Literature DB >> 28453819

Evaluation of a care transition program with pharmacist-provided home-based medication review for elderly Singaporeans at high risk of readmissions.

McVin Hua Heng Cheen1,2, Chong Ping Goon1, Wan Chee Ong1, Paik Shia Lim1, Choon Nam Wan1, Mei Yan Leong3, Giat Yeng Khee1.   

Abstract

OBJECTIVE: This study aimed to determine whether pharmacist-provided home-based medication review (HBMR) can reduce readmissions in the elderly.
DESIGN: Retrospective cohort study.
SETTING: Patient's home. PARTICIPANTS: Records of patients referred to a care transition program from March 2011 through March 2015 were reviewed. Patients aged 60 years and older taking more than 5 medications and had at least 2 unplanned admissions within 3 months preceding the first home visit were included. INTERVENTION: Pharmacist-provided HBMR. MAIN OUTCOME MEASURES: Primary outcome was readmission rate over 6 months after the first home visit. Secondary outcomes included emergency department (ED) visits, outpatient visits and mortality. Drug-related problems (DRPs) were reported for the HBMR group. Multivariate incidence rate ratios (IRR) and hazard ratio (HR) were calculated with adjustments for covariates.
RESULTS: The study included 499 patients (97 HBMR, 402 no HBMR). Pharmacist-provided HBMR reduced readmissions by 26% (IRR = 0.74, 95% CI: 0.59-0.92, P = 0.007), reduced ED visits by 20% (IRR = 0.80, 95% CI: 0.66-0.98, P = 0.030) and increased outpatient visits by 16% (IRR = 1.16, 95% CI: 0.95-1.41, P = 0.150). There were 8 and 44 deaths in the HBMR and no HBMR groups respectively (HR = 0.73, 95% CI: 0.29-1.81, P = 0.492). Pharmacists identified 464 DRPs, with 169 (36.4%) resolved within 1 month after the home visit.
CONCLUSIONS: The study suggests that pharmacist-provided HBMR is effective in reducing readmissions and ED visits in the elderly. More studies in the Asian population are needed to determine its long term benefits and patient's acceptability.
© The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Entities:  

Keywords:  care transition; elderly; medication review; pharmacy; readmissions

Mesh:

Year:  2017        PMID: 28453819     DOI: 10.1093/intqhc/mzw150

Source DB:  PubMed          Journal:  Int J Qual Health Care        ISSN: 1353-4505            Impact factor:   2.038


  12 in total

1.  The Impact of Pharmacy-specific Predictors on the Performance of 30-Day Readmission Risk Prediction Models.

Authors:  Samuel Kabue; John Greene; Patricia Kipnis; Brian Lawson; Gina Rinetti-Vargas; Vincent Liu; Gabriel Escobar
Journal:  Med Care       Date:  2019-04       Impact factor: 2.983

2.  Implementation and Development of Emergency Department Pharmacist-Driven Patient-Care Transitional Model: A Discussion of Our Experiences and Processes.

Authors:  Arinze Nkemdirim Okere
Journal:  Innov Pharm       Date:  2018-10-04

3.  Pharmacist-Led Drug Therapy Problem Management in an Interprofessional Geriatric Care Continuum: A Subset of the PIVOTS Group.

Authors:  Ashley M Campbell; Kim C Coley; Jason M Corbo; Teresa M DeLellis; Matthew Joseph; Carolyn T Thorpe; Melissa S McGivney; Patricia Klatt; Lora Cox-Vance; Vincent Balestrino; Heather Sakely
Journal:  Am Health Drug Benefits       Date:  2018-12

Review 4.  Current perspectives on pharmacist home visits: do we keep reinventing the wheel?

Authors:  Priti S Flanagan; Andrea Barns
Journal:  Integr Pharm Res Pract       Date:  2018-10-01

5.  Medication-Related Problems in Outpatients With Decompensated Cirrhosis: Opportunities for Harm Prevention.

Authors:  Kelly L Hayward; Preya J Patel; Patricia C Valery; Leigh U Horsfall; Catherine Y Li; Penny L Wright; Caroline J Tallis; Katherine A Stuart; Katharine M Irvine; W Neil Cottrell; Jennifer H Martin; Elizabeth E Powell
Journal:  Hepatol Commun       Date:  2019-03-18

6.  Effectiveness of a pharmacist-led quality improvement program to reduce medication errors during hospital discharge.

Authors:  Doris George; Nirmala D Supramaniam; Siti Q Abd Hamid; Mohamad A Hassali; Wei-Yin Lim; Amar-Singh Hss
Journal:  Pharm Pract (Granada)       Date:  2019-08-21

Review 7.  Medication-related hospital admissions and readmissions in older patients: an overview of literature.

Authors:  A E M J H Linkens; V Milosevic; P H M van der Kuy; V H Damen-Hendriks; C Mestres Gonzalvo; K P G M Hurkens
Journal:  Int J Clin Pharm       Date:  2020-05-30

8.  Control in the Hospital by Extensive Clinical rules for Unplanned hospitalizations in older Patients (CHECkUP); study design of a multicentre randomized study.

Authors:  Aimée E M J H Linkens; Vanja Milosevic; Noémi van Nie; Anne Zwietering; Peter W de Leeuw; Marjan van den Akker; Jos M G A Schols; Silvia M A A Evers; Carlota Mestres Gonzalvo; Bjorn Winkens; Bob P A van de Loo; Louis de Wolf; Lucretia Peeters; Monique de Ree; Bart Spaetgens; Kim P G M Hurkens; Hugo M van der Kuy
Journal:  BMC Geriatr       Date:  2022-01-10       Impact factor: 3.921

9.  Evaluation of home medication review for patients with type 2 diabetes mellitus by community pharmacists: a randomised controlled trial.

Authors:  M Rozaini Rosli; Chin F Neoh; David B Wu; Nazariah W Hassan; Mahani Mahmud; Afifah Rahimi; Mahmathi Karuppannan
Journal:  Pharm Pract (Granada)       Date:  2021-09-09

10.  Intervention by a clinical pharmacist carried out at discharge of elderly patients admitted to the internal medicine department: influence on readmissions and costs.

Authors:  Andrea Lázaro Cebas; José Manuel Caro Teller; Carmen García Muñoz; Carlos González Gómez; José Miguel Ferrari Piquero; Carlos Lumbreras Bermejo; José Antonio Romero Garrido; Juana Benedí González
Journal:  BMC Health Serv Res       Date:  2022-02-09       Impact factor: 2.655

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