Analysis of the relationship between patients’ fear of falling and prescriber acceptance of community pharmacists’ recommendations
Background: Certain medications place older adults at higher risk for experiencing falls. This is a modifiable risk factor that may be managed by community pharmacists, but requires prescriber acceptance of recommendations. Previous studies indicate that prescriber acceptance of pharmacist recommend...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2019-01-01
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| Series: | Cogent Medicine |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/2331205X.2019.1615719 |
| _version_ | 1811181401173655552 |
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| author | Tenley Brown Jessica M. Robinson Chelsea P. Renfro Susan J. Blalock Stefanie Ferreri |
| author_facet | Tenley Brown Jessica M. Robinson Chelsea P. Renfro Susan J. Blalock Stefanie Ferreri |
| author_sort | Tenley Brown |
| collection | DOAJ |
| description | Background: Certain medications place older adults at higher risk for experiencing falls. This is a modifiable risk factor that may be managed by community pharmacists, but requires prescriber acceptance of recommendations. Previous studies indicate that prescriber acceptance of pharmacist recommendations may be impacted by patient-reported concerns. Objective: To examine the relationship between patient-reported fear of falling and prescriber acceptance of pharmacist recommendations. Methods: A prospective, observational study design was used. Eligible patients were age 65 and older and received care at one of 31 participating pharmacies. Patients were screened for falls risk using three evidence-based questions; patients screening positive were eligible for a comprehensive medication review. Data were collected via a prescriber response form. The primary outcome was the prescriber acceptance of pharmacist recommendations. Results: Pharmacists communicated 562 recommendations to prescribers, with 338 (60%) for patients who worried about falling. There was no significant difference in prescriber acceptance rate between those who worried about falling and those who did not (36.1% vs. 41.1%, X2 = 0.23, p = 0.43). However, patient pharmacy was a significant predictor of recommendation acceptance (p = 0.047). Conclusion: Prescribers were not more likely to consider a pharmacist’s recommendations regarding medications that contribute to falls risk for patients who worried about falling. |
| first_indexed | 2024-04-11T09:17:08Z |
| format | Article |
| id | doaj.art-754e850666344bd48e07e14e417ab0a7 |
| institution | Directory Open Access Journal |
| issn | 2331-205X |
| language | English |
| last_indexed | 2024-04-11T09:17:08Z |
| publishDate | 2019-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Cogent Medicine |
| spelling | doaj.art-754e850666344bd48e07e14e417ab0a72022-12-22T04:32:18ZengTaylor & Francis GroupCogent Medicine2331-205X2019-01-016110.1080/2331205X.2019.16157191615719Analysis of the relationship between patients’ fear of falling and prescriber acceptance of community pharmacists’ recommendationsTenley Brown0Jessica M. Robinson1Chelsea P. Renfro2Susan J. Blalock3Stefanie Ferreri4University of North Carolina at Chapel HillUniversity of North Carolina at Chapel HillUniversity of Tennessee Health Science Center College of PharmacyUniversity of North Carolina at Chapel HillUniversity of North Carolina at Chapel HillBackground: Certain medications place older adults at higher risk for experiencing falls. This is a modifiable risk factor that may be managed by community pharmacists, but requires prescriber acceptance of recommendations. Previous studies indicate that prescriber acceptance of pharmacist recommendations may be impacted by patient-reported concerns. Objective: To examine the relationship between patient-reported fear of falling and prescriber acceptance of pharmacist recommendations. Methods: A prospective, observational study design was used. Eligible patients were age 65 and older and received care at one of 31 participating pharmacies. Patients were screened for falls risk using three evidence-based questions; patients screening positive were eligible for a comprehensive medication review. Data were collected via a prescriber response form. The primary outcome was the prescriber acceptance of pharmacist recommendations. Results: Pharmacists communicated 562 recommendations to prescribers, with 338 (60%) for patients who worried about falling. There was no significant difference in prescriber acceptance rate between those who worried about falling and those who did not (36.1% vs. 41.1%, X2 = 0.23, p = 0.43). However, patient pharmacy was a significant predictor of recommendation acceptance (p = 0.047). Conclusion: Prescribers were not more likely to consider a pharmacist’s recommendations regarding medications that contribute to falls risk for patients who worried about falling.http://dx.doi.org/10.1080/2331205X.2019.1615719community pharmacy servicesmedication therapy managementinterdisciplinary communicationagedfall |
| spellingShingle | Tenley Brown Jessica M. Robinson Chelsea P. Renfro Susan J. Blalock Stefanie Ferreri Analysis of the relationship between patients’ fear of falling and prescriber acceptance of community pharmacists’ recommendations Cogent Medicine community pharmacy services medication therapy management interdisciplinary communication aged fall |
| title | Analysis of the relationship between patients’ fear of falling and prescriber acceptance of community pharmacists’ recommendations |
| title_full | Analysis of the relationship between patients’ fear of falling and prescriber acceptance of community pharmacists’ recommendations |
| title_fullStr | Analysis of the relationship between patients’ fear of falling and prescriber acceptance of community pharmacists’ recommendations |
| title_full_unstemmed | Analysis of the relationship between patients’ fear of falling and prescriber acceptance of community pharmacists’ recommendations |
| title_short | Analysis of the relationship between patients’ fear of falling and prescriber acceptance of community pharmacists’ recommendations |
| title_sort | analysis of the relationship between patients fear of falling and prescriber acceptance of community pharmacists recommendations |
| topic | community pharmacy services medication therapy management interdisciplinary communication aged fall |
| url | http://dx.doi.org/10.1080/2331205X.2019.1615719 |
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