Prescribers’ approval rate of pharmacist-initiated interventions to optimise patients’ clinical status of hypertension in the ambulatory care setting
This perspective, pre- and post-intervention study with a one-year follow-up primarily aimed to ascertain prescribers’ approval rate of pharmacists’ interventions and clinical status of hypertension following comprehensive medication management (CMM) intervention in the ambulatory care clinic. Betwe...
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| Format: | Article |
| Language: | English |
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2023-12-01
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| Series: | Acta Pharmaceutica |
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| Online Access: | https://doi.org/10.2478/acph-2023-0047 |
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| author | Brajković Andrea Bićanić Lucija Ana Orehovački Helena Prkačin Ingrid Oliveira Djenane Ramalho De Mucalo Iva |
| author_facet | Brajković Andrea Bićanić Lucija Ana Orehovački Helena Prkačin Ingrid Oliveira Djenane Ramalho De Mucalo Iva |
| author_sort | Brajković Andrea |
| collection | DOAJ |
| description | This perspective, pre- and post-intervention study with a one-year follow-up primarily aimed to ascertain prescribers’ approval rate of pharmacists’ interventions and clinical status of hypertension following comprehensive medication management (CMM) intervention in the ambulatory care clinic. Between January 2018 and January 2022 overall 100 patients with hypertension and other comorbidities were referred to the CMM services at the Health Centre Zagreb – Centar (HCZC). Out of 275 interventions directed to prescribers, 73.1 % of interventions were approved, 12.4 % were rejected and 14.5 % were not reviewed. The percentage of patients with a blood pressure goal increased from 45 % at the initial consultation to 82.5 % at the patients’ latest encounter (p < 0.001). The average number of drug therapy problems (DTPs) per patient totaled 3.53 ± 1.80, where 98 % of patients had one or more DTPs, 48 % had 4 or more DTPs, whereas 26 % had 5 or more DTPs. Sub-therapeutic dosage (32.6 %) and the need for additional drug therapy (30.9 %) were the two most commonly identified DTPs. These results reinforce the need to integrate pharmacy-led services in the primary care setting with the aim of improving patients’ health outcomes. |
| format | Article |
| id | doaj-art-908110d84edb412ab1984c981081bf8b |
| institution | Kabale University |
| issn | 1846-9558 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Acta Pharmaceutica |
| spelling | doaj-art-908110d84edb412ab1984c981081bf8b2025-02-03T10:25:27ZengSciendoActa Pharmaceutica1846-95582023-12-0173472373410.2478/acph-2023-0047Prescribers’ approval rate of pharmacist-initiated interventions to optimise patients’ clinical status of hypertension in the ambulatory care settingBrajković Andrea0Bićanić Lucija Ana1Orehovački Helena2Prkačin Ingrid3Oliveira Djenane Ramalho De4Mucalo Iva51University of Zagreb Faculty of Pharmacy and Biochemistry, ZagrebCroatia2Health Care Centre Zagreb – Centar Zagreb, Croatia2Health Care Centre Zagreb – Centar Zagreb, Croatia3Department of Internal Medicine School of Medicine, University of Zagreb, Merkur University Hospital Zagreb, Croatia4College of Pharmacy, Centre for Pharmaceutical Care Studies, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil1University of Zagreb Faculty of Pharmacy and Biochemistry, ZagrebCroatiaThis perspective, pre- and post-intervention study with a one-year follow-up primarily aimed to ascertain prescribers’ approval rate of pharmacists’ interventions and clinical status of hypertension following comprehensive medication management (CMM) intervention in the ambulatory care clinic. Between January 2018 and January 2022 overall 100 patients with hypertension and other comorbidities were referred to the CMM services at the Health Centre Zagreb – Centar (HCZC). Out of 275 interventions directed to prescribers, 73.1 % of interventions were approved, 12.4 % were rejected and 14.5 % were not reviewed. The percentage of patients with a blood pressure goal increased from 45 % at the initial consultation to 82.5 % at the patients’ latest encounter (p < 0.001). The average number of drug therapy problems (DTPs) per patient totaled 3.53 ± 1.80, where 98 % of patients had one or more DTPs, 48 % had 4 or more DTPs, whereas 26 % had 5 or more DTPs. Sub-therapeutic dosage (32.6 %) and the need for additional drug therapy (30.9 %) were the two most commonly identified DTPs. These results reinforce the need to integrate pharmacy-led services in the primary care setting with the aim of improving patients’ health outcomes.https://doi.org/10.2478/acph-2023-0047hypertensioncomprehensive medication management servicespharmaceutical careprescriber’s approval rateprimary careclinical outcomes |
| spellingShingle | Brajković Andrea Bićanić Lucija Ana Orehovački Helena Prkačin Ingrid Oliveira Djenane Ramalho De Mucalo Iva Prescribers’ approval rate of pharmacist-initiated interventions to optimise patients’ clinical status of hypertension in the ambulatory care setting Acta Pharmaceutica hypertension comprehensive medication management services pharmaceutical care prescriber’s approval rate primary care clinical outcomes |
| title | Prescribers’ approval rate of pharmacist-initiated interventions to optimise patients’ clinical status of hypertension in the ambulatory care setting |
| title_full | Prescribers’ approval rate of pharmacist-initiated interventions to optimise patients’ clinical status of hypertension in the ambulatory care setting |
| title_fullStr | Prescribers’ approval rate of pharmacist-initiated interventions to optimise patients’ clinical status of hypertension in the ambulatory care setting |
| title_full_unstemmed | Prescribers’ approval rate of pharmacist-initiated interventions to optimise patients’ clinical status of hypertension in the ambulatory care setting |
| title_short | Prescribers’ approval rate of pharmacist-initiated interventions to optimise patients’ clinical status of hypertension in the ambulatory care setting |
| title_sort | prescribers approval rate of pharmacist initiated interventions to optimise patients clinical status of hypertension in the ambulatory care setting |
| topic | hypertension comprehensive medication management services pharmaceutical care prescriber’s approval rate primary care clinical outcomes |
| url | https://doi.org/10.2478/acph-2023-0047 |
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