Electronic Resource
Intervention effectiveness by pharmacists integrated within an interdisciplinary health team on chronic complex patients
| العنوان: | Intervention effectiveness by pharmacists integrated within an interdisciplinary health team on chronic complex patients |
|---|---|
| المؤلفون: | Sociedad Española de Farmacia Hospitalaria, Acosta-García, Hector, Alfaro-Lara, Eva Rocío, Sánchez-Fidalgo, Susana, Sevilla-Sánchez, Daniel, Delgado-Silveira, Eva, Juanes-Borrego, Ana, Santos-Ramos, Bernardo |
| بيانات النشر: | Oxford University Press 2020-10 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | [Background]: Nowadays, it is difficult to establish a specific method of intervention by the pharmacist and its clinical repercussions. Our aim was to identify interventions by pharmacists integrated within an interdisciplinary team for chronic complex patients (CCPs) and determine which of them produce the best results. [Methods]: A systematic review (SR) was performed based on PICO(d) question (2008–18): (Population): CCPs; (Intervention): carried out by health system pharmacists in collaboration with an interdisciplinary team; (Comparator): any; (Outcome): clinical and health resources usage outcomes; (Design): meta-analysis, SR and randomized clinical trials. [Results]: Nine articles were included: one SR and eight randomized clinical trials. The interventions consisted mainly in putting in order the pharmacotherapy and the review of the medication adequacy, medication reconciliation in transition of care and educational intervention for health professionals. Only one showed significant improvements in mortality (27.9% vs. 38.5%; HR = 1.49; P = 0.026), two in health-related quality of life [according to EQ-5D (European Quality of Life—5 Dimensions) and EQ-VAS (European Quality of Life—Visual Analog Scale) tests] and four in other health-related results (subjective self-assessment scales, falls or episodes of delirium and negative health outcomes associated with medication). Significant differences between groups were found in hospital stay and frequency of visits to the emergency department. No better results were observed in hospitalization rate. Otherwise, one study measured cost utility and found a cost of €45 987 per quality-adjusted life year gained due to the intervention. [Conclusions]: It was not possible to determine with certainty which interventions produce the best results in CCPs. The clinical heterogeneity of the studies and the short follow-up of most studies probably contributed to this uncertainty. |
| مصطلحات الفهرس: | artículo |
| URL: | Sí |
| الاتاحة: | Open access content. Open access content closedAccess |
| Other Numbers: | CTK oai:digital.csic.es:10261/238458 European Journal of Public Health 30(5): 886-899 (2020) 1101-1262 10.1093/eurpub/ckz224 1464-360X 1286570684 |
| المصدر المساهم: | CSIC From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1286570684 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |