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Community Pharmacist Telephonic Medication Reviews with Uncontrolled Asthma Patients: A Pilot Study

This study reports the process of telephonic medication reviews conducted by community pharmacists for patients with asthma. The study occurred at an independent community chain in association with a Missouri Medicaid consulting group. Participants were identified utilizing claims data and met the N...

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Autores principales: Hartley, Kathryn A., Guthrie, Kendall D., Stoner, Steven C., May, Justin R., Hartwig, D. Matthew, Liu, Yifei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7838915/
https://www.ncbi.nlm.nih.gov/pubmed/33499009
http://dx.doi.org/10.3390/pharmacy9010025
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author Hartley, Kathryn A.
Guthrie, Kendall D.
Stoner, Steven C.
May, Justin R.
Hartwig, D. Matthew
Liu, Yifei
author_facet Hartley, Kathryn A.
Guthrie, Kendall D.
Stoner, Steven C.
May, Justin R.
Hartwig, D. Matthew
Liu, Yifei
author_sort Hartley, Kathryn A.
collection PubMed
description This study reports the process of telephonic medication reviews conducted by community pharmacists for patients with asthma. The study occurred at an independent community chain in association with a Missouri Medicaid consulting group. Participants were identified utilizing claims data and met the National Quality Forum criteria for uncontrolled moderate-to-severe persistent asthma. A pharmacist performed the initial encounter via telephone which included a knowledge questionnaire, symptom control assessment, and medication review. Pharmacists identified drug-related problems (DRPs) and faxed recommendations to patients’ primary care providers (PCPs). Thirty days later, pharmacists called to follow up with the patients and faxed PCPs to resolve any outstanding DRPs, new DRPs, or recommendations. Questionnaire scores and symptom control assessments were compared and analyzed utilizing a paired t-test, Chi-squared test, or Fisher’s exact test. The number and categories of DRPs, recommendations made by pharmacists, and intervention time were reported. Fourteen participants completed initial encounters with twelve completing follow-up. The majority answered ‘yes’ to at least one symptom control assessment question indicating partially controlled to uncontrolled asthma. The average knowledge assessment score was 5.17 out of 7 initially and 5.42 for the follow-up. Pharmacists identified 43 DRPs and made 41 recommendations with a mean intervention time of 65 min.
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spelling pubmed-78389152021-01-28 Community Pharmacist Telephonic Medication Reviews with Uncontrolled Asthma Patients: A Pilot Study Hartley, Kathryn A. Guthrie, Kendall D. Stoner, Steven C. May, Justin R. Hartwig, D. Matthew Liu, Yifei Pharmacy (Basel) Brief Report This study reports the process of telephonic medication reviews conducted by community pharmacists for patients with asthma. The study occurred at an independent community chain in association with a Missouri Medicaid consulting group. Participants were identified utilizing claims data and met the National Quality Forum criteria for uncontrolled moderate-to-severe persistent asthma. A pharmacist performed the initial encounter via telephone which included a knowledge questionnaire, symptom control assessment, and medication review. Pharmacists identified drug-related problems (DRPs) and faxed recommendations to patients’ primary care providers (PCPs). Thirty days later, pharmacists called to follow up with the patients and faxed PCPs to resolve any outstanding DRPs, new DRPs, or recommendations. Questionnaire scores and symptom control assessments were compared and analyzed utilizing a paired t-test, Chi-squared test, or Fisher’s exact test. The number and categories of DRPs, recommendations made by pharmacists, and intervention time were reported. Fourteen participants completed initial encounters with twelve completing follow-up. The majority answered ‘yes’ to at least one symptom control assessment question indicating partially controlled to uncontrolled asthma. The average knowledge assessment score was 5.17 out of 7 initially and 5.42 for the follow-up. Pharmacists identified 43 DRPs and made 41 recommendations with a mean intervention time of 65 min. MDPI 2021-01-22 /pmc/articles/PMC7838915/ /pubmed/33499009 http://dx.doi.org/10.3390/pharmacy9010025 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Hartley, Kathryn A.
Guthrie, Kendall D.
Stoner, Steven C.
May, Justin R.
Hartwig, D. Matthew
Liu, Yifei
Community Pharmacist Telephonic Medication Reviews with Uncontrolled Asthma Patients: A Pilot Study
title Community Pharmacist Telephonic Medication Reviews with Uncontrolled Asthma Patients: A Pilot Study
title_full Community Pharmacist Telephonic Medication Reviews with Uncontrolled Asthma Patients: A Pilot Study
title_fullStr Community Pharmacist Telephonic Medication Reviews with Uncontrolled Asthma Patients: A Pilot Study
title_full_unstemmed Community Pharmacist Telephonic Medication Reviews with Uncontrolled Asthma Patients: A Pilot Study
title_short Community Pharmacist Telephonic Medication Reviews with Uncontrolled Asthma Patients: A Pilot Study
title_sort community pharmacist telephonic medication reviews with uncontrolled asthma patients: a pilot study
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7838915/
https://www.ncbi.nlm.nih.gov/pubmed/33499009
http://dx.doi.org/10.3390/pharmacy9010025
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