Implementation of medication management services at the primary healthcare level – a pilot study

This study employed a mixed-method approach to enable the implementation of comprehensive medication management (CMM) services in Croatia’s primary care setting. Drug therapy problems (DTPs) and factors associated with their occurrence were determined in patients with chronic diseases from January 2...

Full description

Saved in:

Bibliographic Details
Published in:	Acta Pharmaceutica Vol. 69; no. 4; pp. 585 - 606
Main Authors:	Brajković, Andrea, Mucalo, Iva, Vidović, Toni, Gonzaga, Mariana Martins, Nascimento, Do, Balenović, Antonija, Protrka, Ino, De Oliveira, Djenane Ramalho
Format:	Journal Article Paper
Language:	English
Published:	Poland Sciendo 01-12-2019 De Gruyter Poland Hrvatsko farmaceutsko društvo
Subjects:	Adult Aged Aged, 80 and over Chemotherapy Chronic illnesses comprehensive medication management services Diabetes mellitus Drug therapy drug therapy problems Drug-Related Side Effects and Adverse Reactions - prevention & control Drugs Female Health care Humans implementation stage Male Management services Medication Adherence Middle Aged Mortality Multiple regression analysis Patients pharmaceutical care Pharmaceuticals Pharmacists - organization & administration Pilot Projects primary care Primary Health Care - methods Primary Health Care - organization & administration risk factors comprehensive medication management services primary care risk factors pharmaceutical care drug therapy problems implementation stage
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	This study employed a mixed-method approach to enable the implementation of comprehensive medication management (CMM) services in Croatia’s primary care setting. Drug therapy problems (DTPs) and factors associated with their occurrence were determined in patients with chronic diseases from January 2018 to April 2019. The pre-implementation stage established the foundations for the early implementation stage, in which the practice was set up, the patients’ recruitment initiated and various challenges identified. During the study period, 86 patients were recruited for CMM provision. Overall, 2.8 DTPs (± 1.6) per patient were identified and the majority (96.2 %) presented with at least one DTP. Multiple regression analysis showed that type 2 diabetic patients ( = 0.025) and patients using five or more medications ( = 0.011) should be prioritized to receive CMM services as potentially they have a higher number of DTPs, and could, therefore, obtain a greater benefit from the service.
Bibliography:	225505
ISSN:	1846-9558 1330-0075 1846-9558
DOI:	10.2478/acph-2019-0055