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Implementation of medication management services at the primary healthcare level – a pilot study Cover

Implementation of medication management services at the primary healthcare level – a pilot study

Open Access
|Oct 2019

Abstract

This study employed a mixed-method approach to enable the implementation of comprehensive medication management (CMM) services in Croatia’s primary care setting. Drug therapy problems (DTPs) and factors associated with their occurrence were determined in patients with chronic diseases from January 2018 to April 2019. The pre-implementation stage established the foundations for the early implementation stage, in which the practice was set up, the patients’ recruitment initiated and various challenges identified. During the study period, 86 patients were recruited for CMM provision. Overall, 2.8 DTPs (± 1.6) per patient were identified and the majority (96.2 %) presented with at least one DTP. Multiple regression analysis showed that type 2 diabetic patients (p = 0.025) and patients using five or more medications (p = 0.011) should be prioritized to receive CMM services as potentially they have a higher number of DTPs, and could, therefore, obtain a greater benefit from the service.

DOI: https://doi.org/10.2478/acph-2019-0055 | Journal eISSN: 1846-9558 | Journal ISSN: 1330-0075
Language: English
Page range: 585 - 606
Accepted on: Jul 23, 2019
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Published on: Oct 21, 2019
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Related subjects:

© 2019 Andrea Brajković, Iva Mucalo, Toni Vidović, Mariana Martins Gonzaga, Do Nascimento, Antonija Balenović, Ino Protrka, Djenane Ramalho De Oliveira, published by Croatian Pharmaceutical Society
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.