The impact of a supplementary medication review and counselling service within the oncology outpatient setting

Read, H., Ladds, S., Rhodes, B., Brown, D. and Portlock, J. (2007) The impact of a supplementary medication review and counselling service within the oncology outpatient setting. British Journal of Cancer, 96 (5). pp. 744-751. 10.1038/sj.bjc.6603634.

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DOI: 10.1038/sj.bjc.6603634

Abstract

The impact on the care of breast cancer patients, of a pharmacy technician-led medication review and counselling clinic, provided in an outpatient setting, was investigated using a controlled randomised study. Compared to the controls, clinic patients showed a significantly improved level of understanding of their chemotherapy support medication (95% CI for difference in mean knowledge rating scores=2.165-2.826, P<0.001) and a significant reduction in the median number of support items required (two compared to five in the control, P<0.001). This resulted in a significant reduction in mean medication expenditure per patient (£;26.70 vs £10.20, 95% CI for the mean difference in cost £6.72-£26.26, P<0.001). The clinic was also associated with significant reductions in chemotherapy delays (P<0.001) and dose reductions due to side effects (P=0.003). Other benefits from the clinic were a reduction in pharmacy dispensing time and a highly significant reduction in pharmacy time spent resolving post-clinic prescription queries (P<0.001). Taking into account the initial technician training cost, the scheme represented an annual saving to the Trust of over £15 000. The clinic serves as a model for those wishing to improve outpatient services to breast cancer patients

Item Type:Article
Uncontrolled Keywords:Breast cancer; Controlled trial; Medication review; Pharmacy; Technician
Departments, units and centres:Department of Practice and Policy > Department of Practice and Policy
ID Code:2825
Journal or Publication Title:British Journal of Cancer
Deposited By:Library Staff
Deposited On:23 Feb 2012 15:32
Last Modified:23 Feb 2012 15:32

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