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Research Articles |
OBJECTIVE: To review the impact of pharmacist interventions designed to assist older people in managing their medication regimens. DATA SOURCES: A computer search of literature published between 1975 and 1990 was conducted using MEDLINE. References were also identified from the bibliographies of pertinent articles. STUDY SELECTION: Studies included in the review were those evaluating pharmacist interventions that were designed to assist in medication management by people over 65 years of age. Only nine studies were identified by these criteria. Interventions that have not been evaluated are discussed briefly. The studies included were chosen by consensus of the authors. DATA EXTRACTION: A data extraction form was used to summarize the information in each study. RESULTS: This was a qualitative review. Some studies evaluating the effects of short verbal medication counseling episodes showed positive benefits; others showed no benefit. Written medication information, some memory devices, and audiovisual techniques have also been found to be of limited use. Self-medication programs for hospitalized elderly people need to be evaluated. CONCLUSIONS: This review identified the lack of published evaluations of pharmacist interventions in medication management by elderly people. Well-designed studies need to be performed to determine the effects of individualized advice and counseling. The cost-effectiveness of such interventions should be assessed, with consideration of long-term outcomes, such as readmission rates to the hospital and cost savings accruing from increased duration of independent living.
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  C. Dolder, B. Szymanski, T. Wooton, and J. McKinsey Pharmacist interventions in an inpatient geriatric psychiatry unit Am. J. Health Syst. Pharm., October 1, 2008; 65(19): 1795 - 1796. [Full Text] [PDF]
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 M. Machado, J. Bajcar, G. C Guzzo, and T. R Einarson Sensitivity of Patient Outcomes to Pharmacist Interventions. Part II: Systematic Review and Meta-Analysis in Hypertension Management Ann. Pharmacother., November 1, 2007; 41(11): 1770 - 1781. [Abstract] [Full Text] [PDF]
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 P. J. Kaboli, A. B. Hoth, B. J. McClimon, and J. L. Schnipper Clinical pharmacists and inpatient medical care: a systematic review. Arch Intern Med, May 8, 2006; 166(9): 955 - 964. [Abstract] [Full Text] [PDF]
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 M. Weinberger, M. D. Murray, D. G. Marrero, N. Brewer, M. Lykens, L. E. Harris, R. Seshadri, H. Caffrey, J. F. Roesner, F. Smith, et al. Effectiveness of Pharmacist Care for Patients With Reactive Airways Disease: A Randomized Controlled Trial JAMA, October 2, 2002; 288(13): 1594 - 1602. [Abstract] [Full Text] [PDF]
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R. T. Tsuyuki, J. A. Johnson, K. K. Teo, S. H. Simpson, M. L. Ackman, R. S. Biggs, A. Cave, W.-C. Chang, V. Dzavik, K. B. Farris, et al. A Randomized Trial of the Effect of Community Pharmacist Intervention on Cholesterol Risk Management: The Study of Cardiovascular Risk Intervention by Pharmacists (SCRIP) Arch Intern Med, May 27, 2002; 162(10): 1149 - 1155. [Abstract] [Full Text] [PDF]
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