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

Journal of Nippon Medical School

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ArticleTitle 胃切除患者クリニカルパスの薬剤経済学的評価

AuthorList 伊勢雄也¹, 本城和義¹, 宋静香¹, 瀬尾誠¹, 片山志郎¹, 平野公晟¹, 三橋恭子², 吉行俊郎³, 木山輝郎³

Affiliation ¹日本医科大学付属病院薬剤部 ²日本医科大学付属病院看護部 ³日本医科大学外科学第1教室

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 Yuya Ise, Section of Pharmceutical Service, Nippon Medical School Hospital, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japanyuyai@aioros.ocn.ac.jp

ArticleTitle	胃切除患者クリニカルパスの薬剤経済学的評価
AuthorList	伊勢雄也¹, 本城和義¹, 宋静香¹, 瀬尾誠¹, 片山志郎¹, 平野公晟¹, 三橋恭子², 吉行俊郎³, 木山輝郎³
Affiliation	¹日本医科大学付属病院薬剤部 ²日本医科大学付属病院看護部 ³日本医科大学外科学第1教室
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	Yuya Ise, Section of Pharmceutical Service, Nippon Medical School Hospital, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japanyuyai@aioros.ocn.ac.jp