Developing a pharmacist-led intervention to provide transitional pharmaceutical care for hospital discharged patients: A collaboration between hospital and community pharmacists
Background: Patients who transfer from the hospital back to the community are at risk of experiencing problems related to their medications. Hospital pharmacists (HPs) and community pharmacists (CPs) may play an important role and provide transitional pharmaceutical care in transition of care interv...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Exploratory Research in Clinical and Social Pharmacy |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667276622000762 |
| _version_ | 1798001486077100032 |
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| author | Laura Victoria Jedig Lech Charlotte Rossing Trine Rune Høgh Andersen Lotte Stig Nørgaard Anna Birna Almarsdóttir |
| author_facet | Laura Victoria Jedig Lech Charlotte Rossing Trine Rune Høgh Andersen Lotte Stig Nørgaard Anna Birna Almarsdóttir |
| author_sort | Laura Victoria Jedig Lech |
| collection | DOAJ |
| description | Background: Patients who transfer from the hospital back to the community are at risk of experiencing problems related to their medications. Hospital pharmacists (HPs) and community pharmacists (CPs) may play an important role and provide transitional pharmaceutical care in transition of care interventions. Objective: To describe how a pharmacist-led intervention to provide transitional pharmaceutical care for hospital discharged patients was developed, utilizing already existing pharmacist interventions in the hospital and community pharmacy. Methods: A mixed-method approach to intervention development was applied. Existing evidence was identified through a literature review of effective transitional care interventions and existing services in the hospital and community pharmacy. Focus group interviews and a workshop were carried out with HPs and CPs to identify their perceived facilitators and uncertainties in relation to intervention development. The final intervention and the expected outcomes were developed in an expert group workshop. Finally, the hospital part of the intervention was tested in a small-scale feasibility study to assess what type of information the HP would transfer to the CP for follow up. Results: Five components were identified through the 209 systematic reviews: pharmacist-led medication reconciliation, pharmacist-led medication review, collaboration with general practitioners (GPs), post discharge pharmacist follow up and patient counseling or education. HPs and CPs identified uncertainties related to the relevance of the information sent from the HP to the CP, identification of patients at the community pharmacy and communication. The expected outcomes for the patients receiving the intervention were an experience of increased safety and satisfaction and less use of healthcare resources. The feasibility study led to optimization of language and structure of the pharmacist referrals that were used to transfer information from the HP to the CP. Conclusion: A patient centered intervention to provide transitional pharmaceutical care for hospital discharged patients was developed using existing evidence in transition of care, HPs and CPs, an expert group, and a small-scale feasibility study. A full-scale feasibility test of the intervention should be carried out for it to be further refined. |
| first_indexed | 2024-04-11T11:38:12Z |
| format | Article |
| id | doaj.art-b5070f28016843cba8b6193c1e7727d4 |
| institution | Directory Open Access Journal |
| issn | 2667-2766 |
| language | English |
| last_indexed | 2024-04-11T11:38:12Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Exploratory Research in Clinical and Social Pharmacy |
| spelling | doaj.art-b5070f28016843cba8b6193c1e7727d42022-12-22T04:25:55ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662022-09-017100177Developing a pharmacist-led intervention to provide transitional pharmaceutical care for hospital discharged patients: A collaboration between hospital and community pharmacistsLaura Victoria Jedig Lech0Charlotte Rossing1Trine Rune Høgh Andersen2Lotte Stig Nørgaard3Anna Birna Almarsdóttir4Social and Clinical Pharmacy, Department of Pharmacy, University of Copenhagen, Universitetsparken 2, Copenhagen, Denmark; Region Zealand Hospital Pharmacy, Clinical Pharmacy, Vestermarksvej 6, 4000 Roskilde, Denmark; Corresponding author at: Social and Clinical Pharmacy, Department of Pharmacy, Faculty of Health and Medical Sciences, University of Copenhagen, Universitetsparken 2, 2100 København K, Denmark.Pharmakon, The Danish College of Pharmacy Practice, Milnersvej 42, 3400 Hillerød, DenmarkRegion Zealand Hospital Pharmacy, Clinical Pharmacy, Vestermarksvej 6, 4000 Roskilde, DenmarkSocial and Clinical Pharmacy, Department of Pharmacy, University of Copenhagen, Universitetsparken 2, Copenhagen, DenmarkSocial and Clinical Pharmacy, Department of Pharmacy, University of Copenhagen, Universitetsparken 2, Copenhagen, DenmarkBackground: Patients who transfer from the hospital back to the community are at risk of experiencing problems related to their medications. Hospital pharmacists (HPs) and community pharmacists (CPs) may play an important role and provide transitional pharmaceutical care in transition of care interventions. Objective: To describe how a pharmacist-led intervention to provide transitional pharmaceutical care for hospital discharged patients was developed, utilizing already existing pharmacist interventions in the hospital and community pharmacy. Methods: A mixed-method approach to intervention development was applied. Existing evidence was identified through a literature review of effective transitional care interventions and existing services in the hospital and community pharmacy. Focus group interviews and a workshop were carried out with HPs and CPs to identify their perceived facilitators and uncertainties in relation to intervention development. The final intervention and the expected outcomes were developed in an expert group workshop. Finally, the hospital part of the intervention was tested in a small-scale feasibility study to assess what type of information the HP would transfer to the CP for follow up. Results: Five components were identified through the 209 systematic reviews: pharmacist-led medication reconciliation, pharmacist-led medication review, collaboration with general practitioners (GPs), post discharge pharmacist follow up and patient counseling or education. HPs and CPs identified uncertainties related to the relevance of the information sent from the HP to the CP, identification of patients at the community pharmacy and communication. The expected outcomes for the patients receiving the intervention were an experience of increased safety and satisfaction and less use of healthcare resources. The feasibility study led to optimization of language and structure of the pharmacist referrals that were used to transfer information from the HP to the CP. Conclusion: A patient centered intervention to provide transitional pharmaceutical care for hospital discharged patients was developed using existing evidence in transition of care, HPs and CPs, an expert group, and a small-scale feasibility study. A full-scale feasibility test of the intervention should be carried out for it to be further refined.http://www.sciencedirect.com/science/article/pii/S2667276622000762Transitional pharmaceutical careCommunity pharmacyHospital pharmacyIntraprofessional collaboration |
| spellingShingle | Laura Victoria Jedig Lech Charlotte Rossing Trine Rune Høgh Andersen Lotte Stig Nørgaard Anna Birna Almarsdóttir Developing a pharmacist-led intervention to provide transitional pharmaceutical care for hospital discharged patients: A collaboration between hospital and community pharmacists Exploratory Research in Clinical and Social Pharmacy Transitional pharmaceutical care Community pharmacy Hospital pharmacy Intraprofessional collaboration |
| title | Developing a pharmacist-led intervention to provide transitional pharmaceutical care for hospital discharged patients: A collaboration between hospital and community pharmacists |
| title_full | Developing a pharmacist-led intervention to provide transitional pharmaceutical care for hospital discharged patients: A collaboration between hospital and community pharmacists |
| title_fullStr | Developing a pharmacist-led intervention to provide transitional pharmaceutical care for hospital discharged patients: A collaboration between hospital and community pharmacists |
| title_full_unstemmed | Developing a pharmacist-led intervention to provide transitional pharmaceutical care for hospital discharged patients: A collaboration between hospital and community pharmacists |
| title_short | Developing a pharmacist-led intervention to provide transitional pharmaceutical care for hospital discharged patients: A collaboration between hospital and community pharmacists |
| title_sort | developing a pharmacist led intervention to provide transitional pharmaceutical care for hospital discharged patients a collaboration between hospital and community pharmacists |
| topic | Transitional pharmaceutical care Community pharmacy Hospital pharmacy Intraprofessional collaboration |
| url | http://www.sciencedirect.com/science/article/pii/S2667276622000762 |
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