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Updated: Mar 7, 2026

Intraventricular Drug Delivery and Sampling for Pharmacokinetics and Pharmacodynamics Study
Published on: March 31, 2022
A study of a medication review service for Aboriginal and Torres Strait Islander people (IMeRSe) in Australia
Robert S Ware1, Amanda J Wheeler2, Jean M Spinks3
1PhD, Professor of Mental Health, Deputy Head of School Research, School of Pharmacy and Medical Sciences, Centre for Mental Health, Griffith University, Gold Coast, Qld; Honorary Professor, Faculty of Medical and Health Sciences, Auckland University, Auckland, New Zealand.
Background And Objectives:
Aboriginal and Torres Strait Islander people can experience inequitable access to health services. This study assessed the effectiveness of a culturally responsive medication management service (referred to as IMeRSe).
Method:
This is a pre-post single-arm study involving Aboriginal and Torres Strait Islander health services and community pharmacies. Participants had a chronic condition, were pregnant or postpartum within 2 years. Pharmacists wrote a collaborative Medicines Plan and made recommendations to clinicians. The primary outcome was serious medication-related problems 6-months post-IMeRSe. Secondary outcomes included medication adherence.
Results:
For 255 participants, mean serious medication-related problems reduced from 4.11 to 3.85 per 6 months at risk (incidence rate ratio, 0.93; 95% confidence interval, 0.86-1.01), although rates of potentially preventable medication-related hospitalisations remained similar. Significant improvements in medication adherence were observed. General practitioners accepted 709 of 762 pharmacist recommendations.
Discussion:
A culturally responsive medication management service delivered by community pharmacists can contribute to reduced serious medication-related problems, improved medication adherence and consumer empowerment.
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