Hong Kong Med J 2008;14(Suppl 3):S23-7
Comparison of a clinical pharmacist– managed anticoagulation service with routine medical care: impact on clinical outcomes and health care costs
JHS You, G Cheng, TYK Chan
School of Pharmacy, The Chinese University of Hong Kong, Shatin, NT, Hong Kong
1. Patients in the pharmacist-managed group spent a higher percentage of time in target therapeutic international normalised ratio range (64%) than those in the physician- managed group (59%).
2. Patients in the pharmacist-managed group experienced a lower incidence of bleeding (1.6 events per 100 patient-years) than those in the physician- managed group (3.1 events per 100 patient-years).
3. Mean cost per patient per month in the pharmacist-managed group (HK$593) was lower than that in the physician-managed group (HK$764).
4. The pharmacist-managed anticoagulation service was less costly and more effective than the physician-managed service.
2. Patients in the pharmacist-managed group experienced a lower incidence of bleeding (1.6 events per 100 patient-years) than those in the physician- managed group (3.1 events per 100 patient-years).
3. Mean cost per patient per month in the pharmacist-managed group (HK$593) was lower than that in the physician-managed group (HK$764).
4. The pharmacist-managed anticoagulation service was less costly and more effective than the physician-managed service.