Clinical outcomes of medication therapy management services in primary health care
AUTOR(ES)
Mendonça, Simone de Araújo Medina, Melo, Angelita Cristine, Pereira, Gabriela Cristina Coelho, Santos, Danielle Maria de Souza Serio dos, Grossi, Elisa Brandão, Sousa, Maria do Carmo Vilas Boas, Oliveira, Djenane Ramalho de, Soares, Adriana Cristina
FONTE
Braz. J. Pharm. Sci.
DATA DE PUBLICAÇÃO
2016-09
RESUMO
ABSTRACT This study evaluates whether the integration of pharmacists into health-care teams through the delivery of pharmaceutical care-based medication therapy management (MTM) services can improve the clinical outcomes of patients with chronic health conditions in the primary health-care setting. A retrospective descriptive study of 92 outpatients assisted by MTM pharmacists in primary health-care units was carried out over 28 months (median follow-up: 05 months). Patients were followed up by MTM pharmacists, with a total of 359 encounters and a ratio of 3.9 encounters per patient. The prevalence of hypertension, diabetes mellitus and dyslipidaemia was 29.5%, 22.0% and 19.4%, respectively. There was a high prevalence of drug-related problems with a ratio of 3.4 per patient. Pharmacists performed a total of 307 interventions to prevent or resolve drug-related problems. With regard to control of the most prevalent chronic medical conditions, a high percentage of patients reached their therapy goals by the last encounter with the pharmacist: 90.0% for hypertension, 72.3% for diabetes mellitus and 90.3% for dyslipidaemia. MTM services provided by pharmacists resolved drug therapy problems and improved patients' clinical outcomes. This study provides evidence for health-care managers of the need to expand the clinical role of pharmacists within the Brazilian public health-care system.
Documentos Relacionados
- Availability and structure of primary medical care services and population health and health care indicators in England
- Associations between primary health care strategies and outcomes of mental disorders
- Quality of infant care in primary health services in Southern and Northeastern Brazil
- Comprehensive personal health care services: a management challenge to the health professions.
- Effect of crew resource management on diabetes care and patient outcomes in an inner‐city primary care clinic