Journal article
Retrospective analysis of drug therapy problems identified with a telephonic appointment-based model of medication synchronization
Pharmacy practice, Vol.17(2), pp.1373-1373
04/2019
DOI: 10.18549/PharmPract.2019.2.1373
PMCID: PMC6594433
PMID: 31275491
Abstract
To describe the drug therapy problems (DTPs) identified for patients enrolled in an Appointment Based Model (ABM) for medication synchronization, describe the pharmacist-delivered clinical interventions, and assess what patient characteristics are associated with the number of DTPs identified.
A cross-sectional chart review of 1 month of pharmacist notes for telephone ABM encounters at one independent community pharmacy in the Midwest U.S. was performed for a systematic random sample of patients active in the program during September 2017. Included patients were 18 years and older and took one or more synchronized medications. Data included months in the program, gender, age, insurance type, refill interval, medications (synchronized and total), DTP category, and intervention category. Descriptive statistics were calculated, and a multiple linear regression tested the association between patient characteristics and the number of DTPs identified.
The study involved 209 subjects, 54% women, with a mean age of 69.5 years and. The average number of medications synchronized was 4.7, the mean total number of medications was 6.3, and mean length of time in the program was 20 months. The DTPs (n=334) identified included needs additional drug therapy (43.1%), inappropriate adherence (31.4%), unnecessary drug therapy (15.0%), and adverse drug reaction (9.6%). The regression showed age and number of medications was positively associated with number of DTPs identified, but months enrolled was not.
This ABM approach identified several hundred DTPs with corresponding interventions within a one-month period, suggesting that ABMs have a significant potential to improve patient care. The data also suggest that pharmacist interventions within an ABM program are valuable beyond the first few fills as patients move into maintenance use of their medications, especially for patients of advancing age and polypharmacy.
Details
- Title: Subtitle
- Retrospective analysis of drug therapy problems identified with a telephonic appointment-based model of medication synchronization
- Creators
- Rebecca M Fitzpatrick - Hartig Drug, Dubuque, IA (United States). [At time of study, was PGY1 Community Pharmacy Resident at The College of Pharmacy, University of Iowa, Iowa City, IA (United States)]. rebeccamanderson@outlook.comMatthew J Witry - Department of Pharmacy Practice and Science, College of Pharmacy, University of Iowa. Iowa City, IA (United States). matthew-witry@uiowa.eduWilliam R Doucette - Division Head and Veale Professor in Healthcare Policy, Department of Pharmacy Practice and Science, College of Pharmacy, University of Iowa. Iowa City, IA (United States). william-doucette@uiowa.eduKelly Kent - Director of Clinical Services. Towncrest Pharmacy. Iowa City, IA (United States). keljokent@yahoo.comMichael J Deninger - Towncrest Pharmacy. Iowa City, IA (United States). deninger@towncrest.comRandy P Mcdonough - Towncrest Pharmacy. Iowa City, IA (United States). mcdonough@towncrest.comStevie Veach - Department of Pharmacy Practice and Science, College of Pharmacy, University of Iowa. Iowa City, IA (United States). stevie-veach@uiowa.edu
- Resource Type
- Journal article
- Publication Details
- Pharmacy practice, Vol.17(2), pp.1373-1373
- DOI
- 10.18549/PharmPract.2019.2.1373
- PMID
- 31275491
- PMCID
- PMC6594433
- NLM abbreviation
- Pharm Pract (Granada)
- ISSN
- 1885-642X
- eISSN
- 1886-3655
- Publisher
- Spain
- Language
- English
- Date published
- 04/2019
- Academic Unit
- Pharmacy Practice and Science; Internal Medicine
- Record Identifier
- 9984065319702771
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