Development of a medication review intervention by seconding a hospital pharmacist to primary care
Background: Medication reviews (MRs) are a well-described initiative that improves health outcomes for polypharmacy patients. However, there is limited knowledge about the performance of medication reviews carried out in general practice especially under the leadership of hospital clinical pharmacis...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Exploratory Research in Clinical and Social Pharmacy |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667276624001021 |
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| _version_ | 1846138143947882496 |
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| author | Sara Sommer Holst Johanne Mølby Hansen Susanne Kaae Charlotte Vermehren |
| author_facet | Sara Sommer Holst Johanne Mølby Hansen Susanne Kaae Charlotte Vermehren |
| author_sort | Sara Sommer Holst |
| collection | DOAJ |
| description | Background: Medication reviews (MRs) are a well-described initiative that improves health outcomes for polypharmacy patients. However, there is limited knowledge about the performance of medication reviews carried out in general practice especially under the leadership of hospital clinical pharmacists. When developing complex interventions, such as MRs, it is essential to describe the development process to ensure transparency and avoid research waste. Objective: Thus, this study aimed to describe the steps of developing a new MR intervention targeting general practice to ensure transparency and transferability. Methods: A stepwise approach inspired by the Medical Research Council framework was utilised in the process, covering two of the phases, i.e., development and feasibility, divided into four steps: 1) intervention drafting by a literature search, 2) expert opinion, 3) pilot testing in general practice clinics, and 4) evaluation of quantitative MR data. Results: Based on the results from the first three steps, four main themes which influenced the success of the MR intervention were identified: general practitioner resources, patient involvement, implementation difficulties and interdisciplinarity. These themes guided the pilot evaluation in step four. Conclusion: A new feasible, complex MR intervention utilising clinical pharmacists in general practice involving hospital clinical pharmacists in a real-life setting was developed. |
| format | Article |
| id | doaj-art-0834be657df74b228246e500c7f6e98a |
| institution | Kabale University |
| issn | 2667-2766 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Exploratory Research in Clinical and Social Pharmacy |
| spelling | doaj-art-0834be657df74b228246e500c7f6e98a2024-12-07T08:34:42ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662024-12-0116100505Development of a medication review intervention by seconding a hospital pharmacist to primary careSara Sommer Holst0Johanne Mølby Hansen1Susanne Kaae2Charlotte Vermehren3Department of Clinical Pharmacology, Copenhagen University Hospital Bispebjerg, DK-2400 Copenhagen, DenmarkDepartment of Clinical Pharmacology, Copenhagen University Hospital Bispebjerg, DK-2400 Copenhagen, DenmarkDepartment of Pharmacy, University of Copenhagen, Copenhagen, DenmarkDepartment of Clinical Pharmacology, Copenhagen University Hospital Bispebjerg, DK-2400 Copenhagen, Denmark; Department of Drug Design and Pharmacology, Faculty of Health and Medical Sciences, University of Copenhagen, DK-2200 Copenhagen, Denmark; Capital Region Pharmacy, Copenhagen University Hospital Bispebjerg, DK-2400 Copenhagen, Denmark; Corresponding author at: Capital Region Pharmacy, Copenhagen University Hospital Bispebjerg, DK-2400 Copenhagen, DanmarkBackground: Medication reviews (MRs) are a well-described initiative that improves health outcomes for polypharmacy patients. However, there is limited knowledge about the performance of medication reviews carried out in general practice especially under the leadership of hospital clinical pharmacists. When developing complex interventions, such as MRs, it is essential to describe the development process to ensure transparency and avoid research waste. Objective: Thus, this study aimed to describe the steps of developing a new MR intervention targeting general practice to ensure transparency and transferability. Methods: A stepwise approach inspired by the Medical Research Council framework was utilised in the process, covering two of the phases, i.e., development and feasibility, divided into four steps: 1) intervention drafting by a literature search, 2) expert opinion, 3) pilot testing in general practice clinics, and 4) evaluation of quantitative MR data. Results: Based on the results from the first three steps, four main themes which influenced the success of the MR intervention were identified: general practitioner resources, patient involvement, implementation difficulties and interdisciplinarity. These themes guided the pilot evaluation in step four. Conclusion: A new feasible, complex MR intervention utilising clinical pharmacists in general practice involving hospital clinical pharmacists in a real-life setting was developed.http://www.sciencedirect.com/science/article/pii/S2667276624001021Complex interventionDevelopmentMedication reviewGeneral practicePharmacistsPolypharmacy |
| spellingShingle | Sara Sommer Holst Johanne Mølby Hansen Susanne Kaae Charlotte Vermehren Development of a medication review intervention by seconding a hospital pharmacist to primary care Exploratory Research in Clinical and Social Pharmacy Complex intervention Development Medication review General practice Pharmacists Polypharmacy |
| title | Development of a medication review intervention by seconding a hospital pharmacist to primary care |
| title_full | Development of a medication review intervention by seconding a hospital pharmacist to primary care |
| title_fullStr | Development of a medication review intervention by seconding a hospital pharmacist to primary care |
| title_full_unstemmed | Development of a medication review intervention by seconding a hospital pharmacist to primary care |
| title_short | Development of a medication review intervention by seconding a hospital pharmacist to primary care |
| title_sort | development of a medication review intervention by seconding a hospital pharmacist to primary care |
| topic | Complex intervention Development Medication review General practice Pharmacists Polypharmacy |
| url | http://www.sciencedirect.com/science/article/pii/S2667276624001021 |
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