Effect of a Training Program on Community Pharmacists' Detection of and Intervention in Drug-Related Problems

Autor: Elizabeth A. Chrischilles, Angela K. Kuehl, Jay D. Currie, Raymond A. Buser
Rok vydání: 1997
Předmět:
Zdroj: Journal of the American Pharmaceutical Association (1996). 37:182-191
ISSN: 1086-5802
DOI: 10.1016/s1086-5802(16)30203-0
Popis: Objective: To develop and present a pharmaceutical care training program for pharmacists, and to examine the ability of these pharmacists to provide pharmaceutical care in a community pharmacy setting. Design: Prospective, randomized study. Intervention: A 40-hour pharmaceutical care training program was developed and presented to pharmacists, and 1 ,078 patients were randomly assigned to receive either (1) traditional pharmacy services or (2) pharmaceutical care, consisting of initial patient work-up and follow-up with documentation in a patient record. Measurements: The study period was six months. Pharmacists documented problems identified, actions taken, and time required for all patients. Results: Pharmacists consistently identified and intervened to address problems in both study groups. Patients receiving pharmaceutical care were more than seven times as likely to have any problems identified (odds ratio [OR] 7.5; confidence interval [Cll 4.2-13.1), more than eight times as likely to have an intervention performed (OR 8.1 ; CI 4.7-14.2), and more than eight times as likely to have a drug-related problem identified (OR 8.6; CI 4.8-15.5) than were patients receiving traditional pharmacy services only. Time spent counseling patients was similar for the two groups. Conclusions: The training program proved to be an effective way to increase the number of problems identified and addressed by pharmacists.
Databáze: OpenAIRE