Pharmacist-led medication management program within a patient-centered medical home.
Purpose. The impact of a clinical pharmacist-led medication management program (MMP) within a patient-centered medical home (PCMH) was evaluated. Methods. This retrospective analysis included patients in Sutter Health's electronic health records who (1) were seen by the MMP clinical pharmacist withi...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 72; no. 6; pp. 453 - 460 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
3/15/2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103782002&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103782002 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 3/15/2015 vid: 72 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 103782002 101864574 10.2146/ajhp140487 NLM25736939 103782002 ppf: 453 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Pharmacist-led medication management program within a patient-centered medical home. aug: au: Romanelli, Robert J. Leahy, Angela Jukes, Trevor Ishisaka, Denis Y. affil: Health Services Researcher, Palo Alto Medical Foundation Research Institute, Palo Alto, CA; Clinical Outcomes Research, Clinical Integration Department, Sutter Health, Sacramento, CA sug: subj: Pharmacists Professional Role Patient Centered Care Residential Facilities Outcomes (Health Care) Medication Reconciliation Disease Management Human Retrospective Design Descriptive Statistics California Adolescence Adult Questionnaires Multiple Logistic Regression T-Tests Confidence Intervals Odds Ratio Post Hoc Analysis Data Analysis Software Male Female Middle Age Aged Aged, 80 and Over Funding Source Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Purpose. The impact of a clinical pharmacist-led medication management program (MMP) within a patient-centered medical home (PCMH) was evaluated. Methods. This retrospective analysis included patients in Sutter Health's electronic health records who (1) were seen by the MMP clinical pharmacist within the PCMH (MMP cohort), (2) were within the PCMH but were not referred to the MMP pharmacist (PCMH cohort), or (3) received usual care at two non-PCMH primary care clinics (usual care cohort). Patients were matched on their propensity for receiving medication management. The primary outcome measure was healthcare resource use (i.e., ambulatory care visits, emergency department [ED] visits, and hospitalizations). Results. MMP patients had a higher percentage of ambulatory care visits relative to PCMH patients (p = 0.004) but a lower rate of hospitalizations (p = 0.003). The MMP group had a lower frequency of hospitalizations (p < 0.001) and ED visits (p = 0.014) relative to patients in the usual care group. No differences in healthcare resource use were observed between the PCMH and usual care cohorts. Glycosylated hemoglobin, blood pressure, or lowdensity- lipoprotein cholesterol at goal did not significantly differ among the three cohorts. Conclusion. Patients in a pharmacist-led MMP had a significantly higher estimated rate of ambulatory care visits but a lower rate of hospitalizations than did patients who attended the same clinic but were not in the MMP. MMP patients had a similar rate of ambulatory care visits but significantly lower rates of hospitalizations and ED visits than patients receiving usual care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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