Implementation of pharmacist-led medication reviews in general practice

Turner, Justin P.; Bell, J. Simon

doi:10.1007/s11096-012-9721-4

Cited by 5 publications

(8 citation statements)

References 12 publications

(12 reference statements)

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“…11 Despite the apparent benefits, these studies involved a small number of participating pharmacists and general practices therefore the generalizability remains unknown. 87 However, other reviews have highlighted the benefits of colocation and the importance of collaboration between pharmacists, GPs and other staff, as well as patient involvement at all steps of the CMR process. 4,5,88 Although many early Australian studies that demonstrated the value of CMR included a follow-up case conference between the pharmacist and GP, anecdotal experience suggests this rarely occurs in practice.…”

Section: Discussionmentioning

confidence: 99%

Clinical medication review in Australia: A systematic review

Jokanovic

Tan

Bosch

et al. 2016

Research in Social and Administrative Pharmacy

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109

122

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Section: Discussionmentioning

confidence: 99%

Clinical medication review in Australia: A systematic review

Jokanovic

Tan

Bosch

et al. 2016

Research in Social and Administrative Pharmacy

Self Cite

109

122

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“…5 Few patients were extremely happy for providing information regarding disease and medication aspects. 6 Most of the patients trust more on doctors than pharmacists. 7…”

Section: Resultsmentioning

confidence: 99%

“…5 Change of administration sites was not known among the few patients those who were receiving insulin. 6 Two patients were instilling eye drops in spite of experiencing more itching and irritation after administration. 7…”

Section: Resultsmentioning

confidence: 99%

“…Elderly patients suffering from chronic illness finding very difficult to come for follow up to clinic when their respective home is too far away from the destination of health care institution such as a hospital or private clinic needs a health care professional to assess the prognosis of elderly patients in these circumstances [5]. Home Medicine Review among these elderly patients can have better prognosis which was reflected in older research studies carried out in Australia and England [6]. In India Home Medicine Review research work carried out was very less as far the research investigators knowledge and therefore research investigators designed this research protocol in the interest of providing better health care services to elderly persons suffering from chronic illness as well as to clinicians practicing in and around the Mysuru city.…”

Section: Issn-0975-7066mentioning

confidence: 99%

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Home Medicine Review Elderly Based Assessment of Medication Related Problems in Mysuru City

Kumar

Mahendrappa

2019

Int J Curr Pharm Sci

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Objective: To assess the medication related problems among chronically ill patients.Methods: Patients who met study criteria were enrolled in this research study, followed by standard operating procedure of home medicine review was applied to carry out this research study. Drug related problems of enrolled patients were evaluated by applying Hepler and Strand drug related problem scale. Results:The pharmacist intervention rate in this research study was found 58%. The medication related problems identified in this study were drug given without indication which was accountable for 32 % followed by drug duplication 5.21%, drug interactions 11% and adverse drug reactions 6.52 %. Conclusion:This research study concludes that prevalence of drug related problems among elderly patients were accountable for 40.49 % among Home Medicine Review in Mysore city due to more comorbidity which had resulted more number of medications with respect to individual medical case. Elderly patients will have lot of confusion which makes difficult to follow strict directions of medications prescribed by concerned consultant.

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“…optimising treatment by stopping, amending or initiating medication guided by the patient’s current medical condition and the most recent guidelines - consideration is given to contra-indications, cautions and interactions) either inside the practice or in patients’ homes; updating medical records to reflect patients’ latest medications; education of practice staff around novel trends in pharmacotherapy; responding to general practitioners’ (GPs’) medication-related queries; quality assurance services to improve prescribing and medication use in the practice (e.g. relevant audits); prescribing tasks (including management of repeat prescriptions); and clinics for certain long-term conditions, such as hypertension, diabetes and asthma [6–8]. The provision of pharmacy services in general practice (e.g.…”

Section: Introductionmentioning

confidence: 99%

How do pharmacists in English general practices identify their impact? An exploratory qualitative study of measurement problems

Karampatakis

Ryan

Patel

et al. 2019

BMC Health Serv Res

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BackgroundIn England, there is an ongoing national pilot to expand pharmacists’ presence in general practice. Evaluation of the pilot includes numerical and survey-based Key Performance Indicators (KPIs) and requires pharmacists to electronically record their activities, possibly by using activity codes. At the time of the study (2016), no national evaluation of pharmacists’ impact in this environment had been formally announced. The aim of this qualitative study was to identify problems that English pharmacists face when measuring and recording their impact in general practice.MethodsAll pharmacists, general practitioners (GPs) and practice managers working across two West London pilot sites were invited, via e-mail, to participate in a focus group study. Appropriately trained facilitators conducted two audio-recorded, semi-structured focus groups, each lasting approximately 1 h, to explore experiences and perceptions associated with the KPIs. Audio-recordings were transcribed verbatim and the data analysed thematically.ResultsIn total, 13 pharmacists, one GP and one practice manager took part in the study. Four major themes were discerned: inappropriateness of the numerical national KPIs (“whether or not we actually have positive impact on KPIs is beyond our control”); depth and breadth of pharmacists’ activity (“we see a huge plethora of different patients and go through this holistic approach - everything is looked at”); awareness of practice-based pharmacists’ roles (“I think the really important [thing] is that everyone knows what pharmacists in general practice are doing”); and central evaluation versus local initiatives (“the KPIs will be measured by National Health Service England regardless of what we think” versus “what I think is more pertinent, are there some local things we’re going to measure?”).ConclusionsMeasures that will effectively capture pharmacists’ impact in general practice should be developed, along with a set of codes reflecting the whole spectrum of pharmacists’ activities. Our study also points out the significance of a transparent, robust national evaluation, including exploring the needs/expectations of practice staff and patients regarding pharmacists’ presence in general practice.

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Implementation of pharmacist-led medication reviews in general practice

Cited by 5 publications

References 12 publications

Clinical medication review in Australia: A systematic review

Clinical medication review in Australia: A systematic review

Home Medicine Review Elderly Based Assessment of Medication Related Problems in Mysuru City

How do pharmacists in English general practices identify their impact? An exploratory qualitative study of measurement problems

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