Patientenzentrierte Versorgung

Renovanz, Mirjam; Keric, Naureen; Richter, Christoph; Gutenberg, Angelika; Giese, Alf

doi:10.1007/s00115-015-4473-8

Cited by 6 publications

(2 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Collaboration with medical specialists is still considered to be complex by most pharmacists, and medical specialists and homecare organizations are not consulted about CMRs with their patients in all cases. Many patients with polypharmacy switch between primary and secondary care, and medication problems derived from collaboration between care domains is a persistent problem [29,30]. Future studies should therefore explore different ways to improve the relationship with medical specialists and home care organizations.…”

Section: Comparison With Existing Knowledgementioning

confidence: 99%

A survey on the implementation of clinical medication reviews in community pharmacies within a multidisciplinary setting

Hogervorst,

Adriaanse,

Vervloet

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

Background Polypharmacy is common in chronic medication users, which increases the risk of drug related problems. A suitable intervention is the clinical medication review (CMR) that was introduced in the Netherlands in 2012, but the effectiveness might be hindered by limited implementation in community pharmacies. Therefore our aim was to describe the current implementation of CMRs in Dutch community pharmacies and to identify barriers to the implementation. Methods An online questionnaire was developed based on the Consolidated Framework for Implementation Research (CFIR) and consisted of 58 questions with open ended, multiple choice or Likert-scale answering options. It was sent out to all Dutch community pharmacies (n = 1,953) in January 2021. Descriptive statistics were used. Results A total of 289 (14.8%) community pharmacies filled out the questionnaire. Most of the pharmacists agreed that a CMR has a positive effect on the quality of pharmacotherapy (91.3%) and on medication adherence (64.3%). Pharmacists structured CMRs according to available selection criteria or guidelines (92%). Pharmacists (90%) believed that jointly conducting a CMR with a general practitioner (GP) improved their mutual relationship, whereas 21% believed it improved the relationship with a medical specialist. Lack of time was reported by 43% of pharmacists and 80% (fully) agreed conducting CMRs with a medical specialist was complicated. Most pharmacists indicated that pharmacy technicians can assist in performing CMRs, but they rarely do in practice. Conclusions Lack of time and suboptimal collaboration with medical specialists are the most important barriers to the implementation of CMRs.

show abstract

Section: Comparison With Existing Knowledgementioning

confidence: 99%

A survey on the implementation of clinical medication reviews in community pharmacies within a multidisciplinary setting

Hogervorst,

Adriaanse,

Vervloet

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Collaboration with medical specialists is still considered to be complex by most pharmacists, and medical specialists and homecare organizations are not consulted about CMRs with their patients in all cases. Many polypharmacy patients switch between primary and secondary care, and medication problems derived from collaboration between care domains is a persistent problem (Kripalani et al, 2007;Renovanz et al, 2015). Future studies should therefore explore different ways to improve the relationship with medical specialists and home care organizations.…”

Section: Comparison With Existing Knowledgementioning

confidence: 99%

Implementation and scalability of primary care interventions to improve patients medication use

Hogervorst

View full text Add to dashboard Cite

Treatment with medicines is the single most used method for treating patients with chronic conditions and to prevent further damage of the disease. The use of medicines is agreed upon between healthcare provider and patient and is only effective if used correctly. However, medication use is problematic for many patients and drug-related problems are common when patients do not succeed in following their treatment. Non-adherence to treatment regimens is a major drug-related problem in 44 to 77% of chronic medication users. Many evidence-based medication adherence interventions have been developed for healthcare providers to better support patients in taking their medication. These interventions are often complex, as they must be tailored to diverse patient populations, rely on close collaboration between different healthcare providers, and require continuous monitoring of non-adherent patients. This complexity means that for these interventions to be effective, they must be continuously available for patients by a multidisciplinary team of healthcare providers. As such, they need to be fully integrated into daily clinical practice systems in a (cost-)effective manner. However, so far, their implementation is often lacking. Integrating complex interventions into daily clinical practice is complex. It requires tailoring the intervention to the context in which they will be implemented, which requires using implementation strategies that fit within the context. In order to do so, detailed information about the setting and its context is required. However, current publications on interventions generally do not provide sufficient details about the implementation and the context to be reproduced in different settings. This tailoring can be supported by dissemination and implementation science methods, which offer different models and theories on implementing complex interventions into daily clinical practice. Throughout this thesis, we provide insight into how medication use of patients with a chronic disease can be optimized by improving the implementation and scale-up of medication adherence interventions in primary care. This was described in five chapters (chapters 2 to 6). We discussed our main findings and drew conclusions in chapter 7.

show abstract

The role of the general practitioner in cancer care: a survey of the patients’ perspective

Lang

Walter²,

Fessler³

et al. 2017

J Cancer Res Clin Oncol

View full text Add to dashboard Cite

Our survey points to the importance of the GP during cancer therapy from the patient's point of view. Patients want their GP to take an active part in the cancer therapy. Furthermore, early integration of the GP may also enhance early integration of palliative care and also help family members and caregivers. A strategy to integrate GPs is the establishment of shared care models, in which GPs are supported by specialists and get additional training in cancer care.

show abstract

Patientenzentrierte Versorgung

Cited by 6 publications

References 29 publications

A survey on the implementation of clinical medication reviews in community pharmacies within a multidisciplinary setting

A survey on the implementation of clinical medication reviews in community pharmacies within a multidisciplinary setting

Implementation and scalability of primary care interventions to improve patients medication use

The role of the general practitioner in cancer care: a survey of the patients’ perspective

Contact Info

Product

Resources

About