Abstract
Introduction Home Medication Review (HMR) is a clinical medication review that incorporates a patient interview at home. The aim of the study is to examine the effect of HMR on blood pressure and cholesterol values. Materials & Methods Design and Setting: RCT in a primary care setting. Patients: Patients were recruited from ten Dutch community pharmacies. Patients were eligible if they were home-dwelling, aged 65 years and over and used five or more different drugs, including at least one cardiovascular or anti-diabetic drug. Intervention: The patient's community pharmacist visited the patient at home for an interview about the patient's medicines. A pharmaceutical care plan was proposed by the community pharmacist using both the patient medication and clinical records and the data from the patient interview. These pharmaceutical care plans were evaluated and completed by an independent pharmacist reviewers panel. Care plans were implemented after face-to-face discussion and agreement between the community pharmacist and patients' general practitioner. Blood pressure was measured at home for both intervention and control patients. In addition, patients were offered additional laboratory measurements of cholesterol. Main outcome measures 1. mean change in systolic blood pressure (SBP) and LDL-levels 6 and 12 months after first measurement 2. percentage of patients that achieved goal of treatment for blood pressure (
| Original language | English |
|---|---|
| Pages (from-to) | 181 |
| Number of pages | 1 |
| Journal | International Journal of Clinical Pharmacy |
| Volume | 34 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 1 Feb 2012 |
Keywords
- cholesterol
- low density lipoprotein
- low density lipoprotein cholesterol
- human
- clinical pharmacy
- blood pressure
- aged
- patient
- drug therapy
- community
- pharmacist
- interview
- systolic blood pressure
- pharmaceutical care
- diabetes mellitus
- pharmacy
- primary medical care
- laboratory
- general practitioner
