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Preventing medication-related problems among older Americans.

¹American Society of Consultant Pharmacists Research and Education Foundation, Alexandria, VA, USA.

Managed Care Interface

|September 4, 1998

Summary

The Fleetwood Project evaluated consultant pharmacist services to reduce medication problems in long-term care. This research compared different review methods to improve patient outcomes and reduce costs.

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Area of Science:

Gerontology
Health Services Research
Pharmaceutical Sciences

Background:

Medication-related problems are prevalent in long-term care settings, impacting patient health outcomes and healthcare costs.
Existing drug regimen reviews may not adequately identify or resolve all medication-related issues in high-risk residents.
There is a need for evidence-based models to optimize pharmaceutical care in nursing and assisted-living facilities.

Purpose of the Study:

To evaluate the impact of consultant pharmacist services on health outcomes and costs by minimizing medication-related problems.
To compare the effectiveness of federally mandated drug regimen reviews against prospective reviews and the Fleetwood Model for high-risk residents.
To implement and assess the Fleetwood Model in a diverse national sample of long-term care facilities.

Main Methods:

A multi-phase research and demonstration initiative.
Evaluation of consultant pharmacist interventions in long-term care.
Comparative analysis of drug regimen review strategies, including the Fleetwood Model.
National implementation and assessment across nursing and assisted-living facilities.

Main Results:

Consultant pharmacist services demonstrated a positive influence on health outcomes and cost-effectiveness.
The Fleetwood Model proved superior to federally mandated reviews in addressing medication-related problems for high-risk residents.
Successful application and evaluation of the Fleetwood Model in a broad range of facilities.

Conclusions:

Consultant pharmacist services are crucial for improving patient safety and reducing healthcare expenditures in long-term care.
The Fleetwood Model offers a superior approach to pharmaceutical care planning for vulnerable nursing facility residents.
The findings support the widespread adoption of formalized pharmaceutical care models in national long-term care settings.

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