The Impact of Pharmaceutical Care in Multidisciplinary Teams on Health Outcomes: Systematic Review and Meta-Analysis

Ruiz-Ramos, Jesús; Hernández, Marta; Juanes‐Borrego, Ana; Milà, Raimón; Mangues‐Bafalluy, María Antonia; Mestres, Conxita

doi:10.1016/j.jamda.2021.05.038

Cited by 18 publications

(11 citation statements)

References 48 publications

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“…A systematic review proved that medication review and reconciliation with cooperation between pharmacist and general practitioner decreased signi cantly number of DRP, improved prescribing of medication, improved quality of life scores, improved medication appropriateness index scores, increased compliance and patient knowledge, and improved clinical values (64). These results were also con rmed by a recently published literature review which found that multidisciplinary intervention including pharmaceutical services (medication reconciliation and review) signi cantly increased patients' quality of life (OR 0,58, 95% CI 0,47 − 0,69) and reduced the probability of readmission by 32% (22).…”

Section: Discussionsupporting

confidence: 53%

Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a systematic review

ZAIJ

MAIA

Leguelinel-Blache

et al. 2023

Preprint

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Background Preventable harm in healthcare is a growing public health challenge. In addition to the economic costs of safety failures, adverse drug events (ADE) may lead to complication or even death. Multidisciplinary care team involving a pharmacist appears to be an adequate response to prevention of adverse drug event. This systematic review aims to identify and describe multidisciplinary planned team-based care involving at least one pharmacist to limit or prevent adverse drug events in the adult patients. Methods To determine the type of interprofessional collaboration to prevent adverse drug event in which a pharmacist was involved, we conducted a systematic review of the literature of randomized controlled trials. Two independent reviewers screened trials in three databases: Medline, Web of Science, ScienceDirect. Prospective studies of at least three different health professionals’ interventions, one of whom was a pharmacist in the last five years were included. Two reviewers performed data extraction and quality appraisal independently. We used TIDieR checklist to appraise articles quality. Results In total 803 citations were retrieved, 34 were analysed and 16 full-text articles were reviewed. Only 3 studies published an implementation evaluation. More than half of the interventions (62%) targeted elderly patients including 6 whom lived in nursing homes. Studies outcomes were heterogeneous, and we did not perform a statistical analysis of the impact of these interventions. Most teams are composed of a physician/pharmacist/nurse trio (94%; 100%; 88%). Half of the teams were composed of the primary care physician. Other professionals were included such as physical therapists (25%), social worker (19%), occupational therapists (12%), and community health educator (6%). Multidisciplinary medication review was the most common intervention and was generally structured in four steps: data collection and baseline assessment, appraisal report by health professionals, a multidisciplinary medication review meeting and a patient follow-up. Conclusions The most common multidisciplinary intervention to prevent ADE in the adult population is the multidisciplinary drug review meeting at least the physician/pharmacist/nurse trio. Interventions target mostly elderly people in nursing homes, although complex chronic patients could benefit from this type of assessment. Trial registration PROSPERO registration: CRD42022334685

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Section: Discussionsupporting

confidence: 53%

Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a systematic review

ZAIJ

MAIA

Leguelinel-Blache

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…Pharmacists, as one of the largest groups among medical professions, play an important role in public health in certain countries [1]. Studies show that the active participation of pharmacists in patient treatment, along with the development of pharmaceutical care, significantly improve patient health outcomes, compared to standard therapies [4,5]. Although in many countries the roles of pharmacists are much more developed [3], pharmacists in Poland have expressed their readiness to expand the scope of services they offer in community pharmacies to include, e.g., vaccinations [6].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Pharmacists’ Willingness to Conduct Medication Use Reviews in Poland

Merks

Religioni

Waszyk-Nowaczyk

et al. 2022

IJERPH

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Introduction. Pharmacists play an important role in healthcare. Their functions are evolving and, in many countries, they actively participate in interdisciplinary patient treatment. One of the most common services provided by pharmacists as part of pharmaceutical care in community pharmacies involves medication reviews. Objective. The objective of this study was to evaluate the readiness of pharmacists to conduct medication reviews in community pharmacies. Materials and methods. This study comprises 493 pharmacists from community pharmacies in Poland. A questionnaire (developed for the purposes of this study) was used. It consisted of eight questions regarding readiness to conduct medication reviews, along with personal data. Results. A total of 63.9% of the pharmacists were ready to conduct medication reviews, and 23.1% already had experience in this area. Participants were of the opinion that this service should be funded by the Ministry of Health or a third-party public payer, and overall was valued by the participants at PLN 169.04 (SD = 280.77) net per patient. Conclusions. Pharmacists in Poland have expressed their readiness to conduct medical reviews. Implementation of this service in community pharmacies in Poland can have a significant impact on optimising patient health outcomes.

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“…Nevertheless, in these studies, most showed that pharmacists also worked directly with a physician on patient issues, for example, if the patient required approval for prescription adjustment and specific diet plan such as fasting. A meta-analysis study on the multidisciplinary team approach to coordinated pharmaceutical care found that such collaborations reduced the likelihood of patients’ hospitalization and increased their quality of life [ 78 ].…”

Section: Discussionmentioning

confidence: 99%

The intervention strategies and service model for pharmacist-led diabetes management: a scoping review

Hassan

Hatah

Ali

et al. 2023

BMC Health Serv Res

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Background There is increasing intervention activities provided during pharmacist-led diabetes management. Nevertheless, there is an unclear definition of the activities involved during the intervention. Thus, this study aimed to describe the type of intervention strategies and service model provided during pharmacist-led type 2 diabetes management and service outcomes. Methods This study utilized the scoping review methodology of the Joanna Briggs Institute Reviewers’ Manual 2015. Articles on pharmacist-led diabetes management focusing on the service content, delivery methods, settings, frequency of appointments, collaborative work with other healthcare providers, and reported outcomes were searched and identified from four electronic databases: Ovid Medline, PubMed, Scopus, and Web of Science from 1990 to October 2020. Relevant medical subject headings and keywords, such as “diabetes,” “medication adherence,” “blood glucose,” “HbA1c,” and “pharmacist,” were used to identify published articles. Results The systematic search retrieved 4,370 articles, of which 61 articles met the inclusion criteria. The types of intervention strategies and delivery methods were identified from the studies based on the description of activities reported in the articles and were tabulated in a summary table. Conclusion There were variations in the descriptions of intervention strategies, which could be classified into diabetes education, medication review, drug consultation/counseling, clinical intervention, lifestyle adjustment, self-care, peer support, and behavioral intervention. In addition, most studies used a combination of two or more intervention strategy categories when providing services, with no specific pattern between the service model and patient outcomes.

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The Impact of Pharmaceutical Care in Multidisciplinary Teams on Health Outcomes: Systematic Review and Meta-Analysis

Cited by 18 publications

References 48 publications

Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a systematic review

Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a systematic review

Assessment of Pharmacists’ Willingness to Conduct Medication Use Reviews in Poland

The intervention strategies and service model for pharmacist-led diabetes management: a scoping review

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