Consistency and replicability of a pharmacist-led intervention for asthma patients: Italian Medicines Use Review (I-MUR)

Manfrin, Andrea; Krska, Janet

doi:10.1017/s1463423618000580

Cited by 3 publications

(1 citation statement)

References 29 publications

(46 reference statements)

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“…All the information regarding the study setting, selection process of the participants, inclusion and exclusion criteria and the validated questionnaire used for data collection are published elsewhere. 15,28,33…”

Section: Populationmentioning

confidence: 99%

The relationship between the pharmacist's role, patient understanding and satisfaction during the provision of a cost‐effective pharmacist‐led intervention

Manfrin

2023

Evaluation Clinical Practice

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Rationale, Aims and Objectives: This study aimed to investigate the relationship between the pharmacist's role, patient understanding and satisfaction during the provision of a cost-effective pharmacist-led intervention using structural equation modelling (SEM). SEM is a group of statistical techniques used in different disciplines to model latent variables and evaluate theories.Methods: A validated questionnaire was used to gather patient views on a pharmacist-led intervention. A conceptual model was developed to test the statistical significance of the relationship between patient understanding and satisfaction, the pharmacist's role and patient understanding, the pharmacist's role and patient satisfaction. In addition, the study evaluated the model's in-sample and out-of-sample predictive power. The analysis tested fours hypotheses (H): 1) There was no significant relationship between patient understanding and patient satisfaction; 2) There was no significant relationship between the pharmacist's role and patient understanding; 3) There was no significant relationship between the pharmacist's role and patient satisfaction; 4) The in-sample and out-of-sample predictive power of the model. Data were analysed using Smart-PLS software version 3.2.8. Results: Two hundred and forty-six patients returned the questionnaire. Construct reliability, validity (Cronbach's alpha〉0.70, ⍴A>0.70, ⍴C>0.70), average extracted variance (AVE〉0.50) and discriminant validity (HTMT<0.85) were confirmed. The structural model and hypothesis testing results showed that all hypotheses were supported in this study. Path coefficients and effect sizes suggested that the pharmacist's role played a significant part in patient understanding (H2, β=0.650, f 2 =0.730, p<0.001), which then influenced patient satisfaction (H1, β=0.474, f 2 =0.222, p<0.001). The in-sample and out-of-sample predictive powers were moderate. Conclusions: Patient satisfaction is becoming an integral component in healthcare provision and evaluation of healthcare quality. The results support using structural

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Section: Populationmentioning

confidence: 99%

The relationship between the pharmacist's role, patient understanding and satisfaction during the provision of a cost‐effective pharmacist‐led intervention

Manfrin

2023

Evaluation Clinical Practice

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What types of information do pharmacists include in comprehensive medication management review reports? A qualitative content analysis

et al. 2023

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Background Comprehensive medication management reviews are an established intervention to identify medication-related problems, such as the prescribing of potentially inappropriate medications, and under- and over-prescribing. However, the types of information included in written reports of comprehensive medication management reviews, beyond types of medication-related problems, are unknown. Aim This study aimed to explore the types of information Australian pharmacists include in their written reports following comprehensive medication management reviews. Method Australian consultant pharmacists were invited to upload their 10 most recent written reports of their domiciliary-based comprehensive medication management reviews. A random selection of the reports, stratified by each pharmacist, were included for qualitative content analysis. Results Seventy-two de-identified reports from eight consultant pharmacists located in five of the eight Australian States and Territories were included for analysis. From the evaluated reports, four major categories of information were identified: (1) patient details such as date of interview (n = 72, 100%) and medicine history (n = 70, 97%); (2) pharmacist assessment including assessment of the patient (n = 70, 97%), medicines management (n = 68, 94%) and medicine-related issues (n = 60, 83%); (3) pharmacist recommendations, specifically pharmacological recommendations (n = 67, 93%); and (4) patient-centred experiences such as perspectives on medicines (n = 56, 78%). Reporting of patient-centred experiences appeared most variably in the included reports, including patient concerns (n = 38, 53%), willingness for change (n = 27, 38%), patient preferences (n = 13, 18%), and patient goals (n = 7, 10%). Conclusion Pharmacists within our study included a wide variety of information in their comprehensive medication management review reports. Aside from medication-related problems, pharmacists commonly provided a holistic assessment of the patients they care for. However, variability across reports has the potential to impact consistent service delivery.

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What types of information do pharmacists include in comprehensive medication management review reports? A qualitative content analysis

Al-Diery

Freeman

Page

et al. 2023

Preprint

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Introduction Comprehensive medication management reviews are an established intervention to identify medication-related problems, such as the prescribing of potentially inappropriate medications, and under- and over-prescribing. However, the types of information included in written reports of comprehensive medication management reviews, beyond types of medication-related problems, are unknown. This study aimed to explore the types of information Australian pharmacists include in their written reports following comprehensive medication management reviews. Methods Australian consultant pharmacists were invited to upload their 10 most recent written reports of their domiciliary-based comprehensive medication management reviews. A random selection of the reports, stratified by each pharmacist, were included for qualitative content analysis. Results Seventy-two de-identified reports from eight consultant pharmacists were included for analysis. From the evaluated reports, four major categories of information were identified: 1) consumer details such as date of interview (n = 72, 100%) and medicine history (n = 70, 97%); 2) pharmacist assessment including assessment of the consumer (n = 70, 97%), medicines management (n = 68, 94%) and medicine-related issues (n = 60, 83%); 3) pharmacist recommendations, specifically pharmacological recommendations (n = 67, 93%); and 4) consumer-centred experiences such as perspective on medicines (n = 56, 78%). Reporting of consumer-centred experiences appeared most variably in the included reports, including consumer concerns (n = 38, 53%), willingness for change (n = 27, 38%), consumer preferences (n = 13, 18%), and consumer goals (n = 7, 10%). Conclusion Pharmacists within our study included a wide variety of information in their comprehensive medication management review reports. Aside from medication-related problems, pharmacists commonly provided a holistic assessment of the consumers they care for. However, despite the breadth of information included in a comprehensive medication management review report, our study suggests that there is wide variability across reports, which has the potential to impact consistent service delivery.

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Consistency and replicability of a pharmacist-led intervention for asthma patients: Italian Medicines Use Review (I-MUR)

Abstract: The use of a standardised template for the I-MUR may have contributed to a degree of consistency in the issues found, which suggests this intervention could have good replicability.

Cited by 3 publications

References 29 publications

The relationship between the pharmacist's role, patient understanding and satisfaction during the provision of a cost‐effective pharmacist‐led intervention

The relationship between the pharmacist's role, patient understanding and satisfaction during the provision of a cost‐effective pharmacist‐led intervention

What types of information do pharmacists include in comprehensive medication management review reports? A qualitative content analysis

What types of information do pharmacists include in comprehensive medication management review reports? A qualitative content analysis

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