Role of the Pharmacist in Medication Therapy Management Services in Patients With Osteoporosis

Murphy-Menezes, Megan

doi:10.1016/j.clinthera.2015.03.023

Cited by 10 publications

(9 citation statements)

References 31 publications

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“…Pharmacists provide education to patients and caregivers on the safe and appropriate use of medications, counsel on medication compliance, monitor and manage medication side effects, as well as screen for dangerous drug interactions [9]. In addition, they specialize in recommending optimal medication therapy for concurrent medical problems, with the aim of enhancing treatment outcomes and facilitating the continuity of care as patients integrate back into the community [10][11][12][13][14].…”

Section: R E T R a C T E Dmentioning

confidence: 99%

The New Era of Pharmacists in Ambulatory Patient Care

Mohiuddin

2019

Innov Pharm

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Ambulatory care pharmacy practice is defined as the provision of integrated, accessible healthcare services by pharmacists who are accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. This is accomplished through direct patient care and medication management for ambulatory patients, long-term relationships, coordination of care, patient advocacy, wellness and health promotion, triage and referral, and patient education and self-management. The ambulatory care pharmacists may work in both an institutional and community-based clinic involved in direct care of a diverse patient population. A variety of specialty clinics are available for allergy and immunology, pulmonology, endocrinology, cardiology, nephrology, neurology, behavioral health, and infectious disease. Such services for this population may exist as a primary care clinic or an independent specialty clinic, typically in a PCMH, which is instrumental in coordinating care between various providers. Once a practice site is identified, it is important to establish a strong, trusting, and mutually beneficial relationship with the various decision-makers (e.g., administrators, providers) involved with the clinic. If pharmacy services are currently in existence, the pharmacy director may be able to identify and initially contact the appropriate person. If another pharmacist is providing clinical services, this person would be a resource to help determine areas for expansion of patient care and to whom to direct the proposed business plan. Additional individuals to consider as an initial point of contact include the clinic manager, clinic medical director, or administrative assistant to either of these persons. If the clinic setting is affiliated with a medical school, it may be necessary to contact the Department of Family Medicine head. Article Type: Commentary

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Section: R E T R a C T E Dmentioning

confidence: 99%

The New Era of Pharmacists in Ambulatory Patient Care

Mohiuddin

2019

Innov Pharm

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“…As we all know, osteoporosis can occur at any age and gender and also can be seen more at postmenopausal women and older men [11]. In clinical classification, osteoporosis can be divided into two categories including primary and secondary osteoporosis.…”

Section: Introductionmentioning

confidence: 99%

Application of artificial neural network in the diagnostic system of osteoporosis

Xiang

2016

Neurocomputing

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“…Technology tools, such as electronic personal health records, mobile applications, paper versions of medication record forms, etc, could improve both patient experience and medication adherence, and potentially enable patients to be active participants in medication reviews (7). Some studies have revealed that technology/tool-based medication management modes (8)(9)(10), such as the doctor-patient participatory mode and the pharmacist-leading home-dwelling mode, have achieved good results in the management of hypertension, diabetes, osteoporosis and other chronic diseases (11,12), which helps to standardize the prescription behavior of medical service providers and improve patients' medication compliance and health outcomes. Moreover, studies estimated that a total of USD$18 billion, 0.3% of the global total health expenditure, could be avoided by appropriate medication management (13).…”

Section: Introductionmentioning

confidence: 99%

Rational medication management mode and its implementation effect for the elderly with multimorbidity: A prospective cohort study in China

Tang

Wan

et al. 2022

Front. Public Health

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BackgroundAs one of the countries with the most serious degree of aging, the incidence of potentially inappropriate drug use among the elderly is as high as 30. 4% in Chinese communities, and the lack of effective medication management and poor medication compliance at home are the main factors. Given these situations, we constructed a Rational Medication Management Mode based on family physician service, carried out an empirical research and evaluated the implementation effect.MethodsA prospective cohort study was conducted from September to December 2021 to analyze the implementation effect of the Rational Medication Management Mode by comparing the outcome indicators between the intervention group and control group. The primary outcome of this study was medication number and polypharmacy (taking 5 or more medications) at 90 days. The secondary outcomes included the situation for behavioral self-management and knowledge-belief-behavior of rational medication use.ResultsA total of 618 elderly patients (309 in the intervention group and 309 in the control group) with multimorbidity were included in this study, those were all available at follow-up at 90 days. At 90 days, the number of medications was achieved by 3.88 (1.48), and patients with polypharmacy were reduced by 59.55% in the intervention group, having a significant difference compared with the control group (P < 0.001). Patients with medication reminders, intermittent medication and adverse drug reactions were achieved in 294 (95.15%), 47 (15.21%), and 51 (16.51%) respectively in the intervention group (P < 0.001). The knowledge, belief, behavior security and behavior compliance of rational medication use of elderly patients were all greatly improved in the intervention group at 90 days (P < 0.0001).ConclusionThe Rational Medication Management Mode based family physician service, which provides the support of manuals and pillboxes, can decrease the elderly patients' number of drugs with multimorbidity, reduce the incidence of polypharmacy, enhance behavioral self-management, increase the knowledge and belief of rational medication use, and improve the security and compliance of medication usage behavior. In order to provide a practical basis for rational medication management of elderly patients with multimorbidity under the background of long-term prescriptions in China.

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Role of the Pharmacist in Medication Therapy Management Services in Patients With Osteoporosis

Cited by 10 publications

References 31 publications

The New Era of Pharmacists in Ambulatory Patient Care

The New Era of Pharmacists in Ambulatory Patient Care

Application of artificial neural network in the diagnostic system of osteoporosis

Rational medication management mode and its implementation effect for the elderly with multimorbidity: A prospective cohort study in China

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