Evaluation of Patient Adherence to Vaccine and Screening Recommendations during Community Pharmacist-led Medicare Annual Wellness Visits in a Family Medicine Clinic.

Autor:	Joseph Nosser A; Department of Pharmacy Practice, William Carey University School of Pharmacy, Biloxi, MS; Note: was PGY-1 Community Pharmacy Resident, University of Mississippi School of Pharmacy, University, MS and Tyson Drug Company, Holly Springs, MS at the time this study was conducted., Pate AN; Department of Pharmacy Practice, The University of Mississippi School of Pharmacy., Crocker AV; G&M Pharmacy in Oxford, MS; Tyson Drug Company, Holly Springs, MS; Creekmore Clinic, New Albany, MS., Malinowski SS; Department of Pharmacy Practice, The University of Mississippi School of Pharmacy., Brown MA; Department of Pharmacy Practice, The University of Mississippi School of Pharmacy., Ballou JM; Department of Clinical Pharmacy and Outcomes Sciences, University of South Carolina College of Pharmacy, Columbia, SC; Note: was Clinical Assistant Professor, Department of Pharmacy Practice, The University of Mississippi School of Pharmacy, University, MS at the time this study was conducted.
Jazyk:	angličtina
Zdroj:	Innovations in pharmacy [Innov Pharm] 2023 Oct 10; Vol. 14 (1). Date of Electronic Publication: 2023 Oct 10 (Print Publication: 2023).
DOI:	10.24926/iip.v14i1.5180
Abstrakt:	Background: The Centers for Medicare and Medicaid Services initiated annual wellness visits (AWV) to reduce healthcare costs and improve preventive healthcare for beneficiaries. Provider time constraints and varying preferences to perform AWVs have limited its clinical implementation in some areas, affording pharmacists an opportunity to expand their role. Objective: To evaluate patient adherence to pharmacist recommendations for vaccinations and preventive screenings in an annual wellness visit service at a family medicine clinic in northeast Mississippi. Methods: This study included patients receiving at least one vaccination or screening recommendation during an AWV. Investigators provided vaccination (influenza, pneumococcal and herpes zoster) and screening (mammograms, DEXA, and colorectal cancer) recommendations based on current guidelines. For services not provided in-clinic, investigators contacted outside facilities 45 days post-visit to confirm adherence to recommendations. Primary endpoints included the composite adherence rate of all recommendations and percentage of patients achieving the 60% goal composite adherence rate. Secondary endpoints included individual vaccination and screening adherence rates. Results: Investigators recommended 715 interventions to a total of 254 patients, of which 239 were completed within 45 days for a 33.4 percent composite adherence rate. 20.1 percent of all participants achieved the goal composite adherence rate (60%). Overall, participants were 30.5 and 41 percent adherent to all vaccinations and preventive screening recommendations, respectively. Conclusion: Pharmacists providing AWVs increased patient access to preventive health recommendations. Although, adherence to recommendations remains a challenge and warrants further study. The findings and limitations observed in this study have identified opportunities for future research to evaluate pharmacist-led AWV services. (© Individual authors.)
Databáze:	MEDLINE
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