Use of point-of-service health status assessments by community pharmacists to identify and resolve drug-related problems in patients with musculoskeletal disorders.

Autor: Ernst ME; Division of Clinical and Administrative Pharmacy, College of Pharmacy, University of Iowa at Iowa City, 52242, USA. michaelernst@uiowa.edu, Doucette WR, Dedhiya SD, Osterhaus MC, Kumbera PA, Osterhaus JT, Townsend RJ
Jazyk: angličtina
Zdroj: Pharmacotherapy [Pharmacotherapy] 2001 Aug; Vol. 21 (8), pp. 988-97.
DOI: 10.1592/phco.21.11.988.34525
Abstrakt: Study Objective: To determine whether community pharmacists can use point-of-service health status assessments to identify and resolve drug-related problems (DRPs) in ambulatory patients with selected musculoskeletal (MSK) disorders.
Design: Twelve-month, prospective, multicenter demonstration project.
Setting: Twelve independent community pharmacies in eastern Iowa.
Patients: Ambulatory patients with self-reported diagnosis of osteoarthritis, rheumatoid arthritis, or low back pain.
Measurements: During quarterly pharmacy visits for 1 year, patients used touch-screen computers to report their health status. Patients answered questions on the Short Form-36 (SF-36) general health survey, as well as questions assessing limitations associated with their MSK condition. Pharmacists used this data in interviewing patients to assess for DRPs.
Main Results: The study enrolled 461 patients, of whom 388 returned for the 12-month visit. During this 1-year period, community pharmacists identified 926 cumulative DRPs. Patients with no DRPs had significantly higher physical component summary scores on the SF-36 (p<0.05) than patients with more than one DRP at baseline (36.2 vs 31.6), 6 months (39.2 vs 33.3), and 12 months (40.1 vs 35.4). At 12 months, actions performed by pharmacists led to resolution or improvement of 70.7% of DRPs.
Conclusion: Drug-related problems are numerous in community-dwelling patients with MSK disorders and correspond to decreased physical health status. Community pharmacists can use patient-reported measures of health status to identify DRPs and initiate processes to resolve them.
Databáze: MEDLINE
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