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Erschienen in: International Journal of Clinical Pharmacy 1/2016

01.02.2016 | Research Article

Medication reviews in primary care in Sweden: importance of clinical pharmacists’ recommendations on drug-related problems

verfasst von: Sara Modig, Lydia Holmdahl, Åsa Bondesson

Erschienen in: International Journal of Clinical Pharmacy | Ausgabe 1/2016

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Abstract

Background One way of preventing and solving drug-related problems in frail elderly is to perform team-based medication reviews. Objective To evaluate the quality of the clinical pharmacy service to primary care using structured medication reviews, focusing on the clinical significance of the recommendations made by clinical pharmacists. Setting A random sample of 150 patients (out of 1541) who received structured team based medication reviews. The patients lived at a geriatric nursing home or were ≥65 years and lived in ordinary housing with medication-related community help. Method Based on information on symptoms, kidney function, blood pressure, diagnoses and the medication list, a pharmacist identified possible drug-related problems and supplied recommendations for the general practitioner to act on. Two independent physicians retrospectively ranked the clinical significance of the recommendations according to Hatoum, with rankings ranging between 1 (adverse significance) and 6 (extremely significant). Main outcome measure The clinical significance of the recommendations. Results In total 349 drug-related problems were identified, leading to recommendations. The vast majority of the recommendations (96 %) were judged to have significance 3 or higher and more than the half were judged to have significance 4 or higher. Conclusion The high proportion of clinically significant recommendations provided by pharmacists when performing team-based medication reviews suggest that these clinical pharmacy services have potential to increase prescribing quality. As such, the medication reviews have the potential for contributing to a better and safer drug therapy for elderly patients.
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Metadaten
Titel
Medication reviews in primary care in Sweden: importance of clinical pharmacists’ recommendations on drug-related problems
verfasst von
Sara Modig
Lydia Holmdahl
Åsa Bondesson
Publikationsdatum
01.02.2016
Verlag
Springer International Publishing
Erschienen in
International Journal of Clinical Pharmacy / Ausgabe 1/2016
Print ISSN: 2210-7703
Elektronische ISSN: 2210-7711
DOI
https://doi.org/10.1007/s11096-015-0189-x

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