Patient-perceived value of Medication Therapy Management (MTM) services:  a series of focus groups

Schultz, Heidi F.; Westberg, Sarah M.; Oliveira, Djenane Ramalho de; Brummel, Amanda

doi:10.24926/iip.v3i4.278

Cited by 26 publications

(41 citation statements)

References 13 publications

(11 reference statements)

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“…Another research that conducted focus groups with patients also indicated, in this case from patients' perspectives, that physicians have a hard time to explain to patients what MTM services are and how they can help patients. 35 Therefore, MTM pharmacists must make every effort to better describe what their roles are and what kind of value they are able to add to the health care team.…”

Section: Discussionmentioning

confidence: 99%

Primary Care Providers' experiences with Pharmaceutical Care-based Medication Therapy Management Services

Maracle¹,

Oliveira²,

Brummel³

2012

Innov Pharm

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This study explored primary care providers' (PCPs) experiences with the practice of pharmaceutical care-based medication therapy management (MTM IntroductionThe face of healthcare is changing. Governments along with individual health systems are changing the way they take care of patients in efforts to make health care more affordable and the health system sustainable. Entire organizations are shifting to a team-based approach to health care, which requires collaboration between all health care providers to provide the best, most efficient and most cost-effective services to patients. The role of each health care provider is being reexamined and redefined, so that patients can be seen in the timeliest manner and by the most qualified provider.

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Section: Discussionmentioning

confidence: 99%

Primary Care Providers' experiences with Pharmaceutical Care-based Medication Therapy Management Services

Maracle¹,

Oliveira²,

Brummel³

2012

Innov Pharm

Self Cite

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“…Moreover, CMM services have shown the positive impact on individual CV risk factors: blood pressure (12,28,31,40), glycated hemoglobin (HbA1c) (30,31,39) and LDL cholesterol 12,30,40 . Furthermore, studies have demonstrated the economic and social welfare of CMM services 17,32,34,41 . Patients receiving face-to-face CMM services had lower total health expenditures, with the reduction in total annual health expenditures exceeding the cost of providing CMM services by as high as 12:1, and with the average ratio of 3:1 to 5:1 (return on investment, ROI ) 33 .…”

Section: The Value Of Medication Management Servicesmentioning

confidence: 99%

Comprehensive Medication Management Services as a Solution to Medication Mismanagement: A European Perspective

Mucalo¹,

Brajković²,

Jukić³

et al. 2019

Rad Hrvatske akademije znanosti i umjetnosti

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Due to an increase in the prevalence of chronic diseases, medication use and their cost is rising rapidly. This scenario render chronic patients at an increased risk of experiencing drug therapy problems, subsequently leading to unfavourable clinical and economic outcomes. Thus, to ensure patients' optimal medication use and improve their clinical outcomes, a comprehensive and systematic management of medications is deemed crucial. Hence, Comprehensive Medication Management (CMM) services offered by trained pharmacists can fill this gap by decreasing the unnecessary and often harmful use of medicines and consequent resulting complications. Collaborative practice between pharmacists and general practitioners, together with patients' active participation in the definition of treatment regimens, plays an important role in the effectiveness of CMM services. CMM services is defined as the standard of care that ensures each patient's medications (prescription, non-prescription, alternative, traditional, vitamins, or nutritional supplements) are individually assessed to determine that each medication is appropriate for the patient, effective for the medical condition, safe given the comorbidities and other medications taken, and that the patient is able to take them as intended. It includes an individualized care plan that achieves the intended goals of therapy with appropriate follow-up to determine actual patient outcomes. Apart from the USA, several countries (e.g. Australia, Canada and Brazil) have managed to integrate CMM services into their existing health care system at the primary care level. However, in Europe, in spite of the widespread recognition of the need for medication management services, initiation and implementation of CMM services are lagging behind. Hence, for CMM services to become a reality in Europe and elsewhere, numerous prerequisites need to be accomplished, including policies and legal regulations supporting the provision of CMM services on a much larger scale, clearly defined and standardized professional practice and common language shared among the pharmacists, and well trained and experienced practitioners providing full-time, direct patient care. Sažetak: Sveobuhvatna uSluga upravljanja farmakoterapijom kao rješenje za propuSte u propiSivanju lijekova: europSka perSpektivaZbog porasta prevalencije kroničnih bolesti, potrošnja lijekova ubrzano raste. Uslijed toga, kronični bolesnici su izloženi povećanom riziku pojave terapijskih problema što dovodi do nepovoljnih kliničkih i ekonomskih ishoda liječenja. Stoga se smatra da je sveobuhvatno i sustavno upravljanje farmakoterapijom ključno za osiguranje optimalne uporabe lijekova kao i za poboljšanje kliničkih ishoda liječenja. Sveobuhvatna usluga upravljanja farmakoterapijom (engl. Comprehensive Medication Management Services, CMM services) koju provode posebno educirani ljekarnici može ponuditi rješenje za ovaj problem, smanjujući nepotrebnu, a često i štetnu primjenu lijekova te njene posljedične komplikacije. Kolaborativna praksa ljekarn...

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“…CMM services have shown positive clinical, economic, and humanistic outcomes in many different settings around the world [10][11][12][13][14][15][16]. Given the need for this service driven by social demand, its implementation in different healthcare settings can be seen as imperative.…”

Section: Introductionmentioning

confidence: 99%

Comprehensive Medication Management Services in a Brazilian Speciality Pharmacy: A Qualitative Assessment

Detoni

Oliveira

Alves

et al. 2017

Int J Pharm Pharm Sci

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Objective: To understand and describe the implementation process of a comprehensive medication management (CMM) service in a public specialty pharmacy in Brazil.Methods: Ethnographic study conducted over 17 mo (September 2014 to February 2016 in a public specialty pharmacy. Semi-structured interviews were conducted with twelve participants. Notes on field journals, resulting from participant observation conducted by the two pharmacists directly responsible for the service implementation, were also used as a source of data.Results: Ten important conditions to improve the success of CMM service implementation were identified: manager support; evaluation of physical and material resources; evaluation of human resources practitioners' characteristics and knowledge about the theoretical framework of CMM services; time dedicated to CMM services; redefining the work process; defining patient eligibility criteria to CMM service; defining patient flow to CMM service; communication with healthcare team; integration with the staff; and marketing the service internally. Conclusion:The results unveiled by this article can be used by pharmacists and managers as a tool to optimize the implementation of CMM services in different healthcare settings. These conditions do not consist the only aspects necessary to ensure the success of the service; however, they can contribute to optimize the implementation process of the practice.

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Patient-perceived value of Medication Therapy Management (MTM) services: a series of focus groups

Cited by 26 publications

References 13 publications

Primary Care Providers' experiences with Pharmaceutical Care-based Medication Therapy Management Services

Primary Care Providers' experiences with Pharmaceutical Care-based Medication Therapy Management Services

Comprehensive Medication Management Services as a Solution to Medication Mismanagement: A European Perspective

Comprehensive Medication Management Services in a Brazilian Speciality Pharmacy: A Qualitative Assessment

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