Community pharmacist led medication reviews in the UK: A scoping review of the medicines use review and the new medicine service literatures

Stewart, Duncan; Whittlesea, Cate; Dhital, Ranjita; Newbould, Louise; McCambridge, Jim

doi:10.1016/j.sapharm.2019.04.010

Cited by 49 publications

(41 citation statements)

References 54 publications

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“…Few studies have assessed the time invested in this service, which is an important factor considering the cost involved. Lee et al [42] obtained a median time required for pharmacists to perform the initial MUR visit very similar to our results, although a scoping review of the medicines use review reported that the MUR consultations were short, typically 10-12 min [43]. Our results show that there was a significant correlation between the MUR time and number of medicines.…”

Section: Discussionsupporting

confidence: 88%

Medicines use review service in community pharmacies in Spain: REVISA project

et al. 2020

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Background Community pharmacy services play an important role in controlling some factors related to medicine use and patients can benefit from these services to improve the adherence and knowledge of their medications, besides to reduce medicine-related problems. Objective The aim of the REVISA project is to carry out a study on preliminary implementation of the medicines use review service in Spanish community pharmacies. Setting Sixty-four community pharmacies from all regions of Spain. Method A preliminary implementation, cross-sectional multicentre study was conducted using a convenience sample of voluntary community pharmacies. A structured interview enabled to pharmacists to obtain a better understanding of patient’s medicines use. Main outcome measure Medicines use review-related time and cost, satisfaction and willingness to pay. Results A total of 495 patients were enrolled. The mean age of the patients was 66.1 years, with the majority females (56.4%) and a mean consumption of 5.7 medicines. A total of 2811 medicines were evaluated and 550 referral recommendations were made (29.8% to Primary Care). The mean time employed by the pharmacists in the medicines use review service was 52.8 min (medicines use review-related cost of €17.27). Most patients expressed a high level of satisfaction with this service (98.5%) and a willingness to pay for it (84%). Conclusion Medicines use review service in community pharmacies in Spain can be delivered, that it appears to be acceptable to patients and that most patients said they would be willing to pay for it. This service may offer an opportunity to promote inter-professional collaboration between pharmacists and general practitioners.

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Section: Discussionsupporting

confidence: 88%

Medicines use review service in community pharmacies in Spain: REVISA project

et al. 2020

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“…The purposes of MURs are to improve patients' understanding of their medicines and adherence, particularly among those with chronic conditions, highlight problematic side effects and propose solutions where appropriate, and to reduce medicines wastage. 3 Similarly, in Canada, pharmacist provides "medication management", a comprehensive pharmacy service that helps optimize health outcomes and patients targeted medication outcomes. In Canada, this service is offered to residents taking at least one medication.…”

Section: Introductionmentioning

confidence: 99%

<p>Medication Therapy Management: Current Challenges</p>

Ferreri¹,

Hughes²,

Snyder³

2020

IPRP

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Medication therapy management (MTM) services have evolved as a means for pharmacists and other providers to assist patients and caregivers in improving therapeutic outcomes and reducing health care expenditures. More than a decade has passed since the Medicare Modernization Act of 2003 provided pharmacists with the opportunity to deliver MTM services to Medicare beneficiaries. MTM continues to offer pharmacists the opportunity to use their knowledge; yet, pharmacists have reported challenges with service delivery. Identifying the challenges that affect MTM services in pharmacy practice is necessary in order to seek improvement to MTM delivery. This narrative review explores the current challenges pharmacists face with MTM delivery, summarizes potential solutions for addressing challenges, and seeks to incite further debate, service reconfiguration, and ultimately service improvement of pharmacist-provided MTM services.

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“…4,5 There has been limited empirical investigation of the outcomes or patients' perspectives of these services. 6 A randomised controlled trial of the NMS found self-reported medicines adherence increased by 10% after 10 weeks. 7 Qualitative work within this trial found that the NMS was simplified and adapted in its implementation to fit with pharmacists' existing workloads.…”

Section: Introductionmentioning

confidence: 99%

Patient perspectives on discussing alcohol as part of medicines review in community pharmacies

Madden

Morris

Atkin

et al. 2020

Research in Social and Administrative Pharmacy

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Background This paper reports on a qualitative study which formed part of the intervention development phase of a five year research programme (Community pharmacy: Highlighting Alcohol use in Medication aPpointments; CHAMP-1). Objectives To better understand patient views on the appropriateness of alcohol as a subject for discussion in medication reviews in community pharmacy. Methods Semi-structured interviews were conducted with a sample of 25 people eligible for medication reviews whose AUDIT-C screening scores identified them as likely risky drinkers. Transcripts were analysed using a modified framework method with a constructionist thematic analysis approach. Results Most patients interviewed said they were open to the idea of a medication and alcohol linked discussion with a pharmacist if this was routine, well-conducted and confidential. Such a discussion was thought less personally relevant for those who viewed the proposed intervention through the prism of a particular set of ideas about the nature of alcohol problems, which distanced them from thinking about alcohol in terms of their everyday life and possible impacts on their health. Study findings attest to some of the sensitivities involved in discussion of alcohol, and the complexities inherent in helping people to talk about their own drinking, medicine use and health. Conclusions Patients were open to the idea of discussing alcohol with community pharmacists in the context of a medicines review if this was sensitively done and the relevance was clear to them.

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Community pharmacist led medication reviews in the UK: A scoping review of the medicines use review and the new medicine service literatures

Abstract: Community pharmacist led medication reviews in the UK: a scoping review of the medicines use review and the new medicine service literatures. Research in Social & Administrative Pharmacy, 16 (2). pp. 111-122.

Cited by 49 publications

References 54 publications

Medicines use review service in community pharmacies in Spain: REVISA project

Medicines use review service in community pharmacies in Spain: REVISA project

<p>Medication Therapy Management: Current Challenges</p>

Patient perspectives on discussing alcohol as part of medicines review in community pharmacies

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