Individualized medication assessment and planning: optimizing medication use in older adults in the primary care setting
| Autor: | Denise Esserman, Morris Weinberger, Ginny D. Crisp, Jena L. Ivey, Mary T. Roth, James Kurz |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Emergency Medical Services Medication Therapy Management Pharmacist Eligibility Determination Pharmacists Patient Care Planning Intervention (counseling) Medication therapy management medicine Ethnicity Prevalence Humans Pharmacology (medical) Precision Medicine Aged Aged 80 and over Primary Health Care business.industry Medical record Reproducibility of Results Emergency department medicine.disease Test (assessment) Clinical pharmacy Hospitalization Treatment Outcome Socioeconomic Factors Emergency medicine Polypharmacy Feasibility Studies Observational study Female Medical emergency business |
| Zdroj: | Pharmacotherapy. 33(8) |
| ISSN: | 1875-9114 |
| Popis: | Study Objective To test the feasibility and effectiveness of an individualized Medication Assessment and Planning (iMAP) program integrated within a primary care practice on the number and prevalence of medication-related problems (MRPs) and acute health services utilization, defined as combined hospitalizations and emergency department visits. Design Six-month, prospective, observational pilot study. Setting Community-based primary care medical practice. Patients Convenience sample of 64 patients aged 65 years and older who were taking at least five medications. Intervention Each patient was enrolled in the iMAP program—a collaborative, multifaceted intervention facilitated by a clinical pharmacist whereby patients receive comprehensive medication therapy management at baseline and 3 and 6 months as part of routine clinical care. Measurements and Main Results MRPs were assessed and recommendations proposed using the previously published MRP classification tool; physician acceptance of recommendations served to validate the assessments. There was a significant reduction in mean number of MRPs/patient (4.2 at baseline vs 1.0 at 6 mo, p |
| Databáze: | OpenAIRE |
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