Improving the Effectiveness of Medication Review: Guidance from the Health Literacy Universal Precautions Toolkit
| Autor: | Maribel Cifuentes, Cindy Brach, William G. LeBlanc, Natabhona M. Mabachi, Angela G. Brega, David R. West, Juliana Barnard, Barry D. Weiss, Karen Albright |
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| Rok vydání: | 2016 |
| Předmět: |
Program evaluation
medicine.medical_specialty Quality Assurance Health Care Attitude of Health Personnel Office Visits Health literacy Article California Medication Adherence Interviews as Topic 03 medical and health sciences Medication Reconciliation 0302 clinical medicine Patient Education as Topic Health care medicine Electronic Health Records Humans 030212 general & internal medicine Medical prescription Polypharmacy Physician-Patient Relations Missouri Primary Health Care business.industry Communication 030503 health policy & services Health Plan Implementation Public Health Environmental and Occupational Health Universal Precautions Health Literacy Drug therapy problems Universal precautions Private practice Family medicine Organizational Case Studies Practice Guidelines as Topic Patient Compliance Guideline Adherence 0305 other medical science Family Practice business Program Evaluation |
| Zdroj: | The Journal of the American Board of Family Medicine. 29:18-23 |
| ISSN: | 1558-7118 1557-2625 |
| Popis: | Background: Although routine medication reviews in primary care practice are recommended to identify drug therapy problems, it is often difficult to get patients to bring all their medications to office visits. The objective of this study was to determine whether the medication review tool in the Agency for Healthcare Research and Quality Health Literacy Universal Precautions Toolkit can help to improve medication reviews in primary care practices. Methods: The toolkit9s “Brown Bag Medication Review” was implemented in a rural private practice in Missouri and an urban teaching practice in California. Practices recorded outcomes of medication reviews with 45 patients before toolkit implementation and then changed their medication review processes based on guidance in the toolkit. Six months later we conducted interviews with practice staff to identify changes made as a result of implementing the tool, and practices recorded outcomes of medication reviews with 41 additional patients. Data analyses compared differences in whether all medications were brought to visits, the number of medications reviewed, drug therapy problems identified, and changes in medication regimens before and after implementation. Results: Interviews revealed that practices made the changes recommended in the toolkit to encourage patients to bring medications to office visits. Evaluation before and after implementation revealed a 3-fold increase in the percentage of patients who brought all their prescription medications and a 6-fold increase in the number of prescription medications brought to office visits. The percentage of reviews in which drug therapy problems were identified doubled, as did the percentage of medication regimens revised. Conclusions: Use of the Health Literacy Universal Precautions Toolkit can help to identify drug therapy problems. |
| Databáze: | OpenAIRE |
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