Evidence map›Paper›PMID 38702640›Full record

ArticleBMC health services research2024

A survey on the implementation of clinical medication reviews in community pharmacies within a multidisciplinary setting.

S Hogervorst, M C Adriaanse, M Vervloet, M Teichert, J J Beckeringh, L van Dijk, J G Hugtenburg

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Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

S HogervorstDepartment of Health Sciences, Faculty of Science, Vrije Universiteit, Amsterdam, The Netherlands.
M C AdriaanseDepartment of Health Sciences, Faculty of Science, Vrije Universiteit, Amsterdam, The Netherlands.
M VervloetDepartment of Pharmaceutical Care, Nivel, Institute for Health Services Research, Utrecht, The Netherlands. m.vervloet@nivel.nl.
M TeichertDepartment of Clinical Pharmacy & Toxicology, Leiden University Medical Center, Leiden, The Netherlands.
J J BeckeringhWestwijk Pharmacy, Amstelveen, The Netherlands.
L van DijkDepartment of Pharmaceutical Care, Nivel, Institute for Health Services Research, Utrecht, The Netherlands.
J G HugtenburgAmsterdam Public Health Research Institute, Amsterdam UMC, Location VUMC, De Boelelaan 1117, Amsterdam, 1081 HV, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPolypharmacy is common in chronic medication users, which increases the risk of drug related problems. A suitable intervention is the clinical medication review (CMR) that was introduced in the Netherlands in 2012, but the effectiveness might be hindered by limited implementation in community pharmacies. Therefore our aim was to describe the current implementation of CMRs in Dutch community pharmacies and to identify barriers to the implementation.

methodsAn online questionnaire was developed based on the Consolidated Framework for Implementation Research (CFIR) and consisted of 58 questions with open ended, multiple choice or Likert-scale answering options. It was sent out to all Dutch community pharmacies (n = 1,953) in January 2021. Descriptive statistics were used.

resultsA total of 289 (14.8%) community pharmacies filled out the questionnaire. Most of the pharmacists agreed that a CMR has a positive effect on the quality of pharmacotherapy (91.3%) and on medication adherence (64.3%). Pharmacists structured CMRs according to available selection criteria or guidelines (92%). Pharmacists (90%) believed that jointly conducting a CMR with a general practitioner (GP) improved their mutual relationship, whereas 21% believed it improved the relationship with a medical specialist. Lack of time was reported by 43% of pharmacists and 80% (fully) agreed conducting CMRs with a medical specialist was complicated. Most pharmacists indicated that pharmacy technicians can assist in performing CMRs, but they rarely do in practice.

conclusionsLack of time and suboptimal collaboration with medical specialists are the most important barriers to the implementation of CMRs.

Indexed as

Community Pharmacy ServicesAdultDrug MonitoringFemaleHumansMaleMedication Therapy ManagementMiddle AgedNetherlandsPharmacistsPolypharmacySurveys and QuestionnairesClinical medication reviewCommunity pharmacyConsolidated framework for implementation researchImplementationQuestionnaire

Identifiers

PMID38702640
PMCPMC11067219

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.