Structured medication reviews in Parkinson's disease: pharmacists' views, experiences and needs - a qualitative study.
Autor: | Oonk NGM; Department of Neurology, Medisch Spectrum Twente, PO Box 50000, Enschede 7500 KA, The Netherlands.; Department of Behavioural, Management and Social Sciences, University of Twente, Enschede, The Netherlands., Dorresteijn LDA; Department of Neurology, Medisch Spectrum Twente, Enschede, The Netherlands., Te Braake E; Department of Psychology, Health and Technology, University of Twente, Enschede, The Netherlands., Movig KLL; Department of Clinical Pharmacy, Medisch Spectrum Twente, Enschede, The Netherlands., van der Palen J; Department of Epidemiology, Medisch Spectrum Twente, Enschede, The Netherlands.; Section Cognition, Data and Education, University of Twente, Enschede, The Netherlands., Nijmeijer HW; Department of Neurology, Ziekenhuis Groep Twente, Almelo, The Netherlands., van Kesteren ME; Department of Neurology, Isala klinieken, Zwolle, The Netherlands., Bode C; Department of Psychology, Health and Technology, University of Twente, Enschede, The Netherlands. |
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Jazyk: | angličtina |
Zdroj: | Therapeutic advances in drug safety [Ther Adv Drug Saf] 2024 Apr 30; Vol. 15, pp. 20420986241237071. Date of Electronic Publication: 2024 Apr 30 (Print Publication: 2024). |
DOI: | 10.1177/20420986241237071 |
Abstrakt: | Background: Executing structured medication reviews (SMRs) in primary care to optimize drug treatment is considered standard care of community pharmacists in the Netherlands. Patients with Parkinson's disease (PD) often face complex drug regimens for their symptomatic treatment and might, therefore, benefit from an SMR. However, previously, no effect of an SMR on quality of life in PD was found. In trying to improve the case management of PD, it is interesting to understand if and to what extent SMRs in PD patients are of added value in the pharmacist's opinion and what are assumed facilitating and hindering factors. Objectives: To analyse the process of executing SMRs in PD patients from a community pharmacist's point of view. Design: A cross-sectional, qualitative study was performed, consisting of face-to-face semi-structured in-depth interviews. Methods: The interviews were conducted with community pharmacists who executed at least one SMR in PD, till data saturation was reached. Interviews were transcribed verbatim, coded and analysed thematically using an iterative approach. Results: Thirteen pharmacists were interviewed. SMRs in PD were considered of added value, especially regarding patient contact and bonding, individualized care and its possible effect in the future, although PD treatment is found already well monitored in secondary care. Major constraints were time, logistics and collaboration with medical specialists. Conclusion: Although community pharmacist-led SMRs are time-consuming and sometimes logistically challenging, they are of added value in primary care in general, and also in PD, of which treatment occurs mainly in secondary care. It emphasizes the pharmacist's role in PD treatment and might tackle future drug-related issues. Improvements concern multidisciplinary collaboration for optimized SMR execution and results. Competing Interests: The authors declare that there is no conflict of interest. (© The Author(s), 2024.) |
Databáze: | MEDLINE |
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