Process, impact and outcomes of medication review in Australian residential aged care facilities: A systematic review

被引：58

作者：

Chen, Esa Y. H. ^{[1
,2
]}

Wang, Kate N. ^{[1
]}

Sluggett, Janet K. ^{[1
,2
]}

Ilomaki, Jenni ^{[1
,3
]}

Hilmer, Sarah N. ^{[2
,4
,5
]}

Corlis, Megan ^{[2
,6
]}

Bell, J. Simon ^{[1
,2
,3
]}

机构：

[1] Monash Univ, Ctr Med Use & Safety, Fac Pharm & Pharmaceut Sci, 381 Royal Parade, Parkville, Vic 3052, Australia

[2] Univ Sydney, NHMRC Cognit Decline Partnership Ctr, Sydney, NSW, Australia

[3] Monash Univ, Sch Publ Hlth & Preventat Med, Dept Epidemiol & Prevent Med, Melbourne, Vic, Australia

[4] Univ Sydney, Kolling Inst, Fac Med & Hlth, St Leonards, NSW, Australia

[5] Royal North Shore Hosp, St Leonards, NSW, Australia

[6] Helping Hand Aged Care, Adelaide, SA, Australia

来源：

AUSTRALASIAN JOURNAL ON AGEING | 2019年 / 38卷

基金：

澳大利亚国家健康与医学研究理事会;

关键词：

aged care; geriatric medicine; health services; medication review; medication therapy management; pharmacist intervention; DRUG-RELATED PROBLEMS; RANDOMIZED CONTROLLED-TRIAL; NURSING-HOME RESIDENTS; BURDEN INDEX; MANAGEMENT REVIEWS; PHARMACIST; PEOPLE; RECOMMENDATIONS; INTERVENTIONS; POLYPHARMACY;

D O I：

10.1111/ajag.12676

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Objective To systematically review literature reporting processes, impact and outcomes of medication review and reconciliation in Australian residential aged care facilities (RACFs). Methods PubMed/MEDLINE, EMBASE, CINAHL, Informit Health and grey literature were searched from 1995 to July 2018. Studies reporting outcomes of a stand-alone medication review or reconciliation interventions in Australian RACFs were included. Results Thirteen studies investigated medication review, eight of which studied Residential Medication Management Reviews (RMMRs). Five studies reported that medication reviews identified an average of 2.7-3.9 medication-related problems (MRPs) per resident. One study reported medication reviews had no impact on quality of life, hospitalisation or mortality, but was not powered to assess these. Three studies reported general practitioners' acceptance of pharmacists' recommendations to resolve MRPs, ranging between 45 and 84%. Conclusions Medication review may be a useful strategy to identify and prompt resolution of MRPs. However, the impact on clinical and resident-centred outcomes remains unclear.

引用

页码：9 / 25

页数：17

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