The Impact of Comprehensive Medication Management Services on Clinical Outcomes in Patients With Cardiovascular Diseases at Primary Care Level
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cardiovascular Diseases in Old Age
- Sponsor
- University of Zagreb
- Enrollment
- 133
- Locations
- 2
- Primary Endpoint
- The impact of CMM services on blood pressure in elderly patients with established CVD
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Patients with established cardiovascular disease (CVD) often have multiple medications that increase the risk of prevalence of drug therapy problems (DTP), subsequently leading to unfavourable clinical and health outcomes. By providing Comprehensive Medication Management (CMM) services to patients within a healthcare system, pharmacists assess patients' medication-related needs, identify and prevent DTP, develop individualized care plan for each individual patient and evaluate and monitor outcomes. Thus, the CMM services delivered at the primary care level in collaboration with general practitioners and other healthcare providers could address this problem and by optimizing therapy improve patients' clinical outcomes and quality of life. Studies have shown that patients with chronic diseases have the greatest benefit from the CMM services. The aim of this study is to evaluate the impact of CMM services on clinical and humanistic outcomes in patients with established CVD. The study will employ prospective, longitudinal, pre- and postintervention study with a 1-year patient follow-up.
Investigators
Iva Mucalo
Associate Professor
University of Zagreb
Eligibility Criteria
Inclusion Criteria
- •Hypertension
- •Established cardiovascular disease
Exclusion Criteria
- •Organic, including symptomatic, mental disorders
- •Mental and behavioural disorders due to psychoactive substance use
- •Schizophrenia, schizotypal and delusional disorders
- •Behavioural syndromes associated with physiological disturbances and physical factors
- •Disorders of adult personality and behaviour
- •Mental retardation
- •Disorders of psychological development
Outcomes
Primary Outcomes
The impact of CMM services on blood pressure in elderly patients with established CVD
Time Frame: 1 year
Within- and between-treatment differences for the intervention and the control group in blood pressure.
Secondary Outcomes
- The impact of CMM services on drug therapy problems in elderly patients with established CVD(1 year)
- The impact of CMM services on LDL cholesterol, triglycerides, HDL cholesterol and total cholesterol in elderly patients with established CVD(1 year)
- The impact of CMM services on health care utilization in elderly patients with established CVD(1 year)
- The impact of CMM services on health related quality of life in elderly patients with established CVD assessed by EQ-5D-5L instrument.(1 year)
- The impact of CMM services on glycated haemoglobin in elderly patients with established CVD(1 year)