scholarly journals Engaging Pharmacists in Interprofessional Programs to Support Older Residents of HUD-Assisted Housing

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 761-761
Author(s):  
Patricia Slattum ◽  
Elvin Price
Keyword(s):  
Healthcare System ◽  
Affordable Housing ◽  
Low Income ◽  
Older Persons ◽  
Adult Population ◽  
Medication Management ◽  
Local Area ◽  
Healthcare Team ◽  
Medication Regimen ◽  
Apartment Buildings

Abstract Medications are one of the pillar 4Ms of an age-friendly healthcare system. Ensuring that benefits of a medication regimen outweigh the risks and that medications are not contributing to meaningful outcomes such as functional or cognitive decline is a challenge for our healthcare system, particularly for older persons experiencing adverse social determinants of health, health disparities or uncoordinated care. More fully engaging pharmacists in the older person’s health care team is one strategy to improve clinical, humanistic and economic outcomes. This workshop reports findings on medication management capacity among older residents of five low-income apartment buildings in urban Richmond, VA, indicating that this population experiences challenges in managing medications as measured by MedMaIDE. The second presentation describes a pilot partnership between an independent community pharmacy and a local area agency on aging to provide medication coaching to residents of six affordable housing buildings in Seattle, WA, demonstrating feasibility of engaging pharmacists in the healthcare team and resulting in an average of five interventions per resident. The third presentation describes an interprofessional educational intervention based in two low-income apartment buildings for older persons in underserved West Baltimore, MD involving pharmacy students, to better prepare pharmacists to engage in interprofessional team care and meet the needs of a low income culturally diverse older adult population. Discussion will focus on barriers and opportunities to more fully engage pharmacists to support urban residents of low-income housing buildings to optimize medication outcomes and reduce medication-related harm.

scholarly journals A Pharmacist-Led Medication Coaching Program Serving Senior Residents of Low-Income Housing

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 761-762
Author(s):  
Jennifer Bacci ◽  
Joshua Akers ◽  
Katie Mahan ◽  
Geoffrey Meer ◽  
Jeffrey Kinter ◽  
...  
Keyword(s):  
Older Adults ◽  
Community Pharmacy ◽  
Affordable Housing ◽  
Low Income ◽  
Culturally Diverse ◽  
Organization Structure ◽  
Local Area ◽  
Fiscal Year ◽  
Service Process ◽  
Process Outcomes

Abstract In 2015, one independent community pharmacy partnered with the local Area Agency on Aging to provide medication coaching to low-income, culturally diverse, older adults living in 6 affordable housing buildings in the Seattle area. A pilot was conducted during the 2015-2016 fiscal year to determine the need for and feasibility of the service. Process outcomes, including patient and service demographics, medication-related problems, and pharmacist interventions, were captured via the pharmacists’ patient care documentation. Pharmacists had 34 total visits with 17 unique residents who were taking an average of 8.1 medications. Pharmacists identified 97 medication-related problems, averaging 5.7 problems per resident, and performed 88 interventions, averaging 5.2 interventions per resident. The findings of this pilot demonstrated the needs and feasibility of implementing pharmacists’ services within a housing organization structure and has resulted in the continuation and growth of the program.

scholarly journals Medication Management Capacity Among Older Residents of Low-Income Apartment Buildings

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 761-761
Author(s):  
Amal Badawoud ◽  
Pamela Parsons ◽  
Juan Lu ◽  
Emily Peron ◽  
Teresa Salgado ◽  
...  
Keyword(s):  
Low Income ◽  
Independent Living ◽  
Medication Management ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Face To Face ◽  
Apartment Buildings ◽  
Management Capacity ◽  
Medication Management Capacity

Abstract MMC is an essential component of safe and independent living. This cross-sectional study was designed to assess MMC among low-income older persons residing in HUD-subsidized housing, located at one of five apartment buildings in urban Richmond, VA. Medication Management Instrument for Deficiencies in the Elderly (MedMaIDE) was used to measure MMC during individual, face-to-face interviews. Of the 107 participants, 89% were African-American with an average age of 68.5 years (±7.2), an average of 4.9 (±2.9) comorbidities and using approximately 8 (±4.1) medications on a regular basis. The mean deficit in MMC was 3 (±2.0). The most difficult skill was naming all of the medications (69.2%) followed by stating the indication (46.7%) and knowing how or when all of the medications should be taken or identifying existing refills (38.3%). Many older residents of low-income housing experience challenges in managing medications.

scholarly journals The Emerging Role of Community Pharmacists in Remote Patient Monitoring Services

Pharmacy ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 166
Author(s):  
Amina Abubakar ◽  
Jessica Sinclair
Keyword(s):  
Medication Management ◽  
Community Pharmacists ◽  
Healthcare Team ◽  
Remote Patient Monitoring ◽  
Patient Counseling ◽  
State Evaluation ◽  
Remote Patient ◽  
Enhance Patient Care ◽  
Pharmacist Services

Remote physiologic monitoring (RPM) services involve the transmission of patient-collected physiologic data to the healthcare team. These data are then analyzed to determine what changes may be needed to enhance patient care. While pharmacists may not be recognized as billing providers through some payers, there are opportunities for pharmacist collaboration with providers to enhance patient access to RPM services. Community pharmacist services are traditionally tied to a product, but pharmacists are skilled in medication management, disease state evaluation, and patient counseling, which are skills that can contribute to an elevated RPM program.

scholarly journals Psychological distress during COVID-19 pandemic in low-income and middle-income countries: a cross-sectional study of older persons in Thailand

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e047650
Author(s):  
Wiraporn Pothisiri ◽  
Paolo Miguel Manalang Vicerra
Keyword(s):  
Psychological Distress ◽  
Low Income ◽  
Older Persons ◽  
Online Survey ◽  
Well Being ◽  
Secondary Outcome ◽  
Ageing Society ◽  
Psychological Well Being ◽  
Middle Income ◽  
The Impact

ObjectiveThe COVID-19 situation in Thailand was controlled with various social measures. Much of the information covered in the media and in studies focused on the public health and economic aspects of the pandemic. This study aimed to explore the psychological well-being of older people, which is important especially in an ageing society categorised as low income or middle income due to the limits of economic and healthcare resources.SettingThe impact of COVID-19 on older persons in Thailand, an online survey, taken across nine provinces within the five regions of the country.ParticipantsInformation was collected from 1230 adults aged at least 60 years old.If an older person was illiterate, unable to access the internet or had a disability preventing them from responding to the survey, an intermediary residing in the community conducted the survey interview.Primary and secondary outcome measuresThe analysis focused on the worries of older adults and the factors associated with psychological distress experienced during the pandemic using logistic regression analysis.ResultsThe majority of people aged at least 60 years old experienced psychological distress during COVID-19. Employment loss (OR 1.08, 95% CI 0.78 to 1.38), inadequate income (OR 1.77, 95% CI 1.28 to 2.44) and debt incursion (OR 2.74, 95% CI 1.57 to 4.80) were detrimental to psychological well-being. The negative changes in the perception of their health status (OR 1.92, 95% CI 1.23 to 2.99) and decreased life satisfaction (OR 1.49, 95% CI 0.45 to 1.87) also weighed on older Thais. The protective factors for psychological well-being were residing in rural areas (OR 0.46, 95% CI 0.35 to 0.61) and being married (OR 0.75, 95% CI 0.55 to 1.01).ConclusionObserving the concerns of the older population is important for introducing policies that can alleviate their precarious financial and health statuses.

scholarly journals Affordable Housing for Low-Income Communities: Between Residental and Investment

2021 ◽  
Vol 738 (1) ◽  
pp. 012059
Author(s):  
S Sunarti ◽  
N Yuliastuti ◽  
W Prananingtyas ◽  
L A Dewi
Keyword(s):  
Affordable Housing ◽  
Low Income

Investing in Gentrification: The Eligibility of Gentrifying Neighborhoods for Federal Place-Based Economic Investment in U.S. Cities

2021 ◽  
pp. 107808742110326
Author(s):  
Noli Brazil ◽  
Amanda Portier
Keyword(s):  
Community Development ◽  
Financial Institutions ◽  
Affordable Housing ◽  
Low Income ◽  
Business Development ◽  
Tax Credits ◽  
New Markets ◽  
Job Opportunities ◽  
The Relationship ◽  
Economic Improvement

Place-based policies commonly target disadvantaged neighborhoods for economic improvement, typically in the form of job opportunities, business development or affordable housing. To ensure that investment is channeled to truly distressed areas, place-based programs narrow the pool of eligible neighborhoods based on a set of socioeconomic criteria. The criteria, however, may not be targeting the places most in need. In this study, we examine the relationship between neighborhood gentrification status and 2018 eligibility for the New Markets Tax Credits, Opportunity Zones, Low Income Housing Tax Credits, and the Community Development Financial Institutions Program. We find that large percentages of gentrifying neighborhoods are eligible for each of the four programs, with many neighborhoods eligible for multiple programs. The Opportunity Zone program stands out, with the probability of eligibility nearly twice as high for gentrifying tracts than not-gentrifying tracts. We also found that the probability of eligibility increases with a greater percentage of adjacent neighborhoods experiencing gentrification.

Identifying Perceived Barriers and Benefits to Reducing Energy Consumption in an Affordable Housing Complex

2016 ◽  
Vol 22 (3) ◽  
pp. 159-178 ◽  
Author(s):  
Dan Reaves ◽  
Caroline M. Clevenger ◽  
MaryEllen Nobe ◽  
Patricia A. Aloise-Young
Keyword(s):  
Energy Consumption ◽  
Affordable Housing ◽  
Low Income ◽  
Perceived Barriers ◽  
Community Based ◽  
Target Behaviors ◽  
Housing Complex ◽  
Two Phases ◽  
Reduction Of Energy Consumption ◽  
Reducing Energy

Reduction of energy consumption in the affordable housing sector is highly impacted by human behavior. However, only limited behavior change research exists that is aimed at reducing energy consumption in this sector. This study seeks to implement the first two phases of the community-based social marketing (CBSM) framework in an affordable housing setting. The goals of the research are to identify the optimal behaviors for energy reduction and to identify the perceived barriers and benefits associated with those behaviors in a low-income housing facility. The results of this study identify five target behaviors along with their barriers and benefits. In addition, the study identifies potential issues and nuances in the CBSM process that researchers should take into consideration during future implementations of CBSM in affordable housing environments.

Medication Management System Design for Isolated Patient Care

2020 ◽  
Author(s):  
Samhith Kethireddy Abigail Swamidoss ◽  
Bushra Alghamdi ◽  
Ronald L. Hickman ◽  
Shanina Knighton ◽  
Miriam Pekarek ◽  
...  
Keyword(s):  
System Design ◽  
Language Processing ◽  
Management System ◽  
Classification Tree ◽  
Medication Management ◽  
Care Providers ◽  
Medication Regimen ◽  
Dynamic Framework ◽  
Medication Schedule ◽  
Number Of Patients

Abstract Independent living care for polypharmacy patients can be complicated in those situations with medications that are pro re nata (PRN, “as needed”). Such medication regimen may involve multiple dosing whereby specific drug contraindications might be easily overlooked by hospice and palliative care patients, or by those isolated and not in regular contact with care providers. The goal of this paper is to describe the development steps and current design of a system providing medication decision support for isolated patients. With an increased number of patients living alone or isolated - a situation exacerbated during the COVID19 pandemic – polypharmacy patients may be challenged when PRN (as needed) medications confound what might ordinarily be a routine medication schedule. Central to our medication management system design is the so-called “conversational agent” that when integrated with a natural language processing front- end and classification tree algorithm provide a dynamic framework for patient self-management of medications. Research on “patient need” revealed patients were more likely to embrace the system if the system were autonomous, secure, and not cloud-based.

Favelas, Affordable Housing, and Authoritarian Urbanism in the Era of Mass Eradication in Rio de Janeiro, 1960s–1970s

2021 ◽  
Author(s):  
Leandro Benmergui
Keyword(s):  
Affordable Housing ◽  
Low Income ◽  
Rio De Janeiro ◽  
Social Science Research ◽  
Urban Infrastructure ◽  
Science Research ◽  
Military Regimes ◽  
The 1960S ◽  
The Right ◽  
The City

As the number of favelas and poor residents of Rio de Janeiro grew quickly by the mid-20th century, they became the object of policymaking, social science research, real estate speculation, and grassroots mobilization. After a decade in which local authorities recognized the de facto presence of favelas but without legally ascertaining the right of permanence, the 1960s and early 1970s witnessed the era of mass eradication. Seemingly contradictory—but complementary—policies also included the development of massive low-income housing complexes and innovative community development and favela urbanization experiences empowered by community organizations with the assistance of experts committed to improving the lives of poor Cariocas (residents of Rio). Favelas in Rio were at the crossroads of a particular interplay of forces: the urgent need to modernize Rio’s obsolete and inadequate urban infrastructure; the new administrative status of the city after the inauguration of Brasilia; and the redefinition of the balance of power between local, municipal, and federal forces in a time of radical politics and authoritarian and technocratic military regimes, Cold War diplomacy, and the transnational flows of expertise and capital.

scholarly journals COMPREHENSIVE MEDICATION MANAGEMENT SERVICES IN A BRAZILIAN SPECIALITY PHARMACY: A QUALITATIVE ASSESSMENT

2017 ◽  
Vol 9 (3) ◽  
pp. 227 ◽  
Author(s):  
Kirla Barbosa Detoni ◽  
Mariana Martins Gonzaga Do Nascimento ◽  
Isabela Viana Oliveira ◽  
Mateus Rodrigues Alves ◽  
Manoel Machuca GonzÁles ◽  
...  
Keyword(s):  
Participant Observation ◽  
Patient Flow ◽  
Medication Management ◽  
Implementation Process ◽  
Ethnographic Study ◽  
Qualitative Assessment ◽  
Healthcare Team ◽  
Structured Interviews ◽  
Eligibility Criteria ◽  
Manager Support

Objective: To understand and describe the implementation process of a comprehensive medication management (CMM) service in a public speciality pharmacy in Brazil.Methods: Ethnographic study conducted over 17 mo (September 2014 to February 2016) in a public speciality pharmacy. Semi-structured interviews were conducted with twelve participants. Notes on field journals, resulting from participant observation conducted by the two pharmacists directly responsible for the service implementation, were also used as a source of data.Results: Ten important conditions to improve the success of CMM service implementation were identified: manager support; evaluation of physical and material resources; evaluation of human resources practitioners’ characteristics and knowledge about the theoretical framework of CMM services; time dedicated to CMM services; redefining the work process; defining patient eligibility criteria to CMM service; defining patient flow to CMM service; communication with healthcare team; integration with the staff; and marketing the service internally.Conclusion: The results unveiled by this article can be used by pharmacists and managers as a tool to optimize the implementation of CMM services in different healthcare settings. These conditions do not consist the only aspects necessary to ensure the success of the service; however, they can contribute to optimize the implementation process of the practice

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