Pharmaceutical care for elderly patients shared between community pharmacists and general practitioners: a randomised evaluation. RESPECT Randomised Evaluation of Shared Prescribing for Elderly people in the Community over Time ISReport as inadecuate




Pharmaceutical care for elderly patients shared between community pharmacists and general practitioners: a randomised evaluation. RESPECT Randomised Evaluation of Shared Prescribing for Elderly people in the Community over Time IS - Download this document for free, or read online. Document in PDF available to download.

BMC Health Services Research

, 4:11

First Online: 07 June 2004Received: 24 December 2002Accepted: 07 June 2004DOI: 10.1186-1472-6963-4-11

Cite this article as: Wong, I., Campion, P., Coulton, S. et al. BMC Health Serv Res 2004 4: 11. doi:10.1186-1472-6963-4-11

Abstract

BackgroundThis trial aims to investigate the effectiveness and cost implications of -pharmaceutical care- provided by community pharmacists to elderly patients in the community. As the UK government has proposed that by 2004 pharmaceutical care services should extend nationwide, this provides an opportunity to evaluate the effect of pharmaceutical care for the elderly.

DesignThe trial design is a randomised multiple interrupted time series. We aim to recruit 700 patients from about 20 general practices, each associated with about three community pharmacies, from each of the five Primary Care Trusts in North and East Yorkshire. We shall randomise the five resulting groups of practices, pharmacies and patients to begin pharmaceutical care in five successive phases. All five will act as controls until they receive the intervention in a random sequence. Until they receive training community pharmacists will provide their usual dispensing services and so act as controls.

The community pharmacists and general practitioners will receive training in pharmaceutical care for the elderly. Once trained, community pharmacists will meet recruited patients, either in their pharmacies in a consultation room or dispensary to preserve confidentiality or at home. They will identify drug-related issues-problems, and design a pharmaceutical care plan in conjunction with both the GP and the patient. They will implement, monitor, and update this plan monthly. The primary outcome measure is the -Medication Appropriateness Index-. Secondary measures include adverse events, quality of life, and patient knowledge and compliance. We shall also investigate the cost of pharmaceutical care to the NHS, to patients and to society as a whole.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6963-4-11 contains supplementary material, which is available to authorized users.

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Author: I Wong - P Campion - S Coulton - B Cross - H Edmondson - A Farrin - G Hill - A Hilton - Z Philips - S Richmond - I Russ

Source: https://link.springer.com/







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