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Community pharmacy based provision of pharmaceutical care to older patients.
- Source :
-
Pharmacy world & science : PWS [Pharm World Sci] 2003 Oct; Vol. 25 (5), pp. 218-26. - Publication Year :
- 2003
-
Abstract
- Aim: To measure the outcomes of a harmonized, structured pharmaceutical care programme provided to elderly patients by community pharmacists.<br />Method: A randomised, controlled, longitudinal, clinical trial with repeated measures was performed over an 18-month period, involving community pharmacies (5 intervention and 5 control) in Northern Ireland. Elderly, ambulatory patients (> or = 65 years), taking 4 or more prescribed medications were eligible for participation. Patients attending an intervention pharmacy received education on medical conditions, implementation of compliance strategies, rationalizing of drug regimens and appropriate monitoring; patients attending control sites received normal services. A battery of clinical, humanistic and economic outcomes were assessed.<br />Results: A significantly higher proportion of intervention patients were compliant at the end of the 18-month study and experienced fewer problems with medication compared to control patients (P < 0.05). There was little impact on quality of life and health care utilisation.<br />Conclusions: Pharmaceutical care provision to community-dwelling patients resulted in an improvement in medication compliance and evidence of cost-savings. Future pharmaceutical care studies may benefit from a more focussed selective approach to data collection and outcomes measurement.
- Subjects :
- Community Pharmacy Services economics
Costs and Cost Analysis
Data Collection
Drug Therapy economics
Drug Utilization
Drug-Related Side Effects and Adverse Reactions
Female
Hospitalization
Humans
Longitudinal Studies
Male
Northern Ireland
Patient Compliance
Patient Education as Topic
Patient Satisfaction
Pharmacists
Quality of Life
Treatment Outcome
Aged
Community Pharmacy Services standards
Drug Therapy standards
Subjects
Details
- Language :
- English
- ISSN :
- 0928-1231
- Volume :
- 25
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Pharmacy world & science : PWS
- Publication Type :
- Academic Journal
- Accession number :
- 14584229
- Full Text :
- https://doi.org/10.1023/a:1025860402256