ĐÁNH GIÁ HIỆU QUẢ CAN THIỆP CỦA DƯỢC SĨ LÂM SÀNG TRONG VIỆC KÊ ĐƠN THUỐC ĐIỀU TRỊ TĂNG HUYẾT ÁP TẠI TRUNG TÂM Y TẾ HUYỆN BẾN LỨC TỈNH LONG AN

Abstract

Objective: To evaluate the effectiveness of clinical pharmacists’ intervention in prescribing antihypertensive drugs for outpatients. Methods: A descriptive, before and after study was conducted in 2 phases. In phase 1, we retrospectively reviewed the patients' prescriptions from March 2021 to April 2021 and from October 2021 to November 2021 for phase 2. Clinical pharmacists conducted interventions in antihypertensive drugs from May 2021. The effectiveness of clinical pharmacists’ intervention was evaluated by comparing the appropriate rate of antihypertensive drugs between the two phases, which was assessed based on Vietnam Heart Association guideline and drug use intructions. Results: The mean age of patients was 63±11.3 and 64.1±11.1 years old. Female patients were more than male patients. The mean age of doctors was 41.3 and 47.7 years old. Doctors specialist I accounted for a higher proportion than doctors. The combination of  two antihypertensive drugs was most commonly prescribed (43.3% and 41.3%). The overall appropriate rate of antihypertensive drugs in phase 2 (89.3%) was significantly higher than that of phase 1 (45.2%). Clinical pharmacology intervention increased the rational prescribing rate (OR 32.22; 95% CI 22.80-45.53). Conclusions: Clinical pharmacist intervention can increase rational prescribing rates in patients with hypertension.