Improving Medication Adherence Through a Transitional Care Pharmacy Practice Model
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 180
- 试验地点
- 2
- 主要终点
- Medication Adherence
研究概览
简要总结
The purpose of this pilot study is to determine if medication adherence is improved by a transitional care pharmacy practice model designed to integrate hospital and community pharmacists in the care and education of patients with heart failure or COPD who are discharged from a community hospital to home. The hospital and community pharmacists will collaborate with each other, the patient, and other practitioners including the primary care physician, nurse, and case manager to prevent and correct medication-related problems and attempt to improve patient outcomes especially during the error-prone transition from hospital to home.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •admitted to hospital with a primary or secondary diagnosis of heart failure or COPD
- •anticipated eventual discharge to home
- •agreeable to participate in monthly counseling sessions (if randomized to intervention group) from a participating community pharmacist
排除标准
- •presence of cognitive impairment or dementia that would significantly prevent effective patient education and counseling
- •non English-speaking
- •anticipated discharge to a long-term care or skilled nursing facility on a permanent basis
- •permanent long-term care facility residents
- •surgical patients
- •hospice patients
- •patients who die within 30 days of initial study hospitalization
结局指标
主要结局
Medication Adherence
时间窗: 6 months
The primary endpoint will be medication adherence as measured by the Proportion of Days Covered (PDC) calculation. This is calculated by dividing the total days' supply dispensed by 180 days. Medications considered in this calculation will include those used for the treatment of heart failure or COPD and known to improve outcomes. The composite PDC will be an average of the individual PDC for each drug class.
次要结局
- Patient Satisfaction(6 months)
- Hospital readmissions or ED visits(6 months)
- Medication related problems(6 months)
研究者
Judith L. Kristeller
Associate Professor
Wilkes University