Pharm World Sci
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Comparative Study
Physician attitudes toward pharmacist provision of medication therapy management services.
The implementation of Medicare Part D in 2006 has the potential to advance the profession of pharmacy through the provision and remuneration of pharmacist-provided medication therapy management (MTM) services. Limited research has evaluated physician attitudes toward pharmacist-provided MTM services, and little is known about factors that may affect these attitudes. The aim of this study was to test a model of physicians' attitudes toward pharmacist-provided MTM services as a part of Medicare Part D. ⋯ The proposed model can provide insight into physicians' attitudes toward provision of MTM by pharmacists and may be helpful in developing future approaches and policies to further improve this collaborative relationship.
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Comparative Study
The effect on medication errors of pharmacists charting medication in an emergency department.
To determine the frequency and clinical significance of medication errors when (a) pharmacists elicit medication histories in the Emergency Department after medications have been prescribed by doctors and (b) pharmacists obtain and chart medication histories prior to doctors' approval. ⋯ This study provides evidence for pharmacists eliciting medication histories to prepare medication charts at the earliest possible opportunity following a patient's presentation to the Emergency Department.
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In Australia, accredited pharmacists perform medication reviews for patients to identify and resolve drug-related problems. We analysed the drug-related problems identified in reviews for both home-dwelling and residential care-facility patients. The objective of this study was to examine the number and nature of the drug-related problems identified and investigate differences between each type of review. ⋯ These data illustrate the prevalence of drug-related problems and the ability of pharmacists to identify these problems in the Australian models of medication review. The nature and frequency of problems varied between reviews for home-dwelling and care-facility patients. Such information may be used to better focus the training of practitioners based on the most frequently encountered health problems and the nature of common drug-related problems in the two settings.
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Comparative Study Clinical Trial
Comparison of two types of TPN prescription methods in preterm neonates.
Total parenteral nutrition is commonly used in neonates' intensive care units for nutritional support of preterm neonates. Adequacy and safety of parenteral nutrition support are amongst the major concerns of neonates' therapy. Parenteral nutrition prescription in Greek hospitals is not based on standardized protocols, thus resulting in wide diversity of formulations. In this study, the results of utilization of standardized computerized parenteral nutrition protocols and regimens for neonates are compared to the results of protocols and regimens prescribed by individual neonatologists on neonates' outcome (weight changes, adequacy of parenteral nutrition, days of hospitalization, clinical outcome). ⋯ The use of standardized protocols in preterm neonates resulted in more adequate provision of nutrients, weight gain and better blood count profile compared with protocols prescribed by individual physicians.
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To explore consumers' attitudes towards, and expectations of, adherence support services in primary health care, specifically in community pharmacy; and to explore consumers' attitudes towards the concept of concordance. ⋯ Pharmacists should consider consumers' needs for information and establishing concordance, as well as their expectations of the pharmacy profession, in delivering concordance based adherence support services. Given participants' high demand for medicine information, an opportunity might exist for pharmacists to influence consumers' expectations by offering information which is tailored towards their needs.