Key result
Pharmacist-led primary care anticoagulant clinics lack reported quantitative data on costs and benefits.
Why the study?
Does a primary care anticoagulant clinic managed by a pharmacist improve benefits and costs for patients and general practitioners?
Observational
No
Does a primary care anticoagulant clinic managed by a pharmacist improve benefits and costs for patients and general practitioners?
Evaluates the feasibility and cost-benefit of shifting anticoagulation management from hospital outpatient clinics to a pharmacist-led primary care setting.
Evaluation of pharmacist-led primary care anticoagulation clinics remains inconclusive; leaves open whether benefits or costs improve for patients or GPs.
Hospital outpatient anticoagulant clinics managed by pharmacists have improved the quality of care and resource use.1 Patients receiving anticoagulation often are elderly, cannot endure long waiting times,2 and find travelling to hospital difficult. Their effective management requires access to information about current medical problems and treatments. Systems for managing risks associated with new prescriptions or illnesses which may affect anticoagulant control should also be available. For all these reasons a clinic based in the general practitioner's surgery might be more appropriate for patients who need long term monitoring. This study aimed to assess the benefits and costs to patients and general practitioners of a surgery based anticoagulation clinic run by a pharmacist. In September 1994 a weekly pharmacist led clinic was established in Downfield Surgery. International normalised ratios were measured from capillary blood …
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Macgregor et al. (1996) conducted an observational in Patients receiving anticoagulation. Primary care anticoagulant clinic managed by a pharmacist was evaluated on Benefits and costs to patients and general practitioners. A primary care anticoagulant clinic managed by a pharmacist was evaluated for benefits and costs, but quantitative results are not reported in the truncated abstract.
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