Pharmacist-led medication reviews in Primary Healthcare for adult community-dwelling patients – a descriptive study charting a new target group.
(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:
https://lup.lub.lu.se/record/249145ee-9f9b-4435-b07d-19180ec8bb7b
- author
- Wickman, Katarina LU ; Dobszai, Annika LU ; Modig, Sara LU ; Borgström Bolmsjö, Beata LU ; Caleres, Gabriella LU and Lenander, Cecilia LU
- organization
- publishing date
- 2022
- 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}}, }