Breaking News
August 16, 2018 - Can manipulating gut microbes improve cardiac function in patients with heart failure?
August 16, 2018 - Hearts of newborn piglets can completely heal after heart attacks
August 16, 2018 - Ablating the mutant p53 gene in mice with colorectal cancer inhibits tumor growth
August 16, 2018 - Higher BMI in people with prediabetes related to evening preference and lack of sufficient sleep
August 16, 2018 - Using peripheral nerve blocks to treat facial pain may produce long-term pain relief
August 16, 2018 - Neural stem cells are the key to tail regeneration
August 16, 2018 - Study compares genetic and neural contributions to ADHD in children with or without TBI
August 16, 2018 - Adding energy drinks to alcohol may exacerbate negative effects of binge drinking
August 16, 2018 - Eye Examination Can Help Detect Abuse in Children
August 16, 2018 - Know the Difference: Rheumatoid Arthritis or Osteoarthritis?
August 16, 2018 - From ‘sea of mutations,’ two possible cancer links rise to the surface
August 16, 2018 - Does medical school take too long?
August 16, 2018 - Brown University researchers reveal key physical properties of ‘giant’ cancer cells
August 16, 2018 - Regular resistance training improves exercise motivation
August 16, 2018 - Feds urge states to encourage cheaper plans off the exchanges
August 16, 2018 - Seven activities that prevent you from getting quality sleep during summer
August 16, 2018 - Five ways to tell if your baby is getting enough milk from breastfeeding
August 16, 2018 - From Pigs to Peacocks, What’s Up With Those ‘Emotional-Support Animals’?
August 16, 2018 - Breast cancers enlist the help of normal cells to help them spread and survive
August 16, 2018 - Engaging with “high-need” patients outside the clinic
August 16, 2018 - Research illuminates how online forum may offer suicide prevention support for males
August 16, 2018 - Researchers identify way to grow immune cells at large scale for preventing cancer reoccurrence
August 15, 2018 - Keck Medicine of USC’s hospitals ranked among nation’s best for the 10th consecutive year
August 15, 2018 - Researchers compare existing approaches for automating diagnostic procedures of skin lesions
August 15, 2018 - Autism risk determined by health of mom’s gut, research reveals
August 15, 2018 - WELL for Life challenges you to explore the great outdoors
August 15, 2018 - ‘Zombie’ gene protects elephants from cancer, study finds
August 15, 2018 - Ebola outbreak in Congo spreads to active combat zone
August 15, 2018 - Study highlights pollution exposure of babies in prams
August 15, 2018 - Study provides insight into link between sleep apnea and lipid metabolism
August 15, 2018 - New study focuses on promise of gene therapy for Amish nemaline myopathy
August 15, 2018 - Researchers discover new approach to alleviate chronic itch
August 15, 2018 - Uncovering the Mysteries of MS: Medical Imaging Helps NIH Researchers Understand the Tricky Disease
August 15, 2018 - Autistic people at greater risk of becoming homeless – new research
August 15, 2018 - New imaging technique can spot tuberculosis infection in an hour
August 15, 2018 - Scientists study effects of eating breakfast versus fasting overnight before exercise
August 15, 2018 - Talking with children about suicide could save lives
August 15, 2018 - Grip strength of children predicts future cardiometabolic health
August 15, 2018 - New polyclonal immunotherapy successfully neutralizes Ebola virus
August 15, 2018 - Innovative oncofertility program launched by RMA of New York and Mount Sinai Health System
August 15, 2018 - Study shows efficacy, safety of AAV5-based gene therapy to treat sheep model of achromatopsia
August 15, 2018 - Simple score helps predict which hospitalized heart attack patients are at high risk of readmissions
August 15, 2018 - New discoveries show how protein droplets do more than keep cells’ interiors tidy
August 15, 2018 - Study shows impact of optimizing airport flight patterns on human health
August 15, 2018 - Life experiences of feeling unwanted or unplanned associated with attachment insecurity
August 15, 2018 - ACS Briefing Discusses Use of Lessons From Combat Care
August 15, 2018 - Study identifies distinct origin of ADHD in children with history of brain injury
August 15, 2018 - IgG3 antibody stops B cells from fighting pathogens in HIV patients
August 15, 2018 - Scientists discover key vulnerability of mixed lineage leukemia
August 15, 2018 - College students may experience pressures from secondary exposure to opioid abuse
August 15, 2018 - Powerful new microscope reveals inner workings of human cells with unprecedented clarity
August 15, 2018 - Married people who fight nastily more likely to suffer from leaky guts, study suggests
August 15, 2018 - Working Out After Baby – Drugs.com MedNews
August 15, 2018 - Rheumatoid Factor (RF) Test: MedlinePlus Lab Test Information
August 15, 2018 - ADHD linked to an increased risk of injury in children, study finds
August 15, 2018 - UIC researchers receive NIH funding to develop a better way to regenerate bone or tissues
August 15, 2018 - Study reveals how immune cells in the brain influence sexual behavior
August 15, 2018 - Researchers move closer to finding potential soft spot in drug-resistant tuberculosis
August 15, 2018 - Real-time dynamic monitoring of cell’s nucleus for effective cancer screening
August 15, 2018 - Lower rates of Medicare preventive care visits found in racial, ethnic minority older adults
August 15, 2018 - Scientists identify stress hormone as key factor in failure of immune system to inhibit leukemia
August 15, 2018 - Cytoplan introduces three new nutritional supplements
August 15, 2018 - Effective hemorrhage control critical for survival after motorsport accidents
August 15, 2018 - Sygnature Discovery announces ambitious expansion plan with addition of Alderley Park facility
August 15, 2018 - Dietary carbohydrates could lead to osteoarthritis, new study finds
August 15, 2018 - Male tobacco smokers have decreased number of cannabinoid CB1 receptors, study reveals
August 15, 2018 - Scientists explore ways for drug therapies to reach deadly brain tumors
August 15, 2018 - Rethinking fundamental rule of stroke care: ‘Time is brain!’
August 15, 2018 - Scientists reveal role of ‘junk DNA’ in cancer dissemination
August 15, 2018 - Google’s DeepMind AI could soon be diagnosing eye conditions
August 15, 2018 - Scientists trick the brain to embody the prosthetic limb
August 15, 2018 - Researchers focus on uncoupling obesity from diabetes
August 15, 2018 - Clinical study shows how EarlySense system effectively detects opioid-induced respiratory depression
August 15, 2018 - A class of proteins shown to be effective in reducing drug-seeking behaviors
August 15, 2018 - FundamentalVR launches first-of-its-kind SaaS software platform for surgical simulation
August 15, 2018 - Gemphire Announces Termination of Phase 2a Clinical Trial of Gemcabene in Pediatric NAFLD
August 15, 2018 - Rheumatoid arthritis in pregnancy associated with low birth weight and premature birth
August 15, 2018 - Study may help increase effectiveness of antibiotics against drug-resistant bacteria
August 15, 2018 - Analyzing resident-to-resident incidents in dementia may hold the key to reducing future fatalities
August 15, 2018 - Robotic walking frame aims to help maintain mobility of older adults
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

image_pdfDownload PDFimage_print

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