Development, Testing and Results of a Patient Medication Experience Documentation Tool for Use in Comprehensive Medication Management Services

The medication experience is an individual’s subjective experience of taking a medication in daily life and can be at the root of drug therapy problems. It is recommended that the patient-centered approach to comprehensive medication management (CMM) starts with an understanding of the pat...

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Main Authors: Stephanie Redmond, Nicole Paterson, Sarah J. Shoemaker-Hunt, Djenane Ramalho-de-Oliveira
Format: Article
Language:English
Published: MDPI AG 2019-06-01
Series:Pharmacy
Subjects:
Online Access:https://www.mdpi.com/2226-4787/7/2/71
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author Stephanie Redmond
Nicole Paterson
Sarah J. Shoemaker-Hunt
Djenane Ramalho-de-Oliveira
author_facet Stephanie Redmond
Nicole Paterson
Sarah J. Shoemaker-Hunt
Djenane Ramalho-de-Oliveira
author_sort Stephanie Redmond
collection DOAJ
description The medication experience is an individual’s subjective experience of taking a medication in daily life and can be at the root of drug therapy problems. It is recommended that the patient-centered approach to comprehensive medication management (CMM) starts with an understanding of the patient’s medication experience. This study aims to develop a medication experience documentation tool for use in CMM services, and to understand the usefulness and challenges of using the tool in practice. The tool was developed based on previous research on patients’ medication experiences. It was tested in two rounds by ten CMM pharmacists utilizing the tool as they provided care to patients. Focus groups were conducted to revise the tool after each round and to understand pharmacists’ experiences. The tool was tested for 15 weeks in 407 patient encounters. There was at least one medication experience documented in the electronic medical record 62% of the time. Pharmacists found the tool helpful in raising awareness of the medication experience and motivational interviewing strategies, planning for follow-up visits, as a teaching tool, and making pharmacists realize the fluidity of the medication experience. The tool offered pharmacists a better way to recognize and address medication experiences affecting medication taking behaviors.
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spelling doaj.art-0018a0c856754a678990d4a8047660882022-12-22T04:10:32ZengMDPI AGPharmacy2226-47872019-06-01727110.3390/pharmacy7020071pharmacy7020071Development, Testing and Results of a Patient Medication Experience Documentation Tool for Use in Comprehensive Medication Management ServicesStephanie Redmond0Nicole Paterson1Sarah J. Shoemaker-Hunt2Djenane Ramalho-de-Oliveira3Ridgeview Medical Center, Waconia, MN 55387, USAFairview Pharmacy Services, Medication Therapy Management Services, Minneapolis, MN 55414, USAAbt Associates, Cambridge, MA 02138-1168, USACenter for Pharmaceutical Studies, College of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte 31.270-901, BrazilThe medication experience is an individual’s subjective experience of taking a medication in daily life and can be at the root of drug therapy problems. It is recommended that the patient-centered approach to comprehensive medication management (CMM) starts with an understanding of the patient’s medication experience. This study aims to develop a medication experience documentation tool for use in CMM services, and to understand the usefulness and challenges of using the tool in practice. The tool was developed based on previous research on patients’ medication experiences. It was tested in two rounds by ten CMM pharmacists utilizing the tool as they provided care to patients. Focus groups were conducted to revise the tool after each round and to understand pharmacists’ experiences. The tool was tested for 15 weeks in 407 patient encounters. There was at least one medication experience documented in the electronic medical record 62% of the time. Pharmacists found the tool helpful in raising awareness of the medication experience and motivational interviewing strategies, planning for follow-up visits, as a teaching tool, and making pharmacists realize the fluidity of the medication experience. The tool offered pharmacists a better way to recognize and address medication experiences affecting medication taking behaviors.https://www.mdpi.com/2226-4787/7/2/71comprehensive medication management servicesmedication experiencepharmaceutical care practicedocumentationfocus groups
spellingShingle Stephanie Redmond
Nicole Paterson
Sarah J. Shoemaker-Hunt
Djenane Ramalho-de-Oliveira
Development, Testing and Results of a Patient Medication Experience Documentation Tool for Use in Comprehensive Medication Management Services
Pharmacy
comprehensive medication management services
medication experience
pharmaceutical care practice
documentation
focus groups
title Development, Testing and Results of a Patient Medication Experience Documentation Tool for Use in Comprehensive Medication Management Services
title_full Development, Testing and Results of a Patient Medication Experience Documentation Tool for Use in Comprehensive Medication Management Services
title_fullStr Development, Testing and Results of a Patient Medication Experience Documentation Tool for Use in Comprehensive Medication Management Services
title_full_unstemmed Development, Testing and Results of a Patient Medication Experience Documentation Tool for Use in Comprehensive Medication Management Services
title_short Development, Testing and Results of a Patient Medication Experience Documentation Tool for Use in Comprehensive Medication Management Services
title_sort development testing and results of a patient medication experience documentation tool for use in comprehensive medication management services
topic comprehensive medication management services
medication experience
pharmaceutical care practice
documentation
focus groups
url https://www.mdpi.com/2226-4787/7/2/71
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