Addressing primary nonadherence: A collaboration between a community pharmacy and a large pediatric clinic

Abstract

Increased communication between the primary care provider and the community pharmacy, coupled with targeted patient-specific interventions before the initial fill of medications, resulted in significant reductions in PNA.

The state of the science of interprofessional collaborative practice: A scoping review of the patient health-related outcomes based literature published between 2010 and 2018

“…Ten studies were pre/post intervention studies, some of which were quality improvement studies. [20–25, 29, 30, 32, 35, 38] Two studies were clinical trials, [19, 34] one of which was a randomized control trial. [34] Two studies were retrospective cohort studies [23, 37] and one a prospective cohort study.…”

“…[34] Two studies were retrospective cohort studies [23, 37] and one a prospective cohort study. [25] Two studies were cross-sectional, [28, 35] one sequential mixed methods, [33] one a case study,[27] and one a case/control study. [31] In addition to the wide variety of study designs employed, sample sizes ranged widely from one paper reporting two case studies to a sample size [27] of 322,408 patients.…”

“…The abstracted studies reported on research in six distinct settings: primary care, [19, 23–25, 28, 30–33, 35–37] hospital care, [19, 29, 34] specialty clinic care, [26, 38] nursing home care, [21] home health care, [27] and prison clinic (in and out patient care). [22] The most frequent study setting was primary care followed by hospital care as a distant second.…”

“…Fig 2 depicts the analysis process and Tables 3 and 4 describe the research outcomes and key study characteristics. The eight categories identified were: 1) Impact of interprofessional collaborative practice on chronic diseases with well-defined management measures [19, 22–24, 28–30, 33–35]; 2) Impact of interprofessional collaborative practice on specialty care outcomes with well-defined management measures [20, 26, 38]; 3) Impact of interprofessional collaborative practice on direct cost of care [20, 29, 31]; 4) Impact of interprofessional collaborative practice on prescribing practices and/or patient adherence [25, 32]; 5) Impact of interprofessional collaborative practice on dental care [27]; 6) interprofessional collaborative practice impact on falls [21]; 7) impact of interprofessional collaborative practice on health services utilization [31, 32]; 8) impact of interprofessional collaborative practice on patient satisfaction. [34]…”

Evidence demonstrating the pharmacist's direct impact on clinical outcomes in pediatric patients: An opinion of the pediatrics practice and research network of the American College of Clinical Pharmacy

“…An estimated 20% of new prescriptions written for children by providers working in pediatric primary care go unfilled . In one study of primary nonadherence, community pharmacists obtained patient contact information and diagnosis codes directly from a nearby pediatric primary care center for 121 patients . A series of contacts were then made in 61 patients when medications were not picked up in order to assess adherence and notify primary care providers.…”