ABSTRACT
The study developed and tested collaboration models for home medication reviews (HMR) between community pharmacies and general practitioner (GP)s. Three pairs (each comprising one pharmacist and one GP) developed a collaboration agreement on the patient group, content and place for HMR, responsibilities, continuation etc. The collaboration models were evaluated by the pairs and by a project group. The models were very different - adjusted to the GP's and the pharmacist's individual wishes. The entering of collaboration agreements is a good platform for effective cooperation between the pharmacist and the GP and leads to successful HMRs. We recommend that others develop collaboration models too.
Subject(s)
Cooperative Behavior , Interprofessional Relations , Medication Reconciliation/standards , Community Pharmacy Services , Denmark , Drug Utilization Review/methods , Drug Utilization Review/standards , Humans , Medication Reconciliation/methods , Pharmacists , Physicians , Polypharmacy , Practice Guidelines as TopicABSTRACT
INTRODUCTION: The "Medicinprofilen" on the website www.sundhed.dk was introduced in 2004. This paper describes the application of this tool for the evaluation of compliance of patients in pharmacological treatment of hypertension in a general practice (single). MATERIALS AND METHODS: Data about all patients with ICPC treatment code "K86 Ukompliceret hypertension", who were undergoing pharmacological treatment was used for the study. (n=296). All patients should have been treated for at least 1 year up to the data collection period which took place in the second half of the year 2005. RESULTS: We found that the "Medicinprofilen" was a suitable tool to estimate compliance. Among the patients examined we found that compliance was 95% (92.4-97.4). CONCLUSION: The "Medicinprofilen" is a suitable tool to estimate compliance of patients undergoing pharmacological treatment in general practice. A few methodical problems exist. The study showed a high rate of compliance for the group of patients undergoing treatment of hypertension.
Subject(s)
Antihypertensive Agents/therapeutic use , Hypertension/drug therapy , Internet , Patient Compliance , Adult , Aged , Aged, 80 and over , Antihypertensive Agents/administration & dosage , Denmark , Family Practice , Humans , Middle Aged , Self AdministrationABSTRACT
INTRODUCTION: This study examined the changes in detection and treatment of hypertension in a rural general practice after the introduction of new guidelines for treatment of hypertension published in 1999 by the Danish Hypertension Society. MATERIALS AND METHODS: Data from all patients in practice diagnosed with hypertension on 1 October 1998 were registered (n = 200). By 1 October 2003, 28 patients had left the cohort due to death (n = 26) or moving to other parts of the country (n = 2). For the remaining 172 patients, the blood pressure in 1998 and 2003 was found in the case record. The results of physical examinations, risk factors, morbidity rates and treatment were registered. RESULTS: In 1998, the average blood pressure in the study cohort was 157/89 mmHg. By 2003, it had fallen to 141/84 mmHg. The difference in both systolic and diastolic blood pressure was statistically significant (p < 0.001). In 1998, 27 percent of the hypertensive patients in the cohort had reached the target value (< or = 140/90 mmHg). This percentage rose to 55 percent in 2003. The pattern of examinations concerning tracking down risk factors was markedly altered in the period. Pharmacological treatment had substantially increased during the period, with many more patients being treated with more than one drug. CONCLUSION: This study indicates that the introduction of new guidelines has caused considerable changes in the detection, risk evaluation and treatment of hypertension.
