Back to Search
Start Over
Supporting patients with long‐term conditions in the community: Evaluation of the Greater Manchester Community Pharmacy Care Plan Service.
- Source :
- Health & Social Care in the Community; Sep2020, Vol. 28 Issue 5, p1671-1687, 17p, 3 Diagrams, 9 Charts
- Publication Year :
- 2020
-
Abstract
- The Greater Manchester Community Pharmacy Care Plan (GMCPCP) service provided tailored care plans to help adults with one or more qualifying long‐term condition (hypertension, asthma, diabetes and COPD) to achieve health goals and better self‐management of their long‐term conditions. The service ran between February and December 2017. The aim of this study was to investigate the impact of the service on patient activation, as measured by the PAM measure (primary outcome). Secondary outcomes included quality of life (EQ‐5D‐5L, EQ‐VAS), medication adherence (MARS‐5), NHS resource use and costs, systolic and diastolic blood pressure, HDL cholesterol ratio levels and body mass index (BMI). A before and after design was used, with follow‐up at 6‐months. A questionnaire was distributed at follow‐up and telephone interviews with willing participants were used to investigate patient satisfaction with the service. The study was approved by the University of Manchester Research Ethics Committee. Quantitative data were analysed in SPSS v22 (IBM). A total of 382 patients were recruited to the service; 280 (73%) remained at follow‐up. Ten patients were interviewed and 43 completed the questionnaire. A total of 613 goals were set; mean of 1.7 goals per patient. Fifty percent of goals were met at follow‐up. There were significant improvements in PAM, EQ‐5D‐5L and EQ‐VAS scores and significant reductions in systolic blood pressure, BMI and HDL cholesterol ratio at follow‐up. Mean NHS service use costs were significantly lower at follow‐up; with a mean decrease per patient of £236.43 (±SD £968.47). The mean cost per patient for providing the service was £203.10, resulting in potential cost‐savings of £33.33 per patient (SD ± 874.65). Questionnaire respondents reported high levels of satisfaction with the service. This study suggests that the service is acceptable to patients and may lead to improvements in health outcomes and allows for modest cost savings. Limitations of the study included the low response rate to the patient questionnaire. [ABSTRACT FROM AUTHOR]
- Subjects :
- BEHAVIOR modification
BLOOD pressure
CHI-squared test
CHRONIC diseases
COMMUNITY health services
COST control
DRUGS
DRUGSTORES
GOAL (Psychology)
HEALTH behavior
HIGH density lipoproteins
HOSPITAL costs
INTERVIEWING
LONG-term health care
RESEARCH methodology
EVALUATION of medical care
MEDICAL care use
MEDICAL protocols
NATIONAL health services
PATIENT compliance
PATIENT satisfaction
PHARMACISTS
QUALITY of life
QUESTIONNAIRES
RESEARCH funding
T-test (Statistics)
TELEPHONES
PATIENT participation
DATA analysis
SOCIAL support
THEMATIC analysis
BODY mass index
PRE-tests & post-tests
PATIENT-centered care
DATA analysis software
PATIENTS' attitudes
ATTITUDES of medical personnel
DESCRIPTIVE statistics
INFERENTIAL statistics
MANN Whitney U Test
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 28
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 144907329
- Full Text :
- https://doi.org/10.1111/hsc.12992