The impact of an appointment-based medication synchronization programme on chronic medication adherence in an adult community pharmacy population

Andrews, Sweta; Marcy, T. R.; Osborn, B.; Planas, Lourdes G.

doi:10.1111/jcpt.12533

Cited by 19 publications

(17 citation statements)

References 10 publications

(21 reference statements)

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“…MSP showed decrease in-patient emergency visits, hospitalization stay & address the barriers of medication non-adherence. 33 These programs are well established in most of the developed countries were as among Indian population pharmacy services are lacking 34 . Common perception about community pharmacists are primary limited to trade, but the majority of registered pharmacists are qualified in pharmacy and have limited knowledge of professional system 35 Practising pharmacist does not have proper techniques to improve medication adherence.…”

Section: Discussionmentioning

confidence: 99%

A Review on Medication Synchronization Programs in Community Pharmacies to Improve Medication Adherence

U.R¹,

M.S²

2021

IJFMT

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Adherence to the prescribed medications plays an important role in treatment of chronic diseases. Hypertension, Ischemic heart diseases, Diabetes mellitus, Dyslipidaemia's are major health challenges of 21 st Century and are more expensive. A total 79% of Projected deaths are caused due to chronic diseases in developing countries. Non adherence to prescribed medications is one of major health threat worldwide. Patients who are on chronic diseases are offen visits multiple health care practioners, numerous pharmacies, and who take multiple drugs results in medication non-adherence. The new primary care models suggest that there is no promotion of close physician-patient-pharmacist relationships. Training for the treatment of chronic diseases is seldom satisfactory and there is inadequate consistency and communication between health care providers. Among health care profession community pharmacist are the ideal position to assist the management of patients with chronic disease. The Synchronization services are offered by several community pharmacies to improve medication adherence. These programs work by overcoming the barriers of medication non adherence by refilling their prescription in their single visits. Although there are Numerous medication synchronization programs are available in community pharmacies effectives of medication synchronization programs are confined to its type synchronization programs implemented.

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Section: Discussionmentioning

confidence: 99%

A Review on Medication Synchronization Programs in Community Pharmacies to Improve Medication Adherence

U.R¹,

M.S²

2021

IJFMT

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“…The present study and another by Andrews et al . suggest there is a benefit to having pharmacists regularly engage in clinically focused assessments as part of a continual appointment based model 17…”

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of drug therapy problems identified with a telephonic appointment-based model of medication synchronization

Fitzpatrick

Witry

Doucette

et al. 2019

Pharm Pract (Granada)

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Objectives: To describe the drug therapy problems (DTPs) identified for patients enrolled in an Appointment Based Model (ABM) for medication synchronization, describe the pharmacist-delivered clinical interventions, and assess what patient characteristics are associated with the number of DTPs identified. Methods: A cross-sectional chart review of 1 month of pharmacist notes for telephone ABM encounters at one independent community pharmacy in the Midwest U.S. was performed for a systematic random sample of patients active in the program during September 2017. Included patients were 18 years and older and took one or more synchronized medications. Data included months in the program, gender, age, insurance type, refill interval, medications (synchronized and total), DTP category, and intervention category. Descriptive statistics were calculated, and a multiple linear regression tested the association between patient characteristics and the number of DTPs identified. Results: The study involved 209 subjects, 54% women, with a mean age of 69.5 years and. The average number of medications synchronized was 4.7, the mean total number of medications was 6.3, and mean length of time in the program was 20 months. The DTPs (n=334) identified included needs additional drug therapy (43.1%), inappropriate adherence (31.4%), unnecessary drug therapy (15.0%), and adverse drug reaction (9.6%). The regression showed age and number of medications was positively associated with number of DTPs identified, but months enrolled was not. Conclusions: This ABM approach identified several hundred DTPs with corresponding interventions within a one-month period, suggesting that ABMs have a significant potential to improve patient care. The data also suggest that pharmacist interventions within an ABM program are valuable beyond the first few fills as patients move into maintenance use of their medications, especially for patients of advancing age and polypharmacy.

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“…ABM models in the literature use a 30-day interval, with some using a 90-day interval. [17][18][19][20][21] The general steps of the ABM are shown in Table 1. 23,24 Historically, the ABM interaction was conducted entirely in person and required the patient to be physically present for the pharmacist appointment and medication pickup.…”

Section: Commentarymentioning

confidence: 99%

“…17 • Research focusing on telephone-based interventions for the ABM has shown improvement in medication adherence. [18][19][20][21] • While there is no evidence for video-based ABMs within pharmacy, literature comparing video and telephone physician consultations shows that both video and telephone consults are of similar length and quality, but video has more technical difficulties. 28 • Studies of older adults over 55 years of age suggest a preference for telephone rather than video consultations due to barriers including audiovisual difficulties (e.g., difficulty hearing or reading onscreen text), reduced cognitive ability (e.g., remembering passwords), Internet connection issues and low computer literacy (e.g., inexperience in computer use).…”

Section: Commentarymentioning

confidence: 99%

“…The appointment-based model (ABM) is an example of a proactive approach to pharmacy practice that synchronizes chronic prescription refills and couples it with regularly scheduled patient-pharmacist appointments to optimize medication management. [17][18][19][20][21] The ABM is a common approach in the United States and is gaining traction in Canada. 22 Medication synchronization involves aligning chronic medications to 1 refill date so that all medications can be picked up on 1 scheduled day.…”

Section: Coronavirus Disease 2019 (Covid-19mentioning

confidence: 99%

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Telehealth in community pharmacy: A new “place” for the appointment-based model given COVID-19 and the future of health care

et al. 2021

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The impact of an appointment-based medication synchronization programme on chronic medication adherence in an adult community pharmacy population

Abstract: An appointment-based medication synchronization programme in community pharmacies resulted in improved adherence and increased percentage of on-time refills.

Cited by 19 publications

References 10 publications

A Review on Medication Synchronization Programs in Community Pharmacies to Improve Medication Adherence

A Review on Medication Synchronization Programs in Community Pharmacies to Improve Medication Adherence

Retrospective analysis of drug therapy problems identified with a telephonic appointment-based model of medication synchronization

Telehealth in community pharmacy: A new “place” for the appointment-based model given COVID-19 and the future of health care

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