HIV medication therapy management services in community pharmacies

被引:16
作者
Kauffman, Yardlee [1 ]
Nair, Vidya [2 ]
Herist, Keith [3 ]
Thomas, Vasavi [4 ]
Weidle, Paul J. [4 ]
机构
[1] Univ Pittsburgh, Pittsburgh, PA 15260 USA
[2] NE Georgia Med Ctr, Gainesville, FL USA
[3] Univ Georgia, Coll Pharm, Athens, GA 30602 USA
[4] Ctr Dis Control & Prevent, Div HIV AIDS Prevent, Atlanta, GA USA
关键词
Medication therapy management; HIV; community pharmacy; antiretroviral therapy; PILOT PROGRAM; ADHERENCE; CARE; OUTCOMES;
D O I
10.1331/JAPhA.2012.12063
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Objectives: To present a rationale and a proposed structure to support pharmacist-delivered medication therapy management (MTM) for human immunodeficiency virus (HIV) disease and to outline challenges to implementing and sustaining the service. Data sources: Professional literature. Summary: Historically, the effect of pharmacy services for HIV-infected persons has been demonstrated in inpatient and clinic-based settings. Developing similar programs adapted for community pharmacists could be a model of care to improve patient adherence to antiretroviral therapy and retention in care. Initiation of antiretroviral therapy and regular monitoring of CD4+ cell count, HIV RNA viral load, adverse drug events, and adherence form the backbone of successful medical management of HIV infection. Support for these services can be provided to HIV-infected patients through pharmacist-managed HIV MTM programs in community pharmacy settings in collaboration with primary providers and other health care professionals. Conclusion: Community pharmacists can help meet the growing need for HIV care through provision of MTM services. Although resources have been developed, including the general MTM framework, challenges of adequate training, education, and support of community pharmacists need to be addressed in order for HIV MTM to be a successful model.
引用
收藏
页码:E287 / E291
页数:5
相关论文
共 35 条
[1]  
American College of Clinical Pharmacy, 2011, INT PHARM CLIN SERV
[2]  
Amesty S, 2012, NEW ORL AM PHARM ASS
[3]  
Amesty S, 2010, NAT HARB MD NAT HIV
[4]  
[Anonymous], U BUFF SCH PHARM PHA
[5]   Current trends in outpatient pharmacy services and billing [J].
Beatty, Stuart J. ;
McCormick, Kelly M. ;
Beale, David J. ;
Bruggeman, Athena M. ;
Rodis, Jennifer L. ;
Mehta, Bella H. ;
Bennett, Marialice S. .
JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION, 2012, 52 (02) :154-160
[6]  
Calderon Y, 2011, BOST C RETR OPP INF
[7]  
Carmichael J., 2009, Averting a crisis in HIV care: A joint statement of the American Academic of HIV Medicine (AAHIVM) and the HIV Medicine Association (HIVMA) on the HIV medical workforce
[8]  
Chrischilles Elizabeth A, 2004, J Am Pharm Assoc (2003), V44, P337, DOI 10.1331/154434504323063977
[9]   Improved antiretroviral refill adherence in HIV-focused community pharmacies [J].
Cocohoba, Jennifer M. ;
Murphy, Patricia ;
Pietrandoni, Glen ;
Guglielmo, B. Joseph .
JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION, 2012, 52 (05) :E67-E73
[10]  
Committee on HIV Screening and Access to Care Institute of Medicine, HIV SCREEN ACC CAR H