The impact of residential medication management reviews (RMMRs) on medication regimen complexity

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Mahsa Pouranayatihosseinabad1, Tabish Syed Zaidi1, Gregory Peterson1

  • 1a University of Tasmania School of Pharmacy , Hobart , Australia.

Postgraduate Medicine
|August 10, 2018
PubMed
Abstract

Insights

Pharmacists

Area of Science:

  • Geriatric Pharmacy
  • Medication Safety
  • Pharmacotherapy

Background:

  • Medication regimen complexity is a significant concern in aged care.
  • Review of Medications and Management of Recommendations (RMMRs) aim to optimize medication use.
  • The impact of RMMRs on medication complexity in older adults requires further investigation.

Purpose of the Study:

  • To assess the effect of RMMRs on medication regimen complexity in aged care residents.
  • To evaluate the acceptance rate of pharmacists' recommendations by General Practitioners (GPs).

Main Methods:

  • Retrospective analysis of 285 aged care residents (≥65 years) in Sydney, Australia.
  • Medication regimen complexity measured by the Medication Regimen Complexity Index (MRCI).
  • MRCI assessed at baseline, post-pharmacist recommendations, and post-GP acceptance of recommendations.

Main Results:

  • Pharmacists made 764 recommendations (2.7 per RMMR), with 74.5% accepted by GPs.
  • Median baseline MRCI was 25.5 (IQR 19.0-32.5).
  • No statistically significant difference in MRCI scores was observed after recommendations or GP acceptance (p=0.53 and p=0.07, respectively).

Conclusions:

  • High GP acceptance of pharmacist recommendations indicates RMMRs' utility in identifying drug-related issues.
  • RMMRs did not significantly reduce medication regimen complexity as measured by the MRCI.
  • Further research is needed to link medication complexity and clinical outcomes in aged care.
Keywords:
Medication regimen complexityaged caremedication reviewspharmacy services

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