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The Medication Assessment Program: comprehensive medication assessments for persons taking multiple medications for
Nancy J W Lewis1, Carol Bugdalski-Stutrud2, Marie A Abate3
1Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, Detroit; Center for Medication Use, Policy & Economics, College of Pharmacy, University of Michigan, Ann Arbor..
Journal of the American Pharmacists Association : Japha
|March 25, 2008
Summary
A pharmacist-led patient care program improved medication understanding and health for patients with chronic diseases. Collaborative development and pharmacist recommendations positively impacted patient health and drug therapy appropriateness.
Area of Science:
- Pharmacy Practice
- Patient Care
- Medication Management
Background:
- Polypharmacy is common in patients with chronic diseases.
- Effective medication management is crucial for patient health outcomes.
Purpose of the Study:
- To develop, implement, and evaluate a pharmacist-led patient care program.
- To improve medication adherence and health outcomes for patients with multiple chronic conditions.
Main Methods:
- Pilot study involving 30 pharmacists and 67 patients (≥18 years) taking ≥4 medications.
- Comprehensive medication assessments, patient education, and written recommendations were provided.
- Services offered in community pharmacies and via home/work-site visits.
Main Results:
- The program was developed collaboratively by pharmacists, colleges of pharmacy, and employers.
- Pharmacists made 662 recommendations, leading to positive effects on patient health.
- Patients showed improved knowledge of medications, diagnoses, and healthy lifestyle practices.
Conclusions:
- A collaborative approach to medication assessment is beneficial for patient understanding and health.
- Pharmacist recommendations improved self-monitoring and drug therapy.
- Support from colleges of pharmacy was key to program success.
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