Evaluation of the effectiveness of standardization medication therapy management services by ECHQO model
OBJECTIVE To evaluate the effectiveness of standardization medication therapy management(MTM)services in patients with coronary heart disease(CHD)by ECHQO(economic,clinical,humanistic & quality outcomes)model.METHODS A total of 126 CHD patients were assigned into two groups of control and observation(n=63 each).Control group received routine medical care while observation group had additional standardization MTM services.After 6 months,economic,clinical,humanistic and quality outcome parameters were compared between 2 groups.RESULTS At the first follow-up,no sig-nificant inter-group differences existed in diastolic/diastolic blood pressure,number of medication related problems(MRPs),Morisky medication adherence scale,satisfaction score or CHD health awareness score.At the last follow-up,systolic/diastolic blood pressure drop,blood pressure standard rate,number of MRPs drop,Morisky scale,satisfaction score,CHD health aware-ness score and proportion of generic drug were higher in observation group than those in control group(P＜0.01).Hospitalization rate of CHD and proportion of cumulative DDDs of medicine nonclinical pathway were lower in observation group than those in control group(P＜0.01).As compared with control group,cost was lower in observation group(4 556 vs.9 654 yuan)and effec-tiveness was better(diastolic blood pressure drop:19.0 vs.10.0 mmHg;diastolic blood pressure drop:8.7 vs.5.0 mmHg),observation group was absolute advantage plan with economic advantages.CONCLUSION Standardization medication therapy management services in CHD patients may improve clinical and humanistic outcomes,lower total cost and optimize medical qual-ity.Wider popularizing is worthwhile.
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