Pharmacist-Led Medication Reviews: A Review of Clinical Utility and Cost-Effectiveness

Details

Files
Project Line:
Health Technology Review
Project Sub Line:
Summary with Critical Appraisal
Project Number:
RC1175-000

Question

  1. What is the clinical utility of pharmacist-led medication reviews?
  2. What is the cost-effectiveness of pharmacist-led medication reviews versus no medication reviews?

Key Message

Evidence from four moderate- to high-quality systematic reviews suggests that pharmacist-led medicine reviews are associated with improvements in HbA1c and blood pressure control. However, the results may not be generalizable to the broader population.One economic evaluation was identified that suggested there was a net benefit to the Spanish national health system when pharmacists carried out medication review with follow-up among patients 65 years or older taking 5 or more medications. Differences in the healthcare delivery models and unit costs between Spain and Canada should be considered when generalizing results for the Canadian context.