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Pharmacy 2017, 5(2), 27; doi:10.3390/pharmacy5020027

Pharmacist Intervention Program at Different Rent Levels of Geriatric Healthcare

1
School of Health Sciences Blanquerna, University Ramon Llull, Padilla 326, 08025 Barcelona, Spain
2
Pharmacy Service, HSS Mutuam Girona, Avinguda de França 64, 17007 Girona, Spain
3
Pharmacy Service, EAR Grup Mutuam, Ausias March 39, 08010 Barcelona, Spain
4
Pharmacy Service, HSS Mutuam Güell, Mare de Deu de la Salut 49, 08024 Barcelona, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Jeffrey Atkinson
Received: 7 March 2017 / Revised: 22 April 2017 / Accepted: 18 May 2017 / Published: 19 May 2017
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Abstract

As a pharmacy service giving pharmaceutical care at different levels of health care for elderly people, we needed a standardization procedure for recording and evaluating pharmacists’ interventions. Our objective was to homogenize pharmacist interventions; to know physicians’ acceptance of our recommendations, as well as the most prevalent drug related problems (DRP); and the impact of the pharmacists’ interventions. To achieve this goal we conducted a one year prospective study at two levels of health care: 176 nursing homes (EAR) (8828 patients) and 2 long-term and subacute care hospitals (HSS) (268 beds). Pharmacists’ interventions were recorded using the American Society of Health-System Pharmacists classification as the basis. Frequency of the different DRP and the level of response and acceptance on the part of physicians was determined. The Medication Appropriateness Index (MAI) was used to evaluate the impact of the interventions on the prescription quality. Patients’ mean age was 84.2 (EAR) and 80.7 (HSS), and in both cases, polypharmacy ≥ 9 drugs was around 63–69%. There were 4073 interventions done in EAR and 2560 in HSS. Level of response: 44% (EAR), 79% (HSS); degree of acceptance of the recommendations: 84% (EAR), 72% (HSS). Most frequent DRP: inappropriate dose, length of therapy, omissions, and financial impact. Drugs for the nervous system are those with the most DRP. MAI values/medication improved from 4.4 to 2.7 (EAR) and 3.8 to 1.7 (HSS). A normalized way of managing pharmacists’ interventions for different health care levels has been established. We are on the way to increasing collaborative work with physicians and we know which DRPs are most prevalent. View Full-Text
Keywords: geriatrics; pharmacists’ interventions; inappropriate medication; drug related problems geriatrics; pharmacists’ interventions; inappropriate medication; drug related problems
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Mestres, C.; Agustí, A.; Hernandez, M.; Puerta, L.; Llagostera, B. Pharmacist Intervention Program at Different Rent Levels of Geriatric Healthcare. Pharmacy 2017, 5, 27.

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