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Pharmaceutical Discharge Management: Implementation in Swiss Hospitals Compared to International Guidelines

Readmissions to the hospital are frequent after hospital discharge. Pharmacist-led interventions have been shown to reduce readmissions. The objective of this study was to describe pharmacist-led interventions to support patients’ medication management at hospital discharge in Switzerland and to com...

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Autores principales: Studer, Helene, Boeni, Fabienne, Hersberger, Kurt E., Lampert, Markus L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7931052/
https://www.ncbi.nlm.nih.gov/pubmed/33562348
http://dx.doi.org/10.3390/pharmacy9010033
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author Studer, Helene
Boeni, Fabienne
Hersberger, Kurt E.
Lampert, Markus L.
author_facet Studer, Helene
Boeni, Fabienne
Hersberger, Kurt E.
Lampert, Markus L.
author_sort Studer, Helene
collection PubMed
description Readmissions to the hospital are frequent after hospital discharge. Pharmacist-led interventions have been shown to reduce readmissions. The objective of this study was to describe pharmacist-led interventions to support patients’ medication management at hospital discharge in Switzerland and to compare them to international guidelines. We conducted a national online survey among chief hospital pharmacists focusing on medication management at hospital discharge. To put our findings in perspective, Cochrane reviews and guidelines were searched for summarised evidence and recommendations on interventions. Based on answers in the survey, hospitals with implemented models to support patients at discharge were selected for in-depth interviews. In semi-structured interviews, they were asked to describe pharmacists’ involvement in the patients’ pathway throughout the hospital stay. In Swiss hospitals (n = 44 survey participants), interventions to support patients at discharge were frequently implemented, mostly “patient education” (n = 40) and “communication to primary care provider” (n = 34). These interventions were commonly recommended in guidelines. Overall, pharmacists were rarely involved in the interventions on a regular basis. When pharmacists were involved, the services were provided by hospital pharmacies or collaborating community pharmacies. In conclusion, interventions recommended in guidelines were frequently implemented in Swiss hospitals, however pharmacists were rarely involved.
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spelling pubmed-79310522021-03-05 Pharmaceutical Discharge Management: Implementation in Swiss Hospitals Compared to International Guidelines Studer, Helene Boeni, Fabienne Hersberger, Kurt E. Lampert, Markus L. Pharmacy (Basel) Article Readmissions to the hospital are frequent after hospital discharge. Pharmacist-led interventions have been shown to reduce readmissions. The objective of this study was to describe pharmacist-led interventions to support patients’ medication management at hospital discharge in Switzerland and to compare them to international guidelines. We conducted a national online survey among chief hospital pharmacists focusing on medication management at hospital discharge. To put our findings in perspective, Cochrane reviews and guidelines were searched for summarised evidence and recommendations on interventions. Based on answers in the survey, hospitals with implemented models to support patients at discharge were selected for in-depth interviews. In semi-structured interviews, they were asked to describe pharmacists’ involvement in the patients’ pathway throughout the hospital stay. In Swiss hospitals (n = 44 survey participants), interventions to support patients at discharge were frequently implemented, mostly “patient education” (n = 40) and “communication to primary care provider” (n = 34). These interventions were commonly recommended in guidelines. Overall, pharmacists were rarely involved in the interventions on a regular basis. When pharmacists were involved, the services were provided by hospital pharmacies or collaborating community pharmacies. In conclusion, interventions recommended in guidelines were frequently implemented in Swiss hospitals, however pharmacists were rarely involved. MDPI 2021-02-07 /pmc/articles/PMC7931052/ /pubmed/33562348 http://dx.doi.org/10.3390/pharmacy9010033 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 Article
Studer, Helene
Boeni, Fabienne
Hersberger, Kurt E.
Lampert, Markus L.
Pharmaceutical Discharge Management: Implementation in Swiss Hospitals Compared to International Guidelines
title Pharmaceutical Discharge Management: Implementation in Swiss Hospitals Compared to International Guidelines
title_full Pharmaceutical Discharge Management: Implementation in Swiss Hospitals Compared to International Guidelines
title_fullStr Pharmaceutical Discharge Management: Implementation in Swiss Hospitals Compared to International Guidelines
title_full_unstemmed Pharmaceutical Discharge Management: Implementation in Swiss Hospitals Compared to International Guidelines
title_short Pharmaceutical Discharge Management: Implementation in Swiss Hospitals Compared to International Guidelines
title_sort pharmaceutical discharge management: implementation in swiss hospitals compared to international guidelines
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7931052/
https://www.ncbi.nlm.nih.gov/pubmed/33562348
http://dx.doi.org/10.3390/pharmacy9010033
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