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Article: Effectiveness of shared pharmaceutical care for older patients: RESPECT trial findings

TitleEffectiveness of shared pharmaceutical care for older patients: RESPECT trial findings
Authors
KeywordsHealth Services For The Aged
Medication Therapy Management
Pharmaceutical Care
Polypharmacy
Randomised Controlled Trial
Issue Date2010
PublisherRoyal College of General Practitioners. The Journal's web site is located at http://www.rcgp.org.uk/webmaster/ebjgp/journallogin.asp?OrigURL=/journal/index.asp
Citation
British Journal Of General Practice, 2010, v. 60 n. 570, p. 14-20 How to Cite?
AbstractBackground: The pharmaceutical care approach serves as a model for medication review, involving collaboration between GPs, pharmacists, patients, and carers. Its use is advocated with older patients who are typically prescribed several drugs. However, it has yet to be thoroughly evaluated. Aim: To estimate the effectiveness of pharmaceutical care for older people, shared between GPs and community pharmacists in the UK, relative to usual care. Design of study: Multiple interrupted time-series design in five primary care trusts which implemented pharmaceutical care at 2-month intervals in random order. Patients acted as their own controls, and were followed over 3 years including their 12 months' participation in pharmaceutical care. Setting: In 2002, 760 patients, aged ≥75 years, were recruited from 24 general practices in East and North Yorkshire. Sixty-two community pharmacies also took part. A total of 551 participants completed the study. Method: Pharmaceutical care was undertaken by community pharmacists who interviewed patients, developed and implemented pharmaceutical care plans together with patients' GPs, and thereafter undertook monthly medication reviews. Pharmacists and GPs attended training before the intervention. Outcome measures were the UK Medication Appropriateness Index, the Short Form-36 Health Survey (SF-36), and serious adverse events. Results: The intervention did not lead to any statistically significant change in the appropriateness of prescribing or health outcomes. Although the mental component of the SF-36 decreased as study participants become older, this trend was not affected by pharmaceutical care. Conclusion: The RESPECT model of pharmaceutical care (Randomised Evaluation of Shared Prescribing for Elderly people in the Community over Time) shared between community pharmacists and GPs did not significantly change the appropriateness of prescribing or quality of life in older patients. ©British Journal of General Practice.
Persistent Identifierhttp://hdl.handle.net/10722/171395
ISSN
2015 Impact Factor: 2.741
2015 SCImago Journal Rankings: 0.767
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorRichmond, Sen_US
dc.contributor.authorMorton, Ven_US
dc.contributor.authorCross, Ben_US
dc.contributor.authorChi Kei Wong, Ien_US
dc.contributor.authorRussell, Ien_US
dc.contributor.authorPhilips, Zen_US
dc.contributor.authorMiles, Jen_US
dc.contributor.authorHilton, Aen_US
dc.contributor.authorHill, Gen_US
dc.contributor.authorFarrin, Aen_US
dc.contributor.authorCoulton, Sen_US
dc.contributor.authorChrystyn, Hen_US
dc.contributor.authorCampion, Pen_US
dc.date.accessioned2012-10-30T06:13:52Z-
dc.date.available2012-10-30T06:13:52Z-
dc.date.issued2010en_US
dc.identifier.citationBritish Journal Of General Practice, 2010, v. 60 n. 570, p. 14-20en_US
dc.identifier.issn0960-1643en_US
dc.identifier.urihttp://hdl.handle.net/10722/171395-
dc.description.abstractBackground: The pharmaceutical care approach serves as a model for medication review, involving collaboration between GPs, pharmacists, patients, and carers. Its use is advocated with older patients who are typically prescribed several drugs. However, it has yet to be thoroughly evaluated. Aim: To estimate the effectiveness of pharmaceutical care for older people, shared between GPs and community pharmacists in the UK, relative to usual care. Design of study: Multiple interrupted time-series design in five primary care trusts which implemented pharmaceutical care at 2-month intervals in random order. Patients acted as their own controls, and were followed over 3 years including their 12 months' participation in pharmaceutical care. Setting: In 2002, 760 patients, aged ≥75 years, were recruited from 24 general practices in East and North Yorkshire. Sixty-two community pharmacies also took part. A total of 551 participants completed the study. Method: Pharmaceutical care was undertaken by community pharmacists who interviewed patients, developed and implemented pharmaceutical care plans together with patients' GPs, and thereafter undertook monthly medication reviews. Pharmacists and GPs attended training before the intervention. Outcome measures were the UK Medication Appropriateness Index, the Short Form-36 Health Survey (SF-36), and serious adverse events. Results: The intervention did not lead to any statistically significant change in the appropriateness of prescribing or health outcomes. Although the mental component of the SF-36 decreased as study participants become older, this trend was not affected by pharmaceutical care. Conclusion: The RESPECT model of pharmaceutical care (Randomised Evaluation of Shared Prescribing for Elderly people in the Community over Time) shared between community pharmacists and GPs did not significantly change the appropriateness of prescribing or quality of life in older patients. ©British Journal of General Practice.en_US
dc.languageengen_US
dc.publisherRoyal College of General Practitioners. The Journal's web site is located at http://www.rcgp.org.uk/webmaster/ebjgp/journallogin.asp?OrigURL=/journal/index.aspen_US
dc.relation.ispartofBritish Journal of General Practiceen_US
dc.subjectHealth Services For The Ageden_US
dc.subjectMedication Therapy Managementen_US
dc.subjectPharmaceutical Careen_US
dc.subjectPolypharmacyen_US
dc.subjectRandomised Controlled Trialen_US
dc.titleEffectiveness of shared pharmaceutical care for older patients: RESPECT trial findingsen_US
dc.typeArticleen_US
dc.identifier.emailChi Kei Wong, I:wongick@hku.hken_US
dc.identifier.authorityChi Kei Wong, I=rp01480en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.3399/bjgp09X473295en_US
dc.identifier.scopuseid_2-s2.0-76149125513en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-76149125513&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume60en_US
dc.identifier.issue570en_US
dc.identifier.spage14en_US
dc.identifier.epage20en_US
dc.identifier.isiWOS:000274611100006-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridRichmond, S=24382167500en_US
dc.identifier.scopusauthoridMorton, V=6601964625en_US
dc.identifier.scopusauthoridCross, B=15044089300en_US
dc.identifier.scopusauthoridChi Kei Wong, I=7102513915en_US
dc.identifier.scopusauthoridRussell, I=7201981270en_US
dc.identifier.scopusauthoridPhilips, Z=6603428430en_US
dc.identifier.scopusauthoridMiles, J=8643445700en_US
dc.identifier.scopusauthoridHilton, A=7103389186en_US
dc.identifier.scopusauthoridHill, G=7401964095en_US
dc.identifier.scopusauthoridFarrin, A=6603339262en_US
dc.identifier.scopusauthoridCoulton, S=12774928900en_US
dc.identifier.scopusauthoridChrystyn, H=7005136151en_US
dc.identifier.scopusauthoridCampion, P=7006820227en_US
dc.identifier.citeulike6476005-

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