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Integrating Medication Management and Access, Medicare Counseling, and Tailored Referrals: Planning to Scale a
Vanna Labi1, Rachael Clemens1,2, Eleanor McConnell3,4
1Senior PharmAssist, Durham, North Carolina.
North Carolina Medical Journal
|March 9, 2026
Summary
Senior PharmAssist (SPA) offers integrated services to manage medication challenges for seniors. The program
Area of Science:
- Gerontology
- Public Health
- Health Services Research
Background:
- Medication-related challenges significantly impact senior health and well-being.
- Community-based programs are crucial for addressing the complex needs of older adults.
- Existing healthcare models may not fully support medication adherence and access for seniors.
Purpose of the Study:
- To describe the Senior PharmAssist (SPA) model, a community-based program designed to address medication-related challenges in seniors.
- To outline the integrated services offered by SPA, including medication therapy management, financial assistance, community referrals, and Medicare counseling.
- To detail the process of adapting the SPA program for implementation in diverse community settings.
Main Methods:
- Development of the SPA model through expert input and community feedback.
- Selection of pilot sites for program adaptation and evaluation.
- Articulation of the SPA program's integrated service delivery framework.
Main Results:
- The SPA model successfully integrated four key services: medication therapy management, financial assistance, community referrals, and Medicare coverage counseling.
- Expert and community input were instrumental in refining the SPA program's structure and services.
- A framework was established for adapting the SPA model to new community contexts.
Conclusions:
- The Senior PharmAssist program provides a comprehensive, community-based approach to mitigating medication-related challenges for seniors.
- The integrated service model demonstrates potential for scalability and adaptation to various community needs.
- Further research and implementation are warranted to assess the long-term impact of SPA on senior health outcomes.
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