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Collaborative medication management services: improving patient care.

Andrew L Gilbert1, Elizabeth E Roughead, Justin Beilby

  • 1Quality Use of Medicines and Pharmacy Research Centre, School of Pharmaceutical, Molecular and Biomedical Sciences, University of South Australia, Adelaide, Australia. andrew.gilbert@unisa.edu.au

The Medical Journal of Australia
|August 15, 2002
PubMed
Summary

This study successfully implemented a collaborative medication management model, engaging general practitioners (GPs) and pharmacists to resolve medication-related problems in patients. The model demonstrated effectiveness in identifying and addressing issues, leading to improved patient outcomes.

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Area of Science:

  • Health Services Research
  • Pharmaceutical Services
  • General Practice

Background:

  • Medication management is complex, often leading to medication-related problems (MRPs).
  • Effective collaboration between general practitioners (GPs) and pharmacists is crucial for optimizing patient care.
  • Existing service models may not adequately address the multifaceted nature of MRPs.

Purpose of the Study:

  • To implement and evaluate a collaborative medication management service model.
  • To assess the engagement of GPs and pharmacists in a new service delivery approach.
  • To determine the impact of the collaborative model on the resolution of MRPs.

Main Methods:

  • Participatory action research was employed over a 12-month period.
  • The study involved 1000 patients, 63 pharmacists, and 129 GPs across six Divisions of General Practice.

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  • A collaborative model was developed, including case conferences and home visits, and then implemented.

    • Main Results:

    • A total of 2764 MRPs were identified, with the most frequent being the need for additional tests (17.5%).
    • Medicine selection (37%), patient knowledge (20%), and medication regimen (17%) were significant problem areas.
    • Of the recommended actions, 42% were implemented, and 81% of addressed MRPs were reported as resolved, well managed, or improving.

    Conclusions:

    • The collaborative medication management service model was successfully implemented.
    • The model effectively engaged GPs and pharmacists in addressing patient medication issues.
    • This approach demonstrated success in resolving medication-related problems and improving patient outcomes.