DOI: 10.1101/19009910Oct 25, 2019Paper

Evaluation of the General Practice Pharmacist (GPP) intervention to optimise prescribing in Irish primary care: a non-randomised pilot study

MedRxiv : the Preprint Server for Health Sciences
Karen CardwellFrank Moriarty

Abstract

Objective: Limited evidence suggests integration of pharmacists into the general practice team could improve medicines management for patients, particularly those with multimorbidity and polypharmacy. This study aimed to develop and assess the feasibility of an intervention involving pharmacists, working within general practices, to optimise prescribing in Ireland. Design: Non-randomised pilot study Setting: Primary care in Ireland Participants: Four general practices, purposively sampled and recruited to reflect a range of practice sizes and demographic profiles. Intervention: A pharmacist joined the practice team for six months (10 hours/week) and undertook medication reviews (face-to-face or chart-based) for adult patients, provided prescribing advice, supported clinical audits, and facilitated practice-based education. Outcome measures: Anonymised practice-level medication (e.g. medication changes) and cost data were collected. Patient-Reported Outcome Measure (PROM) data were collected on a subset of older adults (aged [≥]65 years) with polypharmacy using patient questionnaires, before and six weeks after medication review by the pharmacist. Results: Across four practices, 787 patients were identified as having 1,521 pr...Continue Reading

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