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Consultant Pharmacist–Provider Collaboration in U.S. Assisted Living Facilities: A Pilot Study

1
College of Pharmacy, University of Tennessee, Nashville, TN 37211, USA
2
Macs Pharmacy, Knoxville, TN 37849, USA
*
Author to whom correspondence should be addressed.
Pharmacy 2019, 7(1), 17; https://doi.org/10.3390/pharmacy7010017
Received: 28 December 2018 / Revised: 21 January 2019 / Accepted: 31 January 2019 / Published: 1 February 2019
(This article belongs to the Special Issue Pharmacist–Physician Collaborative Research)
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PDF [216 KB, uploaded 25 February 2019]

Abstract

The purpose of this pilot study was to explore the impact of pharmacist-provided recommendations to general practitioners (GPs) of patients living in assisted living facilities (ALFs). A secondary objective of this study was to explore prescriber and ALF staff perceptions. This was a mixed-method, quasi experimental 1-group pre/post-test study with an explanatory qualitative arm using in-depth semi-structured interviews at five regional ALFs and one independent community pharmacy in East Tennessee. Residents older than 65 years of age, with confirmed diagnosis of Type II diabetes in the pharmacy’s medical record, taking anti-diabetic medication for at least 14 days and resident of affiliated ALF for at least past 30 days were enrolled. Phase 1 demonstrated a 35.1% (13/37 recommendations) acceptance rate of pharmacist recommendations. Phase 2 demonstrated a similar 31.3% acceptance rate of pharmacist recommendations (5/16 recommendations). The mean pre–post difference in average 30-day FBG was greater in the accepted group than the rejected recommendation group (−9.1 vs. −2.3 mg/dL). Pharmacist–GP collaboration in the ALF population was feasible and may improve the quality of patient care of these residents. View Full-Text
Keywords: collaboration; assisted living facility; consultant pharmacist; diabetes; recommendations; medication therapy management collaboration; assisted living facility; consultant pharmacist; diabetes; recommendations; medication therapy management
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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Hohmeier, K.C.; Frederick, K.D.; Patel, K.; Summers, K.; Honeycutt, M. Consultant Pharmacist–Provider Collaboration in U.S. Assisted Living Facilities: A Pilot Study. Pharmacy 2019, 7, 17.

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