Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Pharmacist-led medication reviews in Primary Healthcare for adult community-dwelling patients – a descriptive study charting a new target group.

Wickman, Katarina LU ; Dobszai, Annika LU ; Modig, Sara LU ; Borgström Bolmsjö, Beata LU ; Caleres, Gabriella LU and Lenander, Cecilia LU (2022) In BMC Primary Care
Abstract
Background
Medication treatment can reduce morbidity but can also cause drug-related problems (DRPs). One method to identify and solve DRPs is medication reviews (MRs) that are aimed at increased patient safety and quality in drug treatment. In Skåne county, Sweden, a well-established multi-professional model for MRs in nursing homes is practiced. However, a demand for MRs regarding community-dwelling patients has emerged. These patients may be extra vulnerable since they have less supervision from healthcare personnel.
AIM: To describe the community-dwelling patients in primary healthcare considered in need of an MR, as well as the outcomes of these pharmacist-led MRs.
Methods
Personnel from 14 primary healthcare centers... (More)
Background
Medication treatment can reduce morbidity but can also cause drug-related problems (DRPs). One method to identify and solve DRPs is medication reviews (MRs) that are aimed at increased patient safety and quality in drug treatment. In Skåne county, Sweden, a well-established multi-professional model for MRs in nursing homes is practiced. However, a demand for MRs regarding community-dwelling patients has emerged. These patients may be extra vulnerable since they have less supervision from healthcare personnel.
AIM: To describe the community-dwelling patients in primary healthcare considered in need of an MR, as well as the outcomes of these pharmacist-led MRs.
Methods
Personnel from 14 primary healthcare centers selected patients for the MRs. Based on electronic medical records, the symptom assessment tool PHASE-20 (PHArmacotherapeutical Symptom Evaluation 20 questions) and medication lists, pharmacists conducted MRs and communicated adjustment suggestions via the medical record to the general practitioners (GPs).
Results
A total of 109 patients were included in the study and 90.8% (n = 99) of the patients were exposed to at least one DRP, with an average of 3.9 DRPs per patient. Patients with impaired renal function (glomerular filtration rate, GFR Conclusions
Our results indicate a prioritized need for MRs for community-dwelling patients, specifically with impaired renal function or polypharmacy. (Less)
Please use this url to cite or link to this publication:
author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMC Primary Care
article number
237
publisher
BioMed Central (BMC)
external identifiers
  • pmid:36114459
  • scopus:85138210833
ISSN
2731-4553
DOI
10.1186/s12875-022-01849-x
language
English
LU publication?
yes
id
249145ee-9f9b-4435-b07d-19180ec8bb7b
date added to LUP
2022-10-25 08:59:12
date last changed
2022-10-26 04:02:48
@article{249145ee-9f9b-4435-b07d-19180ec8bb7b,
  abstract     = {{Background<br/>Medication treatment can reduce morbidity but can also cause drug-related problems (DRPs). One method to identify and solve DRPs is medication reviews (MRs) that are aimed at increased patient safety and quality in drug treatment. In Skåne county, Sweden, a well-established multi-professional model for MRs in nursing homes is practiced. However, a demand for MRs regarding community-dwelling patients has emerged. These patients may be extra vulnerable since they have less supervision from healthcare personnel.<br/>AIM: To describe the community-dwelling patients in primary healthcare considered in need of an MR, as well as the outcomes of these pharmacist-led MRs.<br/>Methods<br/>Personnel from 14 primary healthcare centers selected patients for the MRs. Based on electronic medical records, the symptom assessment tool PHASE-20 (PHArmacotherapeutical Symptom Evaluation 20 questions) and medication lists, pharmacists conducted MRs and communicated adjustment suggestions via the medical record to the general practitioners (GPs).<br/>Results<br/>A total of 109 patients were included in the study and 90.8% (n = 99) of the patients were exposed to at least one DRP, with an average of 3.9 DRPs per patient. Patients with impaired renal function (glomerular filtration rate, GFR Conclusions<br/>Our results indicate a prioritized need for MRs for community-dwelling patients, specifically with impaired renal function or polypharmacy.}},
  author       = {{Wickman, Katarina and Dobszai, Annika and Modig, Sara and Borgström Bolmsjö, Beata and Caleres, Gabriella and Lenander, Cecilia}},
  issn         = {{2731-4553}},
  language     = {{eng}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Primary Care}},
  title        = {{Pharmacist-led medication reviews in Primary Healthcare for adult community-dwelling patients – a descriptive study charting a new target group.}},
  url          = {{http://dx.doi.org/10.1186/s12875-022-01849-x}},
  doi          = {{10.1186/s12875-022-01849-x}},
  year         = {{2022}},
}