Expanding the roles of outpatient pharmacists: effects on health services utilisation, costs, and patient outcomes

Beney, Johnny; Bero, Lisa; Bond, Christine

doi:10.1002/14651858.cd000336

Cited by 190 publications

(168 citation statements)

References 28 publications

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“…In these studies the effects on drug consumption varied from nil to substantial [5,22]. A multi-centre, randomized controlled study on an extensive pharmaceutical care programme targeting elderly patients showed some effect on satisfaction and symptom control, but only a minor impact on drug therapy, drug knowledge, and drug compliance [3].…”

Section: Discussionmentioning

confidence: 99%

“…A multi-centre, randomized controlled study on an extensive pharmaceutical care programme targeting elderly patients showed some effect on satisfaction and symptom control, but only a minor impact on drug therapy, drug knowledge, and drug compliance [3]. A Cochrane review supports the expanding role of the pharmacist in patient education, but doubts the generalizability of the studies included and the interventions were poorly defined, lacked cost assessments and specification of patient outcome data, and research designs were not sufficiently rigorous [5].…”

Section: Discussionmentioning

confidence: 99%

“…One popular method is the ''pharmaceutical care'' concept, which includes identifying, solving, and preventing drug-related problems [1 Á/4]. The trend towards greater involvement of community pharmacies in the promotion of rational pharmacotherapy has so far largely escaped evaluation in randomized controlled studies, which has given rise to calls for more studies with strong research designs [5,6].…”

mentioning

confidence: 99%

See 2 more Smart Citations

Intensive community pharmacy intervention had little impact on triptan consumption: A randomized controlled trial

Søndergaard

Foged

Kragstrup

et al. 2006

Scandinavian Journal of Primary Health Care

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Intensive community pharmacy intervention had little impact on triptan consumption: A randomized controlled trial

Søndergaard

Foged

Kragstrup

et al. 2006

Scandinavian Journal of Primary Health Care

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“…In addition, evaluation of the literature related to effective interventions to reduce readmissions is limited by the heterogeneity of study designs, patient populations, local institutional factors and outcome measures chosen. This lack of comparable data limits the generalisability of identified interventions in the literature (Beney, Bero & Bond 2000;Naylor & McCauley 1999;Evans & Hendricks 1993;Hughes et al 2000).…”

Section: What Are the Implications?mentioning

confidence: 99%

A transitional care service for elderly chronic disease patients at risk of readmission

Brand¹,

Jones²,

Lowe³

et al. 2004

Aust. Health Review

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Background: Multiple hospital admissions, especially those related to chronic disease, represent a particular challenge to the acute health care sector in Australia.Objective: To determine whether a nurse-led chronic disease management model of transitional care reduced readmissions to acute care. Design:A quasi-experimental controlled trial. Setting:A large tertiary metropolitan teaching hospital. Participants: 166 general medical patients aged у65 years with either a history of readmissions to acute care or multiple medical comorbidities.Intervention: Implementation of a chronic disease management model of transitional care aimed at improving patient management and reducing readmissions to acute care. Main outcome measures:Readmission rates and emergency department presentation rates at 3-and 6-month follow up. Secondary outcome measures include quality of life, discharge destination, and primary health care service utilisation.Results: There was no difference in readmission rates, emergency department presentation rates, quality of life, discharge destination or primary health care service utilisation. The difficulties inherent in evaluating this type of multifactorial intervention are discussed and consideration is given to patient factors, the difficulty of influencing readmission rates, and local system issues. Conclusion:The outcomes of this study reflect the tension that exists between implementing multifaceted integrated health service programs and attempting to evaluate them within complex and changing environments using robust research

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“…Located in multiple community-based settings, they are generally available around the clock and on demand. In addition, pharmacists that actively participate in chronic disease management improve patient outcomes, the use of health services, and health care costs (6,7).…”

Section: Introductionmentioning

confidence: 99%

After patients are diagnosed with knee osteoarthritis, what do they do?

Grindrod

Marra

Colley

et al. 2010

Arthritis Care & Research

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Objective. To learn more about the health services and products that patients use after receiving a diagnosis of knee osteoarthritis (OA), as well as the trajectory of their health-related quality of life (HRQOL). Methods. Using a simple screening survey, community pharmacists identified 194 participants with previously undiagnosed knee OA. Of these participants, 190 were confirmed to have OA on further investigation. At baseline and 1, 3, and 6 months after diagnosis, a survey was administered to assess health services, product use, and HRQOL, including the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Medical Outcomes Study Short Form 36 (SF-36) health survey, the Paper Adaptive Test (PAT-5D-QOL), and the Health Utilities Index Mark 3. Results. With a mean age of 63 years, participants were mostly women, white, and overweight. By 6 months, more than 90% of the participants had visited their family physician to discuss their OA, and more than 50% of participants took either prescription or nonprescription analgesics. In addition, three-quarters of the participants started exercising, one-third initiated activity aids, and one-third had started natural medicine products. At 6 months compared with baseline, significant improvements were seen in the SF-36 physical component summary (P ‫؍‬ 0.001) and bodily pain domain scores (P ‫؍‬ 0.02), the PAT-5D-QOL overall, pain, and usual daily activities scores (P < 0.001 for all), and the WOMAC total, pain, and function scores (P < 0.001 for all). Conclusion. Within 6 months of receiving a diagnosis of knee OA, participants made several lifestyle interventions, often without the advice of a health professional, and saw improvements in their pain and function.

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Expanding the roles of outpatient pharmacists: effects on health services utilisation, costs, and patient outcomes

Cited by 190 publications

References 28 publications

Intensive community pharmacy intervention had little impact on triptan consumption: A randomized controlled trial

Intensive community pharmacy intervention had little impact on triptan consumption: A randomized controlled trial

A transitional care service for elderly chronic disease patients at risk of readmission

After patients are diagnosed with knee osteoarthritis, what do they do?

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