Medication reviews in primary care in Sweden: importance of clinical pharmacists' recommendations on drug-related problems.
Modig, Sara LU
; Holmdahl, Lydia
LU
and Bondesson, Åsa ÅB
LU
(2015)
In International Journal of Clinical Pharmacy
- Abstract
- Background One way of preventing and solving drug-related problems in frail elderly is to perform team-based medication reviews. Objective To evaluate the quality of the clinical pharmacy service to primary care using structured medication reviews, focusing on the clinical significance of the recommendations made by clinical pharmacists. Setting A random sample of 150 patients (out of 1541) who received structured team based medication reviews. The patients lived at a geriatric nursing home or were ≥65 years and lived in ordinary housing with medication-related community help. Method Based on information on symptoms, kidney function, blood pressure, diagnoses and the medication list, a pharmacist identified possible drug-related problems... (More)
- Background One way of preventing and solving drug-related problems in frail elderly is to perform team-based medication reviews. Objective To evaluate the quality of the clinical pharmacy service to primary care using structured medication reviews, focusing on the clinical significance of the recommendations made by clinical pharmacists. Setting A random sample of 150 patients (out of 1541) who received structured team based medication reviews. The patients lived at a geriatric nursing home or were ≥65 years and lived in ordinary housing with medication-related community help. Method Based on information on symptoms, kidney function, blood pressure, diagnoses and the medication list, a pharmacist identified possible drug-related problems and supplied recommendations for the general practitioner to act on. Two independent physicians retrospectively ranked the clinical significance of the recommendations according to Hatoum, with rankings ranging between 1 (adverse significance) and 6 (extremely significant). Main outcome measure The clinical significance of the recommendations. Results In total 349 drug-related problems were identified, leading to recommendations. The vast majority of the recommendations (96 %) were judged to have significance 3 or higher and more than the half were judged to have significance 4 or higher. Conclusion The high proportion of clinically significant recommendations provided by pharmacists when performing team-based medication reviews suggest that these clinical pharmacy services have potential to increase prescribing quality. As such, the medication reviews have the potential for contributing to a better and safer drug therapy for elderly patients. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/8235188
- author
- Modig, Sara
LU
; Holmdahl, Lydia
LU
and Bondesson, Åsa ÅB
LU
- organization
- publishing date
- 2015-11-18
- type
- Contribution to journal
- publication status
- published
- subject
- in
- International Journal of Clinical Pharmacy
- publisher
- Springer
- external identifiers
-
- pmid:26582483
- scopus:84956637418
- wos:000369421100009
- pmid:26582483
- ISSN
- 2210-7703
- DOI
- 10.1007/s11096-015-0189-x
- language
- English
- LU publication?
- yes
- id
- 05ed170d-9c19-474a-b8bb-f4234782561d (old id 8235188)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/26582483?dopt=Abstract
- date added to LUP
- 2016-04-04 07:10:54
- date last changed
- 2024-06-07 23:34:19
@article{05ed170d-9c19-474a-b8bb-f4234782561d,
abstract = {{Background One way of preventing and solving drug-related problems in frail elderly is to perform team-based medication reviews. Objective To evaluate the quality of the clinical pharmacy service to primary care using structured medication reviews, focusing on the clinical significance of the recommendations made by clinical pharmacists. Setting A random sample of 150 patients (out of 1541) who received structured team based medication reviews. The patients lived at a geriatric nursing home or were ≥65 years and lived in ordinary housing with medication-related community help. Method Based on information on symptoms, kidney function, blood pressure, diagnoses and the medication list, a pharmacist identified possible drug-related problems and supplied recommendations for the general practitioner to act on. Two independent physicians retrospectively ranked the clinical significance of the recommendations according to Hatoum, with rankings ranging between 1 (adverse significance) and 6 (extremely significant). Main outcome measure The clinical significance of the recommendations. Results In total 349 drug-related problems were identified, leading to recommendations. The vast majority of the recommendations (96 %) were judged to have significance 3 or higher and more than the half were judged to have significance 4 or higher. Conclusion The high proportion of clinically significant recommendations provided by pharmacists when performing team-based medication reviews suggest that these clinical pharmacy services have potential to increase prescribing quality. As such, the medication reviews have the potential for contributing to a better and safer drug therapy for elderly patients.}},
author = {{Modig, Sara and Holmdahl, Lydia and Bondesson, Åsa ÅB}},
issn = {{2210-7703}},
language = {{eng}},
month = {{11}},
publisher = {{Springer}},
series = {{International Journal of Clinical Pharmacy}},
title = {{Medication reviews in primary care in Sweden: importance of clinical pharmacists' recommendations on drug-related problems.}},
url = {{http://dx.doi.org/10.1007/s11096-015-0189-x}},
doi = {{10.1007/s11096-015-0189-x}},
year = {{2015}},
}