Breaking News
May 3, 2019 - Vaping and Smoking May Signal Greater Motivation to Quit
May 3, 2019 - Dementia looks different in brains of Hispanics
May 3, 2019 - Short-Staffed Nursing Homes See Drop In Medicare Ratings
May 3, 2019 - Study of teens with eating disorders explores how substance users differ from non-substance users
May 3, 2019 - Scientists develop new video game that may help in the study of Alzheimer’s
May 3, 2019 - Arc Bio introduces Galileo Pathogen Solution product line at ASM Clinical Virology Symposium
May 3, 2019 - Cornell University study uncovers relationship between starch digestion gene and gut bacteria
May 3, 2019 - How to Safely Use Glucose Meters and Test Strips for Diabetes
May 3, 2019 - Anti-inflammatory drugs ineffective for prevention of Alzheimer’s disease
May 3, 2019 - Study tracks Pennsylvania’s oil and gas waste-disposal practices
May 3, 2019 - Creating a better radiation diagnostic test for astronauts
May 3, 2019 - Vegans are often deficient in these four nutrients
May 3, 2019 - PPDC announces seed grants to develop medical devices for children
May 3, 2019 - Study maps out the frequency and impact of water polo head injuries
May 3, 2019 - Research on Reddit identifies risks associated with unproven treatments for opioid addiction
May 3, 2019 - Good smells may help ease tobacco cravings
May 3, 2019 - Medical financial hardship found to be very common among people in the United States
May 3, 2019 - Researchers develop multimodal system for personalized post-stroke rehabilitation
May 3, 2019 - Study shows significant mortality benefit with CABG over percutaneous coronary intervention
May 3, 2019 - Will gene-editing of human embryos ever be justifiable?
May 3, 2019 - FDA Approves Dengvaxia (dengue vaccine) for the Prevention of Dengue Disease in Endemic Regions
May 3, 2019 - Why Tonsillitis Keeps Coming Back
May 3, 2019 - Fighting the opioid epidemic with data
May 3, 2019 - Maggot sausages may soon be a reality
May 3, 2019 - Deletion of ATDC gene prevents development of pancreatic cancer in mice
May 2, 2019 - Targeted Therapy Promising for Rare Hematologic Cancer
May 2, 2019 - Alzheimer’s disease is a ‘double-prion disorder,’ study shows
May 2, 2019 - Reservoir bugs: How one bacterial menace makes its home in the human stomach
May 2, 2019 - Clinical, Admin Staff From Cardiology Get Sneak Peek at Epic
May 2, 2019 - Depression increases hospital use and mortality in children
May 2, 2019 - Vicon and NOC support CURE International to create first gait lab in Ethiopia
May 2, 2019 - Researchers use 3D printer to make paper organs
May 2, 2019 - Viral infection in utero associated with behavioral abnormalities in offspring
May 2, 2019 - U.S. Teen Opioid Deaths Soaring
May 2, 2019 - Opioid distribution data should be public
May 2, 2019 - In the Spotlight: “I’m learning every single day”
May 2, 2019 - 2019 Schaefer Scholars Announced
May 2, 2019 - Podcast: KHN’s ‘What The Health?’ Bye-Bye, ACA, And Hello ‘Medicare-For-All’?
May 2, 2019 - Study describes new viral molecular evasion mechanism used by cytomegalovirus
May 2, 2019 - SLU study suggests a more equitable way for Medicare reimbursement
May 2, 2019 - Scientists discover first gene involved in lower urinary tract obstruction
May 2, 2019 - Researchers identify 34 genes associated with increased risk of ovarian cancer
May 2, 2019 - Many low-income infants receive formula in the first few days of life, finds study
May 2, 2019 - Global study finds high success rate for hip and knee replacements
May 2, 2019 - Taking depression seriously: What is it?
May 2, 2019 - With Head Injuries Mounting, Will Cities Put Their Feet Down On E-Scooters?
May 2, 2019 - Scientists develop small fluorophores for tracking metabolites in living cells
May 2, 2019 - Study casts new light into how mothers’ and babies’ genes influence birth weight
May 2, 2019 - Researchers uncover new brain mechanisms regulating body weight
May 2, 2019 - Organ-on-chip systems offered to Asia-Pacific regions by Sydney’s AXT
May 2, 2019 - Adoption of new rules drops readmission penalties against safety net hospitals
May 2, 2019 - Kids and teens who consume zero-calorie sweetened beverages do not save calories
May 2, 2019 - Improved procedure for cancer-related erectile dysfunction
May 2, 2019 - Hormone may improve social behavior in autism
May 2, 2019 - Alzheimer’s disease may be caused by infectious proteins called prions
May 2, 2019 - Even Doctors Can’t Navigate Our ‘Broken Health Care System’
May 2, 2019 - Study looks at the impact on criminal persistence of head injuries
May 2, 2019 - Honey ‘as high in sugars as table sugar’
May 2, 2019 - Innovations to U.S. food system could help consumers in choosing healthy foods
May 2, 2019 - FDA Approves Mavyret (glecaprevir and pibrentasvir) as First Treatment for All Genotypes of Hepatitis C in Pediatric Patients
May 2, 2019 - Women underreport prevalence and intensity of their own snoring
May 2, 2019 - Concussion summit focuses on science behind brain injury
May 2, 2019 - Booker’s Argument For Environmental Justice Stays Within The Lines
May 2, 2019 - Cornell research explains increased metastatic cancer risk in diabetics
May 2, 2019 - Mount Sinai study provides fresh insights into cellular pathways that cause cancer
May 2, 2019 - Researchers to study link between prenatal pesticide exposures and childhood ADHD
May 2, 2019 - CoGEN Congress 2019: Speakers’ overviews
May 2, 2019 - A new strategy for managing diabetic macular edema in people with good vision
May 2, 2019 - Sagent Pharmaceuticals Issues Voluntary Nationwide Recall of Ketorolac Tromethamine Injection, USP, 60mg/2mL (30mg per mL) Due to Lack of Sterility Assurance
May 2, 2019 - Screen time associated with behavioral problems in preschoolers
May 2, 2019 - Hormone reduces social impairment in kids with autism | News Center
May 2, 2019 - Researchers synthesize peroxidase-mimicking nanozyme with low cost and superior catalytic activity
May 2, 2019 - Study results of a potential drug to treat Type 2 diabetes in children announced
May 2, 2019 - Multigene test helps doctors to make effective treatment decisions for breast cancer patients
May 2, 2019 - UNC School of Medicine initiative providing unique care to dementia patients
May 2, 2019 - Nestlé Health Science and VHP join forces to launch innovative COPES program for cancer patients
May 2, 2019 - Study examines how our brain generates consciousness and loses it during anesthesia
May 2, 2019 - Transition Support Program May Aid Young Adults With Type 1 Diabetes
May 2, 2019 - Study shows how neutrophils exacerbate atherosclerosis by inducing smooth muscle-cell death
May 2, 2019 - Research reveals complexity of how we make decisions
Pharmacists can play key role in resolving treatment-related problems among undeserved people

Pharmacists can play key role in resolving treatment-related problems among undeserved people

Pharmacist-delivered home medication management review service effectively resolves treatment-related problems in patients displaced by humanitarian crisis, according to a new study published in Research in Social and Administrative Pharmacy

As global political conflicts continue to increase, more and more refugees are facing urgent challenges such as the unavailability of proper medical care. Many of the Syrian refugees now living in Jordan (the entire group accounts for one-tenth of that country’s population) are struggling with at least one chronic disease, placing tremendous strain on existing health and humanitarian resources as a result. A new study published in Research in Social and Administrative Pharmacy demonstrates that pharmacists can play a vital role in closing treatment gaps for managing chronic health conditions among this underserved population.

“Refugees around the world suffer multiple and complex health issues while health access is limited. This study provides important information not only regarding the health of refugees, but regarding the vital role that can be played by pharmacists in this emerging field,” commented the study’s lead investigator, Iman A. Basheti, Department of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy, Applied Science Private University, Amman, Jordan, and Faculty of Pharmacy (Honorary Professor), The University of Sydney, Australia.

The study identified the type and frequency of treatment-related problems (TRPs) for this population and explored the impact of a pharmacist-delivered Home Medication Management Review (HMMR) service on resolving the identified TRPs. Significant differences between the intervention and control groups were found with regards to TRPs’ outcomes at follow-up. The percentage of TRPs resolved/improved in the intervention group was 66.8 percent compared to 1.5 percent in the control group. Furthermore, the percentage of “no change” in the TRPs was found to be 19.7 percent in the intervention group compared to 94.1 percent in the control group.

This single-blinded randomized controlled clinical study was conducted between May and October 2016 in three main cities in Jordan (Amman, Mafraq, and Zarqa), where the majority of Syrian refugees reside. The 109 patients who took part in the study were recruited from physicians’ clinics allocated for the refugees, had at least one chronic condition (more than half had hypertension and diabetes; many had dyslipidemia, cardiac illnesses, and asthma), and/or took five or more medications with at least 12 daily doses. Participants evenly divided into intervention and control groups. All were interviewed during home visits, and when intervention group members reported TRPs, pharmacists counseled them about their illnesses, medications, and adherence to treatment. The pharmacists’ treatment recommendations were delivered to the physicians for approval, modification, or rejection. Pharmacists conveyed the approved changes to the patients, who then visited their physicians for confirmation and evaluation. The conditions, TRPs, treatment recommendations, and outcomes were classified and assessed to measure the success of the interventions. This protocol was based on an Australian HMMR model.

A large majority of the patients and physicians involved indicated satisfaction with the HMMR service provided through this study. Nearly 80 percent of the patients expressed positive reactions to the friendliness/courtesy of the pharmacists, clarity of information provided, level of knowledge, and quality of counseling/education they received, and amount of time required for treatment. All of the physicians believed that the HMMR service was helpful, three-quarters of them said they believed it is feasible, and 62.5 percent were happy with the clarity of the pharmacists’ recommendations.

“The study confirms that the HMMR service can be translated and implemented for this special group population in Jordan, a developing country situated in a region of war and conflicts,” noted Dr. Basheti, who pointed out that 75 percent of the participating physicians believed such implementation was possible, with the caveat that professional remuneration is provided. This comes in line with the WHO recommendations supporting the implementation of the recently published report by the High-Level Commission on Health Employment and Economic Growth, established by the United Nations Secretary in March 2016, and calling for “ambitious solutions to ensure that the world has the right number of jobs for health workers with the right skills and in the right places to deliver universal health coverage.” Preparing a skilled global health workforce that can deliver healthcare services in crises and humanitarian settings was also specified.

Tagged with:

About author

Related Articles