Key result
Pharmacist-provided discharge counseling and follow-up improved primary medication adherence and patient satisfaction, but did not reduce 30-day hospital reutilization.
Why the study?
Does pharmacist medication counseling and disease education at discharge reduce 30-day hospital reutilization and improve medication adherence in adults discharged from internal medicine?
Cohort (n=279)
Does pharmacist medication counseling and disease education at discharge reduce 30-day hospital reutilization and improve medication adherence in adults discharged from internal medicine?
Pharmacist discharge counseling and follow-up improves medication adherence and patient satisfaction but does not significantly reduce 30-day hospital reutilization.
This is the authors' abstract. We don't add key points for this paper.
Many patients experience adverse events after discharge; numerous are medication related and preventable. The objective of this study is to evaluate the impact of pharmacist medication counseling and disease education at discharge. Pharmacist Assisting at Routine Medical Discharge is a prospective study of English- or Spanish-speaking adults discharged from internal medicine. Control patients received usual hospital discharge care; intervention patients received usual care with discharge counseling and a follow-up phone call. Evaluated outcomes included the following: 30-day hospital reutilization (combined readmissions/emergency department visits), pharmacist interventions, predictors for hospital utilization, patient satisfaction, and primary medication adherence. In all, 279 patients were enrolled: 139 in the control and 140 in the intervention group. Pharmacists made 198 interventions. The rate of hospital reutilization was 20.7% and similar between the intervention and control groups. Patients receiving the pharmacist intervention demonstrated improved primary medication adherence and increased patient satisfaction. Pharmacist-provided discharge counseling resulted in medication interventions, improved patient satisfaction, and increased medication adherence.
Answers are grounded in this paper and cite their sources.
Does not support reducing reutilization; leaves open pharmacist counseling effects on adherence in randomized trials.
No takes yet. Share an insight, caveat, or question.
Sarangarm et al. (2012) conducted a cohort in Discharged from internal medicine (n=279). Pharmacist discharge counseling and follow-up phone call vs. Usual hospital discharge care was evaluated on 30-day hospital reutilization (combined readmissions/emergency department visits). Pharmacist-provided discharge counseling and follow-up improved primary medication adherence and patient satisfaction, but did not reduce 30-day hospital reutilization.
Synapse has enriched 10 related papers. Consider them for comparative context: