The status of the performance of medication reviews in German community pharmacies and assessment of the practical performance

被引:10
作者
Greissing, Claudia [1 ,2 ,3 ,4 ]
Koessler, Katharina [1 ,2 ,3 ,4 ]
Freyer, Johanna [2 ,3 ,4 ]
Hueter, Lucie [2 ,3 ,4 ]
Buchal, Peter [1 ]
Schiek, Susanne [2 ,3 ,4 ]
Bertsche, Thilo [2 ,3 ,4 ]
机构
[1] Klinikum Konstanz, Dept Pharm, Luisenstr 7, D-78464 Constance, Germany
[2] Univ Leipzig, Drug Safety Ctr, Eilenburger Str 15a, D-04317 Leipzig, Germany
[3] Univ Hosp Leipzig, Eilenburger Str 15a, D-04317 Leipzig, Germany
[4] Univ Leipzig, Inst Pharm, Dept Clin Pharm, Eilenburger Str 15a, D-04317 Leipzig, Germany
关键词
Community pharmacists; Drug-related problems; Germany; Implementation; Medication review; Online questionnaire; Practical performance; DRUG-RELATED PROBLEMS; GENERAL-PRACTITIONERS; CLINICAL PHARMACIST; PRIMARY-CARE; INFORMATION; THERAPY; APPROPRIATENESS; IMPLEMENTATION; IDENTIFICATION; COMMUNICATION;
D O I
10.1007/s11096-016-0381-7
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Background Pharmacist-led medication reviews have shown to prevent drug-related problems (DRPs). So far, data is rare about the implementation in routine care, the conditions for intensifying this service and the practical skills of community pharmacists to perform medication reviews. Objective To assess the current status of medication review implementation in German community pharmacies and the performance of identifying DRPs in a ficticious patient example. Setting German community pharmacies. Method An online survey was conducted from July to September 2015 including questions about medication reviews currently performed in routine care of community pharmacies and hidden DRPs in a ficticious patient example. Pharmacists were invited via newsletters from three local chambers of pharmacists. Main outcome measure (i) Frequency, conditions for implementation, and criteria of medication reviews currently being performed in routine care, (ii) requested further information to perform medication reviews, and (iii) proportion of pharmacists who identify DRPs in the patient example. Results A total of 143 community pharmacists completed the questionnaire. (i) One hundred and twenty-seven respondents (89 %) reported reviewing the medication regularly in routine care, whereas 56 (39 %) stated that they performed medication reviews between one and five times monthly. For 124 pharmacists (87 %), remuneration would be a necessary condition for performing medication reviews more frequently. When reviewing the medication, 112 (78 %) of the pharmacists considered the criterion 'drug-drug interactions' and 107 (75 %) reviewed the criterion 'correct dosage'. One of the least reviewed criteria was 'effectiveness of medication' [22 (16 %)]. (ii) According to the participants, laboratory values should be available in the community pharmacy, since 87/143 (61 %) would appreciate the GFR and the HbA1c level. Twenty-two of 54 respondents (41 %) would appreciate further administration instructions and 5 of 54 (15 %) think they would benefit from information about the recommended duration of drug use. (iii) Depending on the category, 4 (3 %) to 49 (34 %) of all 143 pharmacists identified the hidden DRP in the patient example. Conclusion German community pharmacists reported reviewing the medication of their patients regularly; however, most of the respondents review the medication very rarely in routine care. Consequently, their practical performance needs to be improved.
引用
收藏
页码:1425 / 1435
页数:11
相关论文
共 41 条
  • [1] ABDA-Federal Union of German Associations of Pharmacists, POS PAP MED REV MED
  • [2] The Information on Drug Therapy in the Medical Report: What do General Practitioners need?
    Adam, H.
    Niebling, W.
    Schott, G.
    [J]. DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 2015, 140 (08) : E74 - E79
  • [3] ARMIN, MED IN SACHS THUR
  • [4] Assessment of a computerised decision support system for allergic rhino-conjunctivitis counselling in German pharmacy
    Bertsche, Thilo
    Nachbar, Markus
    Fiederling, Jonas
    Schmitt, Simon P. W.
    Kaltschmidt, Jens
    Seidling, Hanna M.
    Haefeli, Walter E.
    [J]. INTERNATIONAL JOURNAL OF CLINICAL PHARMACY, 2012, 34 (01) : 17 - 22
  • [5] Prevention of adverse drug reactions in intensive care patients by personal intervention based on an electronic clinical decision support system
    Bertsche, Thilo
    Pfaff, Johannes
    Schiller, Petra
    Kaltschmidt, Jens
    Pruszydlo, Markus G.
    Stremmel, Wolfgang
    Walter-Sack, Ingeborg
    Haefeli, Walter E.
    Encke, Jens
    [J]. INTENSIVE CARE MEDICINE, 2010, 36 (04) : 665 - 672
  • [6] Multidisciplinary pain management based on a computerized clinical decision support system in cancer pain patients
    Bertsche, Thilo
    Askoxylakis, Vasileios
    Habl, Gregor
    Laidig, Friederike
    Kaltschmidt, Jens
    Schmitt, Simon P. W.
    Ghaderi, Hamid
    Bois, Angelika Zabel-du
    Milker-Zabel, Stefanie
    Debus, Juergen
    Bardenheuer, Hubert J.
    Haefeli, Walter E.
    [J]. PAIN, 2009, 147 (1-3) : 20 - 28
  • [7] Falls prevention focused medication review by a pharmacist in an acute hospital: implications for future practice
    Browne, Claire
    Kingston, Claire
    Keane, Claire
    [J]. INTERNATIONAL JOURNAL OF CLINICAL PHARMACY, 2014, 36 (05) : 969 - 975
  • [8] Implementation of medication review with follow-up in a Spanish community pharmacy and its achieved outcomes
    Castrillon Ocampo, Carla
    Garcia-Cardenas, Victoria
    Martinez-Martinez, Fernando
    Benrimoj, Shalom I.
    Amariles, Pedro
    Angel Gastelurrutia, Miguel
    [J]. INTERNATIONAL JOURNAL OF CLINICAL PHARMACY, 2015, 37 (05) : 931 - 940
  • [9] Chamber of Pharmacists Baden-Wurttemberg, 2014, ATHINA PHARM REV MED
  • [10] Clinical medication reviews in elderly patients with polypharmacy: a cross-sectional study on drug-related problems in the Netherlands
    Chau, Sek Hung
    Jansen, Aaltje P. D.
    van de Ven, Peter M.
    Hoogland, Petra
    Elders, Petra J. M.
    Hugtenburg, Jacqueline G.
    [J]. INTERNATIONAL JOURNAL OF CLINICAL PHARMACY, 2016, 38 (01) : 46 - 53