Clinical pharmacist interventions in patients with mental health disorders
Despite positive evidence for the impact of clinical pharmacy interventions on patients’ health outcome, the benefits of clinical pharmacist placed within multidisciplinary psychiatric team are still not recognized in our country. The aim of the present study was to highlight the role of clinical...
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| Format: | Article |
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University Ss Cyril and Methodius in Skopje, Faculty of Pharmacy and Macedonian Pharmaceutical Association
2024-12-01
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| Series: | Makedonsko Farmacevtski Bilten |
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| Online Access: | https://bulletin.mfd.org.mk/volumes/Volume%2069_2/69_2_006.pdf |
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| author | Angela Bozhinoska Dragana Dimkovic Faton Veseli Aleksandra Kapedanovska Nestorovska Kristina Mladenovska |
| author_facet | Angela Bozhinoska Dragana Dimkovic Faton Veseli Aleksandra Kapedanovska Nestorovska Kristina Mladenovska |
| author_sort | Angela Bozhinoska |
| collection | DOAJ |
| description | Despite positive evidence for the impact of clinical pharmacy interventions on patients’ health outcome, the benefits of clinical
pharmacist placed within multidisciplinary psychiatric team are still not recognized in our country. The aim of the present study was to
highlight the role of clinical pharmacists in our healthcare system and evaluate the extent to which they contribute in reducing the incidence
of medication-related problems (MRPs). The study included total of 82 patients hospitalized at the Department of Psychiatry at the Prilep
General Hospital it the period from October 2022 to October 2023. MRPs were recognized in 70 (85.36%) patients. MRPs categories
associated with medication selection (34.74%) and medication safety (16.43) followed by drug monitoring (14.55%) and patient compliance
(14.08%) were found most prevalent. Clinical pharmacist made 213 recommendations (3.04 per patient). Most frequently recommended
clinical interventions referred to: monitoring of laboratory parameters (9.86%), adherence to the pharmacotherapy (8.45%), prevention of
use of too many medications for non-existing indication(s) or for a certain indication (7.98%) and recommendations for temporary or
permanent discontinuation of medication (7.51%). Nearly 58% of all clinical pharmacist interventions aimed at preventing complications
and morbidity that could arose from MRPs, of which 35% were graded as major in severity. The psychiatrists accepted 90.61% (193 of
213) of the suggested recommendations. Our findings highlight the opportunity for more targeted approaches to identifying and managing
MRPs in tertiary care where tailored clinical pharmacist-led interventions may be of value. Implementation of clinical pharmacist led
services, such as medication therapy management (MTM), in routine clinical practice can have a positive impact on the efficient and safe
use of medicines in this patient’s group. |
| format | Article |
| id | doaj-art-c2097b94cfa649929adb1b45ccfa2357 |
| institution | Kabale University |
| issn | 1857-8969 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | University Ss Cyril and Methodius in Skopje, Faculty of Pharmacy and Macedonian Pharmaceutical Association |
| record_format | Article |
| series | Makedonsko Farmacevtski Bilten |
| spelling | doaj-art-c2097b94cfa649929adb1b45ccfa23572025-01-11T12:47:47ZengUniversity Ss Cyril and Methodius in Skopje, Faculty of Pharmacy and Macedonian Pharmaceutical AssociationMakedonsko Farmacevtski Bilten1857-89692024-12-01692556410.33320/maced.pharm.bull.2023.69.02.006Clinical pharmacist interventions in patients with mental health disordersAngela Bozhinoska0Dragana Dimkovic1Faton Veseli2Aleksandra Kapedanovska Nestorovska3Kristina Mladenovska4General hospital “Borka Taleski”, Trajko Tarcan n.n., 7500 Prilep, Republic of N MacedoniaSs Cyril and Methodius University in Skopje, Faculty of Pharmacy, Majka Tereza 47, 1000 Skopje, Republic of N MacedoniaSs Cyril and Methodius University in Skopje, Faculty of Pharmacy, Majka Tereza 47, 1000 Skopje, Republic of N MacedoniaSs Cyril and Methodius University in Skopje, Faculty of Pharmacy, Majka Tereza 47, 1000 Skopje, Republic of N MacedoniaSs Cyril and Methodius University in Skopje, Faculty of Pharmacy, Majka Tereza 47, 1000 Skopje, Republic of N MacedoniaDespite positive evidence for the impact of clinical pharmacy interventions on patients’ health outcome, the benefits of clinical pharmacist placed within multidisciplinary psychiatric team are still not recognized in our country. The aim of the present study was to highlight the role of clinical pharmacists in our healthcare system and evaluate the extent to which they contribute in reducing the incidence of medication-related problems (MRPs). The study included total of 82 patients hospitalized at the Department of Psychiatry at the Prilep General Hospital it the period from October 2022 to October 2023. MRPs were recognized in 70 (85.36%) patients. MRPs categories associated with medication selection (34.74%) and medication safety (16.43) followed by drug monitoring (14.55%) and patient compliance (14.08%) were found most prevalent. Clinical pharmacist made 213 recommendations (3.04 per patient). Most frequently recommended clinical interventions referred to: monitoring of laboratory parameters (9.86%), adherence to the pharmacotherapy (8.45%), prevention of use of too many medications for non-existing indication(s) or for a certain indication (7.98%) and recommendations for temporary or permanent discontinuation of medication (7.51%). Nearly 58% of all clinical pharmacist interventions aimed at preventing complications and morbidity that could arose from MRPs, of which 35% were graded as major in severity. The psychiatrists accepted 90.61% (193 of 213) of the suggested recommendations. Our findings highlight the opportunity for more targeted approaches to identifying and managing MRPs in tertiary care where tailored clinical pharmacist-led interventions may be of value. Implementation of clinical pharmacist led services, such as medication therapy management (MTM), in routine clinical practice can have a positive impact on the efficient and safe use of medicines in this patient’s group.https://bulletin.mfd.org.mk/volumes/Volume%2069_2/69_2_006.pdfclinical pharmacistinterventionmental health disorders |
| spellingShingle | Angela Bozhinoska Dragana Dimkovic Faton Veseli Aleksandra Kapedanovska Nestorovska Kristina Mladenovska Clinical pharmacist interventions in patients with mental health disorders Makedonsko Farmacevtski Bilten clinical pharmacist intervention mental health disorders |
| title | Clinical pharmacist interventions in patients with mental health disorders |
| title_full | Clinical pharmacist interventions in patients with mental health disorders |
| title_fullStr | Clinical pharmacist interventions in patients with mental health disorders |
| title_full_unstemmed | Clinical pharmacist interventions in patients with mental health disorders |
| title_short | Clinical pharmacist interventions in patients with mental health disorders |
| title_sort | clinical pharmacist interventions in patients with mental health disorders |
| topic | clinical pharmacist intervention mental health disorders |
| url | https://bulletin.mfd.org.mk/volumes/Volume%2069_2/69_2_006.pdf |
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