Pharmacist Intervention Program at Different Rent Levels of Geriatric Healthcare
As a pharmacy service giving pharmaceutical care at different levels of health care for elderly people, we needed a standardization procedure for recording and evaluating pharmacists’ interventions. Our objective was to homogenize pharmacist interventions; to know physicians’ acceptance of our recom...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2017-05-01
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| Series: | Pharmacy |
| Subjects: | |
| Online Access: | http://www.mdpi.com/2226-4787/5/2/27 |
| _version_ | 1828113898726752256 |
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| author | Conxita Mestres Anna Agustí Marta Hernandez Laura Puerta Blanca Llagostera |
| author_facet | Conxita Mestres Anna Agustí Marta Hernandez Laura Puerta Blanca Llagostera |
| author_sort | Conxita Mestres |
| collection | DOAJ |
| description | As a pharmacy service giving pharmaceutical care at different levels of health care for elderly people, we needed a standardization procedure for recording and evaluating pharmacists’ interventions. Our objective was to homogenize pharmacist interventions; to know physicians’ acceptance of our recommendations, as well as the most prevalent drug related problems (DRP); and the impact of the pharmacists’ interventions. To achieve this goal we conducted a one year prospective study at two levels of health care: 176 nursing homes (EAR) (8828 patients) and 2 long-term and subacute care hospitals (HSS) (268 beds). Pharmacists’ interventions were recorded using the American Society of Health-System Pharmacists classification as the basis. Frequency of the different DRP and the level of response and acceptance on the part of physicians was determined. The Medication Appropriateness Index (MAI) was used to evaluate the impact of the interventions on the prescription quality. Patients’ mean age was 84.2 (EAR) and 80.7 (HSS), and in both cases, polypharmacy ≥ 9 drugs was around 63–69%. There were 4073 interventions done in EAR and 2560 in HSS. Level of response: 44% (EAR), 79% (HSS); degree of acceptance of the recommendations: 84% (EAR), 72% (HSS). Most frequent DRP: inappropriate dose, length of therapy, omissions, and financial impact. Drugs for the nervous system are those with the most DRP. MAI values/medication improved from 4.4 to 2.7 (EAR) and 3.8 to 1.7 (HSS). A normalized way of managing pharmacists’ interventions for different health care levels has been established. We are on the way to increasing collaborative work with physicians and we know which DRPs are most prevalent. |
| first_indexed | 2024-04-11T12:17:09Z |
| format | Article |
| id | doaj.art-85b588c2339f46819e4964e09ea42613 |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-04-11T12:17:09Z |
| publishDate | 2017-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-85b588c2339f46819e4964e09ea426132022-12-22T04:24:17ZengMDPI AGPharmacy2226-47872017-05-01522710.3390/pharmacy5020027pharmacy5020027Pharmacist Intervention Program at Different Rent Levels of Geriatric HealthcareConxita Mestres0Anna Agustí1Marta Hernandez2Laura Puerta3Blanca Llagostera4School of Health Sciences Blanquerna, University Ramon Llull, Padilla 326, 08025 Barcelona, SpainPharmacy Service, HSS Mutuam Girona, Avinguda de França 64, 17007 Girona, SpainPharmacy Service, EAR Grup Mutuam, Ausias March 39, 08010 Barcelona, SpainPharmacy Service, HSS Mutuam Güell, Mare de Deu de la Salut 49, 08024 Barcelona, SpainPharmacy Service, EAR Grup Mutuam, Ausias March 39, 08010 Barcelona, SpainAs a pharmacy service giving pharmaceutical care at different levels of health care for elderly people, we needed a standardization procedure for recording and evaluating pharmacists’ interventions. Our objective was to homogenize pharmacist interventions; to know physicians’ acceptance of our recommendations, as well as the most prevalent drug related problems (DRP); and the impact of the pharmacists’ interventions. To achieve this goal we conducted a one year prospective study at two levels of health care: 176 nursing homes (EAR) (8828 patients) and 2 long-term and subacute care hospitals (HSS) (268 beds). Pharmacists’ interventions were recorded using the American Society of Health-System Pharmacists classification as the basis. Frequency of the different DRP and the level of response and acceptance on the part of physicians was determined. The Medication Appropriateness Index (MAI) was used to evaluate the impact of the interventions on the prescription quality. Patients’ mean age was 84.2 (EAR) and 80.7 (HSS), and in both cases, polypharmacy ≥ 9 drugs was around 63–69%. There were 4073 interventions done in EAR and 2560 in HSS. Level of response: 44% (EAR), 79% (HSS); degree of acceptance of the recommendations: 84% (EAR), 72% (HSS). Most frequent DRP: inappropriate dose, length of therapy, omissions, and financial impact. Drugs for the nervous system are those with the most DRP. MAI values/medication improved from 4.4 to 2.7 (EAR) and 3.8 to 1.7 (HSS). A normalized way of managing pharmacists’ interventions for different health care levels has been established. We are on the way to increasing collaborative work with physicians and we know which DRPs are most prevalent.http://www.mdpi.com/2226-4787/5/2/27geriatricspharmacists’ interventionsinappropriate medicationdrug related problems |
| spellingShingle | Conxita Mestres Anna Agustí Marta Hernandez Laura Puerta Blanca Llagostera Pharmacist Intervention Program at Different Rent Levels of Geriatric Healthcare Pharmacy geriatrics pharmacists’ interventions inappropriate medication drug related problems |
| title | Pharmacist Intervention Program at Different Rent Levels of Geriatric Healthcare |
| title_full | Pharmacist Intervention Program at Different Rent Levels of Geriatric Healthcare |
| title_fullStr | Pharmacist Intervention Program at Different Rent Levels of Geriatric Healthcare |
| title_full_unstemmed | Pharmacist Intervention Program at Different Rent Levels of Geriatric Healthcare |
| title_short | Pharmacist Intervention Program at Different Rent Levels of Geriatric Healthcare |
| title_sort | pharmacist intervention program at different rent levels of geriatric healthcare |
| topic | geriatrics pharmacists’ interventions inappropriate medication drug related problems |
| url | http://www.mdpi.com/2226-4787/5/2/27 |
| work_keys_str_mv | AT conxitamestres pharmacistinterventionprogramatdifferentrentlevelsofgeriatrichealthcare AT annaagusti pharmacistinterventionprogramatdifferentrentlevelsofgeriatrichealthcare AT martahernandez pharmacistinterventionprogramatdifferentrentlevelsofgeriatrichealthcare AT laurapuerta pharmacistinterventionprogramatdifferentrentlevelsofgeriatrichealthcare AT blancallagostera pharmacistinterventionprogramatdifferentrentlevelsofgeriatrichealthcare |