Clinical impact of comprehensive medication management services offered to geriatric and hypertensive patients

IF 0.5 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Pharmaceutical Health Services Research Pub Date : 2023-04-28 DOI:10.1093/jphsr/rmad028

C. P. Rezende, M. Nascimento, Sabrina Gonçalves Ferreira, Bruna Damázio Santos, Carina de Morais Neves, Grazielli Cristina Batista de Oliveira, Y. A. Nascimento, Djenane Ramalho-de-Oliveira

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Abstract

To assess the clinical impact of comprehensive medication management (CMM) services offered to geriatric and hypertensive patients in primary health care in Brazil. A quasi-experimental study was carried out with patients followed up in primary care in three Brazilian cities (n = 346). McNemar’s test was used to assess the clinical impact of the service. A total of 1308 drug therapy problem (DTPs) were identified and 581 (44.4%) were resolved. Among the DTPs, the majority were related to non-adherence to therapy (23.9%; n = 313) or the need for additional medications (18.2%; n = 238). It was observed an increase in the proportion of people who had their blood pressure controlled at the last visit when compared with the first visit. This study indicates that the CMM service can contribute to achieving blood pressure control in geriatric and hypertensive patients. The frequency of DTPs was high in the studied population, but many DTPs were resolved by pharmacists.

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老年及高血压患者综合用药管理服务的临床效果

评估巴西初级卫生保健机构向老年和高血压患者提供的综合药物管理(CMM)服务的临床影响。一项准实验研究对巴西三个城市的初级保健患者进行了随访(n = 346)。McNemar的测试被用来评估这项服务的临床影响。共发现药物治疗问题1308个，解决581个(44.4%)。在dtp中，大多数与不坚持治疗有关(23.9%;N = 313)或需要额外药物(18.2%;N = 238)。与第一次就诊相比，在最后一次就诊时血压得到控制的患者比例有所增加。本研究提示CMM服务有助于实现老年和高血压患者的血压控制。研究人群中dtp的发生率较高，但许多dtp是由药剂师解决的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pharmaceutical Health Services Research HEALTH CARE SCIENCES & SERVICES-

CiteScore

1.50

自引率

0.00%

发文量