ArticleBMC primary care2022
Pharmacist-led medication reviews in primary healthcare for adult community-dwelling patients - a descriptive study charting a new target group.
Article in BMC primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- 'You get a different mindset' - primary care physicians' perceptions of interprofessional medication reviews for patients living independently.Scandinavian journal of primary health care · 2026Article
- Nurses' perspectives on medication safety for Swedish community-dwelling older adults in primary care.Scandinavian journal of primary health care · 2026Article
- Drug-related problems identified in patients attending primary healthcare centers in Jordan.Medicine · 2026Observational
- Responsiveness and minimum important change of the Pharmacotherapeutic Symptom Evaluation-20-Australian version: a tool for measuring changes in medicine-related symptoms over time.International journal of clinical pharmacy · 2026Article
- Exploring the experience of managers, employees, and pharmacists in clinical pharmacy in primary care using the SEIPS model: A focus group study.Exploratory research in clinical and social pharmacy · 2025Article
- Intervention description of pharmacist-facilitated medication reviews in Nordic primary care settings: a scoping review.Scandinavian journal of primary health care · 2025Article
- Clinical impact of medication reviews for community-dwelling patients in primary healthcare.BMC primary care · 2023Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundMedication treatment can reduce morbidity but can also cause drug-related problems (DRPs). One method to identify and solve DRPs is medication reviews (MRs) that are aimed at increased patient safety and quality in drug treatment. In Skåne county, Sweden, a well-established multi-professional model for MRs in nursing homes is practiced. However, a demand for MRs regarding community-dwelling patients has emerged. These patients may be extra vulnerable since they have less supervision from healthcare personnel.
aimTo describe the community-dwelling patients in primary healthcare considered in need of an MR, as well as the outcomes of these pharmacist-led MRs.
methodsPersonnel from 14 primary healthcare centers selected patients for the MRs. Based on electronic medical records, the symptom assessment tool PHASE-20 (PHArmacotherapeutical Symptom Evaluation 20 questions) and medication lists, pharmacists conducted MRs and communicated adjustment suggestions via the medical record to the general practitioners (GPs).
resultsA total of 109 patients were included in the study and 90.8% (n = 99) of the patients were exposed to at least one DRP, with an average of 3.9 DRPs per patient. Patients with impaired renal function (glomerular filtration rate, GFR < 45 ml/min) or ≥ 10 medications were exposed to a significantly higher number of DRPs per patient, 5.1 DRP and 5.3 respectively. The most frequent DRP-categories were Unnecessary drug therapy and Adverse drug reaction, which represented 23.0% respectively 22.9% of the total amount of DRPs.
conclusionsOur results indicate a prioritized need for MRs for community-dwelling patients, specifically with impaired renal function or polypharmacy.
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