The Impact of Clinical Pharmacists' Consultations on Geriatric Patients' Compliance and Medical Care Use: A Randomized Controlled Trial

Abstract

This study assessed the impact of clinical pharmacists' consultations on drug regimens,compliance, and health service use of geriatric hospitalized patients (N = 706) discharged on 3or more medications. Pharmacists consulted with experimental patients at discharge and 3months thereafter, and with physicians as needed. Controls received usual care. At 6-8 weeksafter enrollment, experimental patients were more knowledgeable about regimens thancontrols. At 12–14 weeks, they were on fewer medications and less complex regimens, and hadbetter compliance scores. There was no effect on service use or charges, perhaps due to inadequate sample size and lack of targeted drug groups analysis. The authors conclude thatclinical pharmacists' consultations can improve geriatric patients' drug regimens and compliance. Findings further suggest the need for replication among large cohorts of patients at high risk, due to the use of medications most likely to have a potential for serious outcomes and to be vulnerable to physician prescribing error.