Academic Journal
Impact of clinical pharmacist-led antimicrobial stewardship on prescribing optimization and economic outcomes in a Chinese county hospital: a retrospective cohort study.
| Τίτλος: | Impact of clinical pharmacist-led antimicrobial stewardship on prescribing optimization and economic outcomes in a Chinese county hospital: a retrospective cohort study. |
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| Συγγραφείς: | Yi GY; Department of Pharmacy, Jintang First People's Hospital, Chengdu, Sichuan, China., Diao HM; Department of Pharmacy, Jintang First People's Hospital, Chengdu, Sichuan, China., Zhou Q; Department of Pharmacy, Jintang First People's Hospital, Chengdu, Sichuan, China., Liu XQ; Department of Pharmacy, Jintang First People's Hospital, Chengdu, Sichuan, China., He YS; Department of Pharmacy, Jintang First People's Hospital, Chengdu, Sichuan, China. |
| Πηγή: | Expert review of pharmacoeconomics & outcomes research [Expert Rev Pharmacoecon Outcomes Res] 2026 Jul; Vol. 26 (6), pp. 823-831. Date of Electronic Publication: 2026 Jun 19. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 101132257 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-8379 (Electronic) Linking ISSN: 14737167 NLM ISO Abbreviation: Expert Rev Pharmacoecon Outcomes Res Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2015- : Abingdon, Oxford : Taylor & Francis Original Publication: London : Future Drugs Ltd, [2001- |
| Ιατρικοί όροι (MeSH): | Anti-Bacterial Agents*/administration & dosage , Anti-Bacterial Agents*/economics , Anti-Infective Agents*/economics , Anti-Infective Agents*/administration & dosage , Antimicrobial Stewardship*/economics , Antimicrobial Stewardship*/organization & administration , Antimicrobial Stewardship*/methods , Pharmacists*/organization & administration , Pharmacists*/economics , Pharmacy Service, Hospital*/organization & administration , Pharmacy Service, Hospital*/economics , Practice Patterns, Pharmacists'*/economics , Practice Patterns, Pharmacists'*/organization & administration, Aged ; Female ; Humans ; Male ; Middle Aged ; China ; Cohort Studies ; Cost Savings ; Cost-Benefit Analysis ; Cost-Effectiveness Analysis ; Hospitals, County ; Professional Role ; Referral and Consultation ; Retrospective Studies |
| Περίληψη: | Background: Clinical pharmacist-led antimicrobial stewardship (AMS) programs have proven effective in tertiary care, yet rigorous pharmacoeconomic evidence from primary care remains limited. This study evaluates the cost-effectiveness of clinical pharmacist consultation in a Chinese county hospital setting. Research Design and Methods: This retrospective cohort study analyzed 200 hospitalized patients (March to December 2024). The intervention group (n = 100) received pharmacist-led AMS including pre-prescription review and therapeutic monitoring. The control group (n = 100) received standard care without pharmacist consultation. Primary outcomes were antimicrobial therapy costs and duration. Results: Pharmacist-led AMS reduced antimicrobial costs by 52% (mean difference: ¥290.43, 95% CI: -428.29 to -152.56; p < 0.001) and therapy duration by 23% (7.0 vs. 9.1 days; p < 0.001). Cost savings were most pronounced in patients without obvious infection focus (97% reduction). Clinical efficacy was comparable between groups despite higher baseline severity in the intervention group. Conclusions: Clinical pharmacist-led AMS achieves substantial cost containment and prescribing optimization in county-level hospitals without compromising clinical safety. These findings support expanding clinical pharmacy services as a cost-effective strategy for antimicrobial resistance containment in resource-limited settings. |
| Contributed Indexing: | Keywords: Antimicrobial stewardship; China; clinical pharmacist; cost-effectiveness; county hospital; health resource utilization; pharmacoeconomics; primary care |
| Substance Nomenclature: | 0 (Anti-Bacterial Agents) 0 (Anti-Infective Agents) |
| Entry Date(s): | Date Created: 20260617 Date Completed: 20260713 Latest Revision: 20260713 |
| Update Code: | 20260713 |
| DOI: | 10.1080/14737167.2026.2691187 |
| PMID: | 42306810 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1744-8379 |
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| DOI: | 10.1080/14737167.2026.2691187 |