scholarly journals A Conceptual Framework of the Way Forward to a Community Pharmacist–General Practitioner Collaborative Medication Therapy Management Model for Chronic Diseases in Malaysian Primary Care: A Qualitative Study

2021 ◽  
Vol Volume 14 ◽  
pp. 1615-1627
Author(s):  
Naeem Mubarak ◽  
Sarwat Ali Raja ◽  
Asma Sarwar Khan ◽  
Sabba Kanwal ◽  
Nasira Saif-ur-Rehman ◽  
...  
PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0216563 ◽  
Author(s):  
Naeem Mubarak ◽  
Ernieda Hatah ◽  
Mohd Aznan Md Aris ◽  
Asrul Akmal Shafie ◽  
Che Suraya Zin

2020 ◽  
Author(s):  
Huibo Li ◽  
Da Li ◽  
Dechun Jiang ◽  
Siqian Zheng ◽  
Fang Liu ◽  
...  

BACKGROUND For patients with chronic diseases requiring long-term use of medications who are quarantined at home, the management of medication therapy during the COVID-19 epidemic is a problem that pharmacists urgently need to discuss and solve. OBJECTIVE To establish an online pharmacy consulting service model and to launch the application of tele-pharmacy services during the COVID-19 epidemic. METHODS To establish a remote pharmaceutical service model based on a medication consultation service platform under the official account of the "Beijing Pharmacists Association" on the social software WeChat app, obtain the medication consultation records from February 28 to March 27, 2020, and perform a statistical analysis of the information about the patients seeking consultation, consultation process, content and follow-up results. RESULTS The medication consultation service system and tele-pharmacy service model based on social software were established in February 2020. The "Cloud Pharmacy Care" platform had 915 views and 43 followers and completed 13 counselling cases in the first month. Counselling was available for patients of all ages; of the 13 cases, 61.54% of patients were young and middle-aged. During the COVID-19 epidemic, the long-term medication usage problems of patients with chronic disease were effectively addressed using "Cloud Pharmacy Care". In the consultation, 11 cases (84.6%) were related to the use of medicines or health products, and 2 cases (15.4%) involved disease state management and the use of supplements. The top five drug-related issues included the dosage of drugs, medication therapy management of chronic diseases, the selection of medications, adverse drug reactions and medications for special populations. All consultations were completed within 4 hours, with a positive review rate of 91.7%. CONCLUSIONS During the COVID-19 epidemic, a remote pharmacy service "Cloud Pharmacy Care" based on the social software WeChat app was quickly constructed and applied to solve the medication-related problems of patients and the public during home quarantining. This timely and interactive consultation mode helps to carry out medication therapy management for chronically ill patients and improves patients' medication compliance, improves medical quality and plays a positive role in promoting the popularization of safe medication knowledge.


2020 ◽  
Vol 18 (3) ◽  
pp. 2160
Author(s):  
Teresa M. Salgado ◽  
Meagen M. Rosenthal ◽  
Antoinette B. Coe ◽  
Tana N. Kaefer ◽  
Dave L. Dixon ◽  
...  

The United States (US) has a complex healthcare system with a mix of public, private, nonprofit, and for-profit insurers, healthcare institutions and organizations, and providers. Unlike other developed countries, there is not a single payer healthcare system or a national pharmaceutical benefits scheme/plan. Despite spending over USD 10,000 per capita in healthcare, the US is among the worst performers compared to other developed countries in outcomes including life expectancy at birth, infant mortality, safety during childbirth, and unmanaged chronic conditions (e.g., asthma, diabetes). Primary care is delivered by physicians and advanced practice providers (i.e., nurse practitioners and physician assistants) in a variety of settings including large health systems, federally qualified health centers or free clinics that provide care to the underserved, or specific facilities for veterans or American Indian and Alaska native peoples. Since 2010, primary care delivery has shifted toward providing patient-centered, coordinated, comprehensive care focused on providing proactive, rather than reactive, population health management, and on the quality, versus volume, of care. Community pharmacy comprises a mix of independently owned, chain, supermarket and mass merchant pharmacies. Community pharmacies provide services such as immunizations, medication therapy management, medication packaging, medication synchronization, point-of-care testing and, in specific states where legislation has been passed, hormonal contraception, opioid reversal agents, and smoking cessation services. There has been criticism regarding the lack of standard terminology for services such as medication synchronization and medication therapy management, their components and how they should be provided, which hampers comparability across studies. One of the main challenges for pharmacists in the US is the lack of provider status at the federal level. This means that pharmacists are not allowed to use existing fee-for-service health insurance billing codes to receive reimbursement for non-dispensing services. In addition, despite there being regulatory infrastructure in multiple states, the extent of service implementation is either low or unknown. Research found that pharmacists face numerous barriers when providing some of these services. State fragmentation and the lack of a single pharmacy organization and vision for the profession are additional challenges.


2018 ◽  
Vol 24 (9) ◽  
pp. 904-910 ◽  
Author(s):  
Ann M. Taylor ◽  
David Rhys Axon ◽  
Patrick Campbell ◽  
Miranda K. Fair ◽  
Melissa Nelson ◽  
...  

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