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Evaluation of a Pharmacist-Led Telephonic Medication Therapy Management Program in Rural Arizona: Implications for Community Health Practice.
Axon, David R; Kloster, Jim; Eckert, Becka; Morales, Sonia; Riggs, Sally; Kilungo, Aminata; Ehiri, John; Grieser, Megan; Turner-Warren, Tenneh; Aseret-Manygoats, Teresa; Bingham, Jennifer M; Scovis, Nicole; Warholak, Terri.
  • Axon DR; R. Ken Coit College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA.
  • Kloster J; R. Ken Coit College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA.
  • Eckert B; R. Ken Coit College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA.
  • Morales S; R. Ken Coit College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA.
  • Riggs S; Mel and Enid Zuckerman College of Public Health, University of Arizona Mel, Tucson, AZ 85724, USA.
  • Kilungo A; Mel and Enid Zuckerman College of Public Health, University of Arizona Mel, Tucson, AZ 85724, USA.
  • Ehiri J; Mel and Enid Zuckerman College of Public Health, University of Arizona Mel, Tucson, AZ 85724, USA.
  • Grieser M; R. Ken Coit College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA.
  • Turner-Warren T; Arizona Department of Health Services, Phoenix, AZ 85007, USA.
  • Aseret-Manygoats T; Arizona Department of Health Services, Phoenix, AZ 85007, USA.
  • Bingham JM; R. Ken Coit College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA.
  • Scovis N; R. Ken Coit College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA.
  • Warholak T; R. Ken Coit College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA.
Clin Pract ; 12(3): 243-252, 2022 Apr 22.
Article in English | MEDLINE | ID: covidwho-1855523
ABSTRACT
This study evaluated a pharmacist-led telephonic Medication Therapy Management (MTM) program for rural patients in Arizona with poor access to healthcare services. A pharmacist provided telephonic MTM services to eligible adult patients living in rural Arizona communities with a diagnosis of diabetes and/or hypertension. Data were collected and summarized descriptively for demographic and health conditions, clinical values, and medication-related problems (MRPs) at the initial consultation, and follow-up data collected at 1 and 3 months. A total of 33 patients had baseline and one-month follow-up data, while 15 patients also had three-month follow-up data. At the initial consultation, the following MRPs were identified medication adherence issues, dose-related concerns, adverse drug events (ADE), high-risk medications, and therapeutic duplications. Recommendations were made for patients to have the influenza, herpes zoster, and pneumonia vaccines; and to initiate a statin, angiotensin converting enzyme inhibitor, angiotensin receptor blocker, beta-blocker, and/or rescue inhaler. In conclusion, this study demonstrated that while pharmacists can identify and make clinical recommendations to patients, the value of these interventions is not fully realized due to recommendations not being implemented and difficulties with patient follow-up, which may have been due to the COVID-19 pandemic. Additional efforts to address these shortcomings are therefore required.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Prognostic study Topics: Vaccines Language: English Journal: Clin Pract Year: 2022 Document Type: Article Affiliation country: Clinpract12030029

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Prognostic study Topics: Vaccines Language: English Journal: Clin Pract Year: 2022 Document Type: Article Affiliation country: Clinpract12030029