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Type: Journal article
Title: Collaborative medication management services: improving patient care
Author: Gilbert, A.
Roughead, E.
Beilby, J.
Mott, K.
Barratt, J.
Citation: Medical Journal of Australia, 2002; 177(4):189-192
Publisher: Australasian Med Publ Co Ltd
Issue Date: 2002
ISSN: 0025-729X
Statement of
Andrew L Gilbert, Elizabeth E Roughead, Justin Beilby, Kathy Mott and John D Barratt
Abstract: Objective: To implement and evaluate a collaborative medication management service model. Design: Participatory action research. Setting and participants: The study was conducted from March 1999 to March 2000; 1000 patients, 63 pharmacists and 129 general practitioners from six Divisions of General Practice in South Australia participated. Interventions: A collaborative service delivery model, involving a preliminary case conference, a home visit and a second case conference, was agreed through discussions with medical and pharmacy organisations and then implemented. Outcome measures: Medication-related problems; actions recommended; actions implemented; and outcomes after actions taken. Results: Overall, 2764 problems were identified. The most common medication-related problem (17.5% of all problems) was the need for additional tests. Thirty-seven per cent of problems related to medicine selection, 20% to patient knowledge, and 17% to the medication regimen. Of 2764 actions recommended to resolve medication-related problems, 42% were implemented. Of the 978 problems for which action was taken and follow-up data were available, 81% were reported to be "resolved", "well managed" or "improving". Conclusion: This implementation model was successful in engaging GPs and pharmacists and in assisting in the resolution of medication-related problems.
Keywords: Humans; Medication Errors; Interprofessional Relations; Family Practice; Aged; Pharmaceutical Services; South Australia; Female; Male
Description: The document attached has been archived with permission from the editor of the Medical Journal of Australia (10 January 2008). An external link to the publisher’s copy is included.
RMID: 0020020194
DOI: 10.5694/j.1326-5377.2002.tb04730.x
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