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- W2215686571 abstract "To determine the effects of a financial incentive on the number and types of cognitive services (CS) provided by community pharmacies to Medicaid recipients in the State of Washington.Prospective randomized trial. CS were reported using a problem-intervention-result coding system over a 20-month period.Pharmacists practicing in 110 study (financial incentive) and 90 control community pharmacies.Study pharmacists documented an average of 1.59 CS interventions per 100 prescriptions over a 20-month period, significantly more than controls, who documented an average of 0.67 interventions (P < .05) per 100 prescriptions. One-half (48.4%) of all CS were for patient-related problems, 32.6% were for drug-related problems, 17.6% were for prescription-related problems, and 1.4% were for other problems that did not involve drug therapy. A change in drug therapy occurred as a result of 28% of all CS documented in this demonstration. Changes were rarely (2.4%) due to generic or therapeutic substitution and almost always (90%) followed communication with the prescriber. The average self-reported time to perform CS was 7.5 minutes; 75% of interventions were < or = 6 minutes. Considerable differences existed between study and control groups in the types of problems identified, intervention activities performed, and results of interventions.A financial incentive was associated with significantly more, and different types of, CS performed by pharmacists." @default.
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- W2215686571 date "2000-09-01" @default.
- W2215686571 modified "2023-10-05" @default.
- W2215686571 title "Frequency and Characteristics of Cognitive Services Provided in Response to a Financial Incentive" @default.
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- W2215686571 doi "https://doi.org/10.1016/s1086-5802(16)31100-7" @default.
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