Evidence map›Paper›PMID 39823444›Full record

ArticlePloS one2025

Economic impact and clinical benefits of clinical pharmacy interventions: A six-year multi-center study using an innovative medication management tool.

Watheq M Alsetohy, Kareem A El-Fass, Seif El Hadidi, Mohammad F Zaitoun, Osama Badary, Kareem A Ali, Ahmed Ezz-Elden, Mohamed R Ibrahim, Bahaa S Makhlouf, Asmaa Hamdy and 8 more

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Watheq M AlsetohyMedication Therapy Management and Pharmaceutical Services Sector, Headquarter, Cleopatra Hospitals Group-(CHG), Cairo, Egypt.ORCID 0009-0005-4819-9922
Kareem A El-FassSyreon Middle East, Alexandria, Egypt.
Seif El HadidiUniversity of Hertfordshire, New Administrative Capital, Cairo, Egypt.ORCID 0000-0002-0534-3809
Mohammad F ZaitounPharmaceutical Care Administration. Armed Forces Hospitals Southern Region, Khamis Mushayt, KSA.
Osama BadaryDepartment of Clinical Pharmacy, Ain Shams University, Cairo, Egypt.
Kareem A AliMedication Therapy Management and Pharmaceutical Services Sector, Headquarter, Cleopatra Hospitals Group-(CHG), Cairo, Egypt.
Ahmed Ezz-EldenGeneral Administration, Headquarter, Cleopatra Hospitals Group-(CHG), Cairo, Egypt.
Mohamed R IbrahimDepartment of Pharmacy, Nile Badrawi Hospital, Cleopatra Hospitals Group, Cairo, Egypt.
Bahaa S MakhloufDepartment of Pharmacy, Nile Badrawi Hospital, Cleopatra Hospitals Group, Cairo, Egypt.
Asmaa HamdyHigh Institute of Public Health, Alexandria University, Alexandria, Egypt.
Noha S El BaghdadyClinical Pharmacy Practice Department, Faculty of Pharmacy, The British University in Egypt, El Sherouk City, Egypt.
Maha Gamal EldienDepartment of Pharmacy, Cleopatra Hospital, Cleopatra Hospitals Group, Cairo, Egypt.
Sherif AllamaDepartment of Pharmacy, Cairo Specialized Hospital, Cleopatra Hospitals Group, Cairo, Egypt.
Amr A AlashkarInformation Technology Sector, Headquarter, Cleopatra Hospitals Group-(CHG), Cairo, Egypt.
Ahmed SeyamDepartment of Health Economics and Technology Assessment, Universal Health Insurance Authority (UHIA), Cairo, Egypt.
Nanees A AdelCairo Specialized Hospital, Cleopatra Hospitals Group-(CHG), Cairo, Egypt.
Ahmed R N IbrahimDepartment of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia.
Hany V ZakiCleopatra Hospital, Cleopatra Hospitals Group-(CHG), Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreasing healthcare costs, particularly in Low- and Middle-Income Countries (LMICs) like Egypt, highlight the need for rational economic strategies. Clinical pharmacy interventions offer potential benefits by reducing drug therapy problems and associated costs, thereby supporting healthcare system sustainability.

objectiveThis study evaluates the economic impact and clinical benefits of clinical pharmacy interventions in four tertiary hospitals in Egypt by implementing an innovative tool for medication management, focusing on cost avoidance and return on investment (ROI), while accounting for case severity and drug therapy problem (DTP) resolution.

methodsUtilizing a digital tool, cost avoidance was assessed by considering the severity of patient cases and the effectiveness of clinical pharmacists' interventions in resolving identified DTPs. Additionally, ROI was calculated by incorporating both full-time equivalent (FTE) and non-FTE costs to evaluate the overall economic impact of clinical pharmacy services over a six-year period across four tertiary care hospitals in Egypt.

resultsOver six years, a total of 492,612 patients were reviewed, leading to 19,240 comprehensive clinical pharmacy interventions. These interventions achieved an 88.63% resolution of DTPs, significantly reducing patient risk by preventing adverse DTP consequences, resulting in a total cost avoidance of EGP 265.32 million (USD 8.60 million) and an average ROI of 7.6 (760%). This underscores the substantial economic impact of clinical pharmacy services, particularly in LMICs and countries transitioning to universal health insurance coverage, where cost efficiency and patient safety are critical.

conclusionThis study underscores the importance of clinical pharmacy interventions in improving healthcare outcomes and generating significant economic benefits, particularly in low- and middle-income countries. By accounting for case severity and the level of DTP consequences, along with the efficiency of clinical pharmacist-led interventions in resolving DTPs, the economic impact of these services can be more accurately evaluated. These findings are essential for informing policy decisions, highlighting the critical role of clinical pharmacy services in supporting healthcare systems facing economic constraints.

Indexed as

Medication Therapy ManagementPharmacy Service, HospitalCost-Benefit AnalysisEgyptFemaleHealth Care CostsHumansMaleMiddle AgedPharmacistsTertiary Care Centers

Identifiers

PMID39823444
PMCPMC11741631

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.