
• Is it Desirable?
• Is it Beneficial to the Patient?

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QUESTION Describe one small but realistic,
desirable and beneficial service that you think a
pharmacist can do to improve patient care.
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Minimizing Drug Therapy Problems

• Minimize dispensing errors counsel, PDUR,etc.
• Identify at risk drugs, patient populations
• Decrease work stress
• Identify systems problems develop ongoing plan
  to ID, report and manage
• Perform patient focused care