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Acta Pharmaceutica, Vol. 69 No. 4, 2019.

Original scientific paper

https://doi.org/10.2478/acph-2019-0055

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

ANDREA BRAJKOVIĆ ; University of Zagreb Faculty of Pharmacy and Biochemistry, Zagreb, Croatia
IVA MUCALO orcid id orcid.org/0000-0002-5566-9356 ; University of Zagreb Faculty of Pharmacy and Biochemistry, Zagreb, Croatia
TONI VIDOVIĆ ; Zagreb City Pharmacy, Zagreb, Croatia
MARIANA MARTINS GONZAGA DO NASCIMENTO ; Centre for Pharmaceutical Care Studies (Centro de Estudos Atencao Farmaceutica), Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
ANTONIJA BALENOVIĆ ; Health Centre Zagreb – Centre, Zagreb, Croatia
INO PROTRKA ; Health Centre Zagreb – Centre, Zagreb, Croatia
DJENANE RAMALHO DE OLIVEIRA ; Centre for Pharmaceutical Care Studies (Centro de Estudos Atencao Farmaceutica), Federal University of Minas Gerais, Belo Horizonte, MG, Brazil

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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.

Keywords

comprehensive medication management services; drug therapy problems; risk factors; pharmaceutical care; primary care; implementation stage

Hrčak ID:

225505

URI

https://hrcak.srce.hr/225505

Publication date:

31.12.2019.

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