Journal of Nippon Medical School: Vol.70 No.1 page.053

Journal of Nippon Medical School

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ArticleTitle Pharmacoeconomical Evaluation of Clinical Pathway in Gastrectomy Patients

AuthorList Yuya Ise¹, Kazuyoshi Honjo¹, Shizuka So¹, Makoto Senoo¹, Shiro Katayama¹, Masaaki Hirano¹, Kyoko Mitsuhashi², Toshiro Yoshiyuki³, Teruo Kiyama³

Affiliation ¹Section of Pharmceutical Service, Nippon Medical School Hospital ²Section of Nursing, Nippon Medical School Hospital ³Department of Surgery (I), Nippon Medical School

Language JA

Volume 70

Issue 1

Year 2003

Page 53-56

Received May 27, 2002

Accepted July 30, 2002

Keywords clinical pathway, gastrectomy patients, phramacoeconomical efficacy, medication management and instruction tasks

Abstract
The aim of the present study was to ascertain the pharmacoeconomical efficacy of a clinical pathway (CP) employing medication management and instruction tasks (i. e. pharmaceutical care and counseling for inpatients) in gastrectomy patients. Pharmaceutical services of a uniform quality were provided. These included a CP check sheet, medication management, and a history of the drugs chiebly prescribed by pharmacists. As a result, the average number of hospitalized days among the patients who were offered pharmaceutical care compared with those who were not was significantly shortened from 35.4 days to 26.1 days (P<0.001). Moreover, the average cost of medication was also significantly reduced from 270,631 yen to 190,331 yen (P<0.05). These data provide the first evidence that a CP employing medication management and instruction tasks for gastrectomy patients may play a substantial role in saving on medical costs.

Correspondence to yuyai@aioros.ocn.ac.jp

ArticleTitle	Pharmacoeconomical Evaluation of Clinical Pathway in Gastrectomy Patients
AuthorList	Yuya Ise¹, Kazuyoshi Honjo¹, Shizuka So¹, Makoto Senoo¹, Shiro Katayama¹, Masaaki Hirano¹, Kyoko Mitsuhashi², Toshiro Yoshiyuki³, Teruo Kiyama³
Affiliation	¹Section of Pharmceutical Service, Nippon Medical School Hospital ²Section of Nursing, Nippon Medical School Hospital ³Department of Surgery (I), Nippon Medical School
Language	JA
Volume	70
Issue	1
Year	2003
Page	53-56
Received	May 27, 2002
Accepted	July 30, 2002
Keywords	clinical pathway, gastrectomy patients, phramacoeconomical efficacy, medication management and instruction tasks
Abstract	The aim of the present study was to ascertain the pharmacoeconomical efficacy of a clinical pathway (CP) employing medication management and instruction tasks (i. e. pharmaceutical care and counseling for inpatients) in gastrectomy patients. Pharmaceutical services of a uniform quality were provided. These included a CP check sheet, medication management, and a history of the drugs chiebly prescribed by pharmacists. As a result, the average number of hospitalized days among the patients who were offered pharmaceutical care compared with those who were not was significantly shortened from 35.4 days to 26.1 days (P<0.001). Moreover, the average cost of medication was also significantly reduced from 270,631 yen to 190,331 yen (P<0.05). These data provide the first evidence that a CP employing medication management and instruction tasks for gastrectomy patients may play a substantial role in saving on medical costs.
Correspondence to	yuyai@aioros.ocn.ac.jp