<abstract xmlns="http://www.w3.org/1999/xhtml"><p>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 (<italic>p</italic> = 0.025) and patients using five or more medications (<italic>p</italic> = 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.</p></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.

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

Centre for Pharmaceutical Care Studies (Centro de Estudos Atencao Farmaceutica)

Federal University of Minas Gerais Belo Horizonte

Acta Pharmaceutica

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

This study employed a mixed-method approach to enable the implementation of comprehensive medication management (CMM) services in Croatia’s primary care...

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

Publié en ligne: 21 oct. 2019

Pages: 585 - 606

Accepté: 23 juil. 2019

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

Mots clés
comprehensive medication management services, drug therapy problems, risk factors, pharmaceutical care, primary care, implementation stage

© 2019 Andrea Brajković et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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

Publié en ligne: 21 oct. 2019

Pages: 585 - 606

Accepté: 23 juil. 2019

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

Mots cléscomprehensive medication management services, drug therapy problems, risk factors, pharmaceutical care, primary care, implementation stage

© 2019 Andrea Brajković et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Mots clés
comprehensive medication management services, drug therapy problems, risk factors, pharmaceutical care, primary care, implementation stage