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Pregled bibliografske jedinice broj: 1225135

Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study


Brajković, Andrea; Bosnar, Lorena; do Nascimento, Mariana Martins Gonzaga; Prkačin, Ingrid; Balenović, Antonija; Ramalho de Oliveira, Djenane; Mucalo, Iva
Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study // International journal of environmental research and public health, 19 (2022), 5; 2781, 11 doi:10.3390/ijerph19052781 (međunarodna recenzija, članak, znanstveni)


CROSBI ID: 1225135 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study

Autori
Brajković, Andrea ; Bosnar, Lorena ; do Nascimento, Mariana Martins Gonzaga ; Prkačin, Ingrid ; Balenović, Antonija ; Ramalho de Oliveira, Djenane ; Mucalo, Iva

Izvornik
International journal of environmental research and public health (1661-7827) 19 (2022), 5; 2781, 11

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
medication management services ; nonrandomised ; primary care ; cardiovascular ; older patients

Sažetak
The objective of this study was to evaluate the impact of comprehensive medication management (CMM) services on healthcare utilisation and cardiovascular risk factors among older patients with established cardiovascular diseases (CVDs). This quasi- experimental study that was performed at the Croatian primary care ambulatory clinic included patients aged 65 to 80 years. Patients were divided into intervention (65 patients) and control groups (68 patients) and were followed-up for one year. Pharmacists provided face-to-face consultations to patients from the intervention group. Groups were compared with regards to the clinical parameters (blood pressure, HbA1c, LDL, TC) and healthcare utilisation (hospital admission, emergency visits, unplanned GP visits). The CMM intervention significantly improved systolic blood pressure (p = 0.038), diastolic blood pressure (p = 0.001), total cholesterol (p = 0.014), low-density lipoprotein cholesterol (p = 0.005), and glycosylated haemoglobin (p = 0.045) in comparison with the control group. Patients included in CMM services had statistically and clinically lower systolic (−9.02 mmHg, p < 0.001) and diastolic blood pressure (−4.99 mmHg, p < 0.001) at the end of the study. The number of hospital admissions and unplanned GPs visits were 3.35 (95% CI 1.16–10.00) and 2.34 (95% CI 1.52– 3.57) times higher in the control group compared to the intervention group, respectively. This study demonstrated that pharmacists providing CMM services can significantly contribute to better clinical outcomes and lower healthcare utilisation, thus potentially contributing to total healthcare savings.

Izvorni jezik
Engleski

Znanstvena područja
Farmacija



POVEZANOST RADA


Ustanove:
Klinička bolnica "Merkur",
Medicinski fakultet, Rijeka,
Medicinski fakultet, Zagreb

Poveznice na cjeloviti tekst rada:

doi www.mdpi.com

Citiraj ovu publikaciju:

Brajković, Andrea; Bosnar, Lorena; do Nascimento, Mariana Martins Gonzaga; Prkačin, Ingrid; Balenović, Antonija; Ramalho de Oliveira, Djenane; Mucalo, Iva
Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study // International journal of environmental research and public health, 19 (2022), 5; 2781, 11 doi:10.3390/ijerph19052781 (međunarodna recenzija, članak, znanstveni)
Brajković, A., Bosnar, L., do Nascimento, M., Prkačin, I., Balenović, A., Ramalho de Oliveira, D. & Mucalo, I. (2022) Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study. International journal of environmental research and public health, 19 (5), 2781, 11 doi:10.3390/ijerph19052781.
@article{article, author = {Brajkovi\'{c}, Andrea and Bosnar, Lorena and do Nascimento, Mariana Martins Gonzaga and Prka\v{c}in, Ingrid and Balenovi\'{c}, Antonija and Ramalho de Oliveira, Djenane and Mucalo, Iva}, year = {2022}, pages = {11}, DOI = {10.3390/ijerph19052781}, chapter = {2781}, keywords = {medication management services, nonrandomised, primary care, cardiovascular, older patients}, journal = {International journal of environmental research and public health}, doi = {10.3390/ijerph19052781}, volume = {19}, number = {5}, issn = {1661-7827}, title = {Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study}, keyword = {medication management services, nonrandomised, primary care, cardiovascular, older patients}, chapternumber = {2781} }
@article{article, author = {Brajkovi\'{c}, Andrea and Bosnar, Lorena and do Nascimento, Mariana Martins Gonzaga and Prka\v{c}in, Ingrid and Balenovi\'{c}, Antonija and Ramalho de Oliveira, Djenane and Mucalo, Iva}, year = {2022}, pages = {11}, DOI = {10.3390/ijerph19052781}, chapter = {2781}, keywords = {medication management services, nonrandomised, primary care, cardiovascular, older patients}, journal = {International journal of environmental research and public health}, doi = {10.3390/ijerph19052781}, volume = {19}, number = {5}, issn = {1661-7827}, title = {Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study}, keyword = {medication management services, nonrandomised, primary care, cardiovascular, older patients}, chapternumber = {2781} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • Social Science Citation Index (SSCI)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


Citati:





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