Next Article in Journal / Special Issue
Systematic Analysis of the Service Process and the Legislative and Regulatory Environment for a Pharmacist-Provided Naltrexone Injection Service in Wisconsin
Previous Article in Journal
Pharmacists’ Knowledge Regarding Drug Disposal in Karbala
Previous Article in Special Issue
A Study to Identify Medication-Related Problems and Associated Cost Avoidance by Community Pharmacists during a Comprehensive Medication Review in Patients One Week Post Hospitalization
Article

Clinical Results of Comprehensive Medication Management Services in Primary Care in Belo Horizonte

1
Center for Pharmaceutical Care Studies, College of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG 31270-901, Brazil
2
Department of Pharmaceutical Sciences, College of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG 31270-901, Brazil
*
Author to whom correspondence should be addressed.
Pharmacy 2019, 7(2), 58; https://doi.org/10.3390/pharmacy7020058
Received: 28 April 2019 / Revised: 28 May 2019 / Accepted: 6 June 2019 / Published: 12 June 2019
(This article belongs to the Special Issue Pharmacist Services)
The high prevalence of chronic diseases and use of multiple medications identified in Primary Health Care (PHC) suggest the need for the implementation of Comprehensive Medication Management (CMM) services. This study aimed to evaluate the clinical results of CMM services in a Brazilian PHC setting. A quasi-experimental study was performed with patients followed-up for two years (n = 90). Factors associated with the detection of four drug therapy problems (DTP) or more in the initial assessment were evaluated (univariate and multivariate analyses), as well as the clinical impact observed in laboratory parameters (HbA1c, Blood Pressure, LDL- and HDL-covariance analysis). A predominance of women (61.1%), a mean age of 65.5 years, and a prevalence of polypharmacy (87.8%)—use of five or more drugs—were observed. A total of 441 DTP was identified, 252 required interventions with the prescriber, 67.9% of which were accepted and 59.6% were solved. The main DTP were ‘non-adherence’ (28.1%), ‘need for additional drug therapy’ (21.8%), and ‘low dose’ (19.5%). Hypertension was positively associated with the identification of four DTP or more. A statistically significant reduction was detected in all assessed laboratory parameters (p < 0.05). CMM services contributed to the resolution of DTP and improved clinical outcomes. View Full-Text
Keywords: Comprehensive Medication Management; pharmaceutical care; primary health care; chronic diseases; clinical results Comprehensive Medication Management; pharmaceutical care; primary health care; chronic diseases; clinical results
MDPI and ACS Style

Neves, C.d.M.; Nascimento, M.M.G.d.; Silva, D.Á.M.; Ramalho-de-Oliveira, D. Clinical Results of Comprehensive Medication Management Services in Primary Care in Belo Horizonte. Pharmacy 2019, 7, 58. https://doi.org/10.3390/pharmacy7020058

AMA Style

Neves CdM, Nascimento MMGd, Silva DÁM, Ramalho-de-Oliveira D. Clinical Results of Comprehensive Medication Management Services in Primary Care in Belo Horizonte. Pharmacy. 2019; 7(2):58. https://doi.org/10.3390/pharmacy7020058

Chicago/Turabian Style

Neves, Carina d.M., Mariana M.G.d. Nascimento, Daniela Á.M. Silva, and Djenane Ramalho-de-Oliveira. 2019. "Clinical Results of Comprehensive Medication Management Services in Primary Care in Belo Horizonte" Pharmacy 7, no. 2: 58. https://doi.org/10.3390/pharmacy7020058

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop