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Current perspectives on pharmacist home visits: do we keep reinventing the wheel?
Priti S Flanagan1,2, Andrea Barns1
1Pharmacy Community Programs, Lower Mainland Pharmacy Services, Langley, BC, Canada, priti.flanagan@fraserhealth.ca.
Integrated Pharmacy Research & Practice
|October 16, 2018
Summary
Pharmacist home visits enhance patient medication adherence and knowledge but show minimal impact on healthcare costs. Benefits include increased patient satisfaction and medication appropriateness.
Area of Science:
- Pharmacy
- Home Healthcare
- Clinical Interventions
Background:
- Clinical pharmacy services are expanding into outpatient and home care settings.
- Evidence supporting pharmacist-provided clinical services in home care requires synthesis.
Purpose of the Study:
- To review and identify evidence supporting pharmacist provision of clinical pharmacy services in a home care setting.
Main Methods:
- A literature search identified 75 reports evaluating clinical pharmacy home visit services globally.
- Analysis included results from randomized controlled trials and other descriptive literature.
Main Results:
- Randomized controlled trials indicate pharmacist home visits improve medication adherence and patient knowledge.
- Other studies reported benefits like enhanced patient satisfaction, medication appropriateness, and discrepancy resolution.
- Little impact was observed on healthcare resource utilization.
Conclusions:
- Pharmacist home visits offer significant patient-centered benefits, including improved medication management and satisfaction.
- Key considerations for implementation include staff competency, patient selection, safety, technology, collaboration, and pharmacist autonomy.
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