Is medication review by primary-care pharmacists for older people cost effective? A narrative review of the literature, focusing on costs and benefits

PharmacoEconomics

Volumn 27, Issue 1, 2009, Pages 11-24

  Zermansky, Arnold G ^a   Silcock, Jonathan ^a  

^a UNIVERSITY OF LEEDS   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

COST BENEFIT ANALYSIS; COST CONTROL; COST EFFECTIVENESS ANALYSIS; COST UTILITY ANALYSIS; DRUG COST; HEALTH CARE COST; HOSPITAL ADMISSION; PHARMACIST; PRESCRIPTION; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; REVIEW; RISK BENEFIT ANALYSIS;

AGED; CLINICAL TRIALS AS TOPIC; COST-BENEFIT ANALYSIS; DRUG UTILIZATION REVIEW; HUMANS; OUTCOME ASSESSMENT (HEALTH CARE); PHARMACISTS; PRIMARY HEALTH CARE;

EID: 59049094554     PISSN: 11707690     EISSN: None     Source Type: Journal    
DOI: 10.2165/00019053-200927010-00003     Document Type: Review

References (34)

1. Office for National Statistics. Prescriptions dispensed in the community: statistics for 1996 to 2006 England. Leeds: NHS Information Centre, 2007
2. Horne R, Weinman J, Barber N, et al. Concordance, adherence and compliance in medicine taking: report for the National Co-ordinating Centre for NHS Service Delivery and Organisation R&D. London: NCCSDO, 2005
3. Cartwright A, Smith C. Elderly people, their medicines and their doctors. London: Routledge, 1988
4. Zermansky AG. Who controls repeats? Br J Gen Pract 1996; 46 (412): 643-7
5. Petty DR, House A, Knapp P, et al. Prevalence, duration and indications for prescribing of antidepressants in primary care. Age Ageing 2006; 35 (5): 523-6
6. Balint M, Joyce D, Marinker M, et al. Treatment or diagnosis: a study of repeat prescriptions. London: Tavistock, 1970
7. Beers MH, Ouslander JG, Rollingher I, et al. Explicit criteria for determining inappropriate medication use in nursing home residents. UCLA Division of Geriatric Medicine. Arch Intern Med 1991; 151 (9): 1825-32
8. Gurwitz JH, Rochon P. Improving the quality of medication use in elderly patients: a not-so-simple prescription. Arch Intern Med 2002; 162 (15): 1670-2
9. Spinewine A, Schmader KE, Barber N, et al. Appropriate prescribing in elderly people: how well can it be measured and optimised? Lancet 2007; 370 (9582): 173-84
10. Arnold M. The future. In: Empedocles on Etna, and other poems. London: Fellowes B, 1852
11. Shaw J, Seal R, Pilling M. Room for review: a guide to medication review. The agenda for patients, practitioners and managers. London: Medicines Partnership, 2002
12. Lowe CJ, Petty DR, Zermansky AG, et al. Development of a method for clinical medication review by a pharmacist in general practice. Pharm World Sci 2000; 22 (4): 121-6
13. Briesacher B, Limcangco R, Simoni-Wastila L, et al. Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a natural experiment. J Am Geriatr Soc 2005; 53 (6): 991-6
14. Christensen D, Trygstad T, Sullivan R, et al. A pharmacy management intervention for optimizing drug therapy for nursing home patients. Am J Geriatr Pharmacother 2004; 2: 248-56
15. Denneboom W, Dautzenberg MGH, Grol R, et al. Treatment reviews of older people on polypharmacy in primary care: cluster controlled trial comparing two approaches. Br J Gen Pract 2007; 57 (542): 723-31
16. Fahey T, Montgomery AA, Barnes J, et al. Quality of care for elderly residents in nursing homes and elderly people living at home: controlled observational study. BMJ 2003; 326 (7389): 580-4
17. Furniss L, Lloyd Craig SK, Scobie S, et al. Effects of a pharmacist's medication review in nursing homes: randomised controlled trial. Br J Psychiatry 2000; 176: 563-7
18. Burns A, Furniss L, Cooke J, et al. Pharmacist medication review in nursing homes: a cost analysis. Int J Geriatr Psychopharmacol 2000; 2 (3): 137-41
19. Holland R, Lenaghan E, Harvey I, et al. Does home based medication review keep older people out of hospital? The HOMER randomised controlled trial. BMJ 2005; 330 (7486): 293-7
20. Haumschild MJ, Karfonta TL, Haumschild MS, et al. Clinical and economic outcomes of a fall-focused pharmaceutical intervention program. Am J Health Syst Pharm 2003; 60 (10): 1029-32
21. Krska J, Cromarty JA, Arris F, et al. Pharmacist-led medication review in patients over 65: a randomized, controlled trial in primary care. Age Ageing 2001; 30 (3): 205-11
22. Lenaghan E, Holland R, Brooks A. Home-based medication review in a high risk elderly population in primary care: the POLYMED randomised controlled trial. Age Ageing 2007; 36 (3): 292-7
23. Lipton HL, Bero LA, Bird JA, et al. The impact of clinical pharmacists' consultations on physicians' geriatric drug prescribing: a randomized controlled trial. Medical Care 1992; 30 (7): 646-58
24. Malone DC, Carter BL, Billups SJ, et al. An economic analysis of a randomized, controlled, multicenter study of clinical pharmacist interventions for high-risk veterans: the IMPROVE study. Impact of Managed Pharmaceutical Care Resource Utilization and Outcomes in Veterans Affairs Medical Centers. Pharmacotherapy 2000; 20 (10): 1149-58
25. Roberts MS, Stokes JA, King MA, et al. Outcomes of a randomized controlled trial of a clinical pharmacy intervention in 52 nursing homes. Br J Clin Pharmacol 2001; 51 (3): 257-65
26. Ruths S, Straand J, Nygaard HA. Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study. Qual Saf Health Care 2003; 12 (3): 176-80
27. Sorensen L, Stokes JA, Purdie DM, et al. Medication reviews in the community: results of a randomized, controlled effectiveness trial [published erratum appears in Br J Clin Pharmacol 2005; 59 (3): 376]. Br J Clin Pharmacol 2004; 58 (6): 648-64
28. Zermansky AG, Petty DR, Raynor DK, et al. Randomised controlled trial of clinical medication review by a pharmacist of elderly patients receiving repeat prescriptions in general practice. BMJ 2001; 323 (7325): 1340-3
29. Zermansky AG, Alldred DP, Petty DR, et al. Clinical medication review by a pharmacist of elderly people living in care homes: randomised controlled trial. Age Ageing 2006; 35 (6): 586-91
30. Beers MH. Explicit criteria for determining potentially inappropriate medication use by the elderly: an update. Arch Intern Med 1997; 157 (14): 1531-6
31. Office of Fair Trading. Care homes for older people in the UK: a market study. London: OFT, 2005 [online]. Available from URL: http://www.oft.gov.uk/ shared-oft/reports/consumer-protection/oft780.pdf [Accessed 2008 Oct 29]
32. Bajekal M. Health survey for England 2000: care homes and their residents. London: The Stationery Office, 2002
33. Zermansky AG, Freemantle N. Is medication review by pharmacists of any use? Pharmacoeconomics 2007; 25 (2): 91-2
34. Department of Health. National service framework for older people. London: The Stationery Office, 2001