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Pharmacist review changed more repeat prescriptions for elderly patients than usual general practice review

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 QUESTION: In elderly patients who receive repeat prescriptions, is a clinical review of medications by a pharmacist more effective than usual general practice review for increasing medication changes and reducing costs?

Design

12 month randomised {allocation concealed*}, {unblinded},* controlled trial.

Setting

4 general practices in Leeds, UK.

Patients

1188 patients who were ≥65 years of age (mean age 74 y, 56% women); were receiving ≥ 1 drug on repeat prescription as of 1 June 1999; and were from a general practice in which prescribing costs were average and that had ≥4 partners, computerised repeat prescribing, and no previous or current clinical pharmacist involvement. Patients were excluded if they lived in nursing or residential homes, had a terminal illness, or were enrolled in clinical trials. Follow up was …

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