scholarly journals Comparison of Medication Therapy Management Services and Their Effects on Health Care Utilization and Medication Adherence

2019 ◽  
Vol 25 (6) ◽  
pp. 688-695
Author(s):  
Erin Ferries ◽  
Joseph T. Dye ◽  
Benjamin Hall ◽  
Lilian Ndehi ◽  
Phil Schwab ◽  
...  



2016 ◽  
Vol 52 (3) ◽  
pp. 365-373 ◽  
Author(s):  
Simone de Araújo Medina Mendonça ◽  
Angelita Cristine Melo ◽  
Gabriela Cristina Coelho Pereira ◽  
Danielle Maria de Souza Serio dos Santos ◽  
Elisa Brandão Grossi ◽  
...  


Author(s):  
Gloria K Sam ◽  
Jobin Thomas ◽  
Riya Alexander ◽  
Sheen Ann Varughese

Objectives: The prime objective of this study is to assess knowledge, attitude, and practice (KAP) toward medications in a community of Davangere city.Methods: This community-based study was conducted for 6 months using medication therapy management aspects. Ethical clearance was obtainedfrom the Institutional Ethical Committee. Patients above 18 years of age who were willing to participate were included in the study. The data werecollected using specific data collection forms, and KAP toward medications of each patient was assessed using KAP questionnaire. Medicationadherence was analyzed using Morisky Medication Adherence Scale 4. Patient counseling about disease, medication, and lifestyle modification wasgiven, and the orally taking household drugs were segregated according to class and specific clinical uses.Results: Out of 129 patients, 58.1% were male. Out of 19 diseases encountered during the study, diabetes mellitus (32.56%) and hypertension(25.58%) were most prevalent. Majority of patients (63.57%) were prescribed with cardiovascular agents. Paracetamol was found as a commonhousehold drug. Sixty-nine percent of patients were procuring medication directly from the pharmacy and the remaining 31% were procuring theirmedication after consulting the physician. Mean scores of KAP in basal and endpoint assessment were compared using Student’s t-test. p value wasfound to be <0.000.Conclusion: The study tried to entitle the name of pharmacist as a patient educator who gives proper guidance to the patient and family membersabout the disease, domestic drug management, lifestyle modification, etc. The result of efficient patient counseling will be reflected on the properadherence of patient toward the medication and improved quality of life.Keywords: Knowledge, attitude and practice (KAP), Medication therapy management (MTM), Morisky medication adherence Scale – 4 (MMAS-4),patient education.



2010 ◽  
Vol 45 (5) ◽  
pp. 420-427 ◽  
Author(s):  
Lindsey R. Kelley ◽  
Jessica Vink ◽  
Scott M. Mark


Geriatrics ◽  
2018 ◽  
Vol 3 (3) ◽  
pp. 53 ◽  
Author(s):  
Rosanna Nga Suet Ip ◽  
Justin Wade Tenney ◽  
Angus Chun Kwok Chu ◽  
Pauline Lai Ming Chu ◽  
Grace Wai Man Young

Patients undergoing rehabilitation experience numerous changes in medication regimens during care transitions, exposing these patients to an increased risk of drug-related problems (DRPs). A prospective, non-randomized, quasi-experimental study was conducted in medical rehabilitation wards to evaluate the impact of pharmacist-delivered interventions and counseling on 30-day unplanned health care utilization and medication adherence for selected rehabilitation patients. A pharmacist provided medication reconciliation and counseling before discharge. Phone follow-up was completed 30 days after discharge to assess for unplanned health care utilization rate and medication adherence. A total of 85 patients (n = 43 in prospective intervention group and n = 42 in historical usual care group) were included. Among the intervention group, 23 DRPs were identified in 14 (32.6%) patients, resulting in 51 interventions. The intervention group had a significantly lower unplanned health care utilization rate than the usual care group (25.6% vs. 47.6%, p = 0.035). The risk of unplanned health care utilization was reduced by over 60% (Odds ratio (OR) = 0.378; 95% CI = 0.15–0.94). Patients reporting medium to high medication adherence increased from 23.6% to 88.4% 30 days after counseling (p < 0.05). Pharmacist medication reconciliation and discharge counseling reduced unplanned health care utilization 30 days after discharge and improved medication adherence.



Sign in / Sign up

Export Citation Format

Share Document