Evidence map›Paper›PMID 38737357›Full record

ArticleCanadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC2024

The appointment-based model in community pharmacies: Patient demographics and reimbursable clinical services uptake in Ontario.

Tiana Tilli, Annalise Mathers, Qiqi Lin, Saleema Bhaidani, Jen Baker, Louis Wei, Paul Grootendorst, Suzanne M Cadarette, Lisa Dolovich

Abstract read
In one paragraph

Article in Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Tiana TilliWholehealth Pharmacy Partners, Markham, Ontario.ORCID https://orcid.org/0000-0002-4927-514X
Annalise MathersLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario.ORCID https://orcid.org/0000-0002-4864-6359
Qiqi LinLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario.
Saleema BhaidaniWholehealth Pharmacy Partners, Markham, Ontario.
Jen BakerWholehealth Pharmacy Partners, Markham, Ontario.
Louis WeiWholehealth Pharmacy Partners, Markham, Ontario.
Paul GrootendorstLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario.
Suzanne M CadaretteLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario.
Lisa DolovichLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario.ORCID https://orcid.org/0000-0002-0061-6783

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Community pharmacies typically require patients to request medication refills. The appointment-based model (ABM) is a proactive approach that synchronizes refills and schedules patient-pharmacist appointments. These appointments provide opportunities for medication reviews, medication optimization and health promotion services. The primary aim of this study was to describe the types of patients who received an ABM service in a community pharmacy in Ontario in 2017. The secondary aim was to describe reimbursable clinical service uptake. Methods: In September 2017, the ABM was implemented across 3 Ontario community pharmacies within a Canadian pharmacy banner. Patients who filled at least 1 chronic oral medication and consented to enrolment were eligible. In December 2018, data were extracted from pharmacies using pharmacy management software. Descriptive statistics and frequencies were generated. Results: Analysis of 131 patients (51.1% female; mean ± SD age 70.8 ± 10.5 years) revealed patients were dispensed a mean ± SD of 5.1 ± 2.7 medications, and 73 (55.7%) experienced polypharmacy. Hypertension (87.8%) and dyslipidemia (68.7%) were the most common medical conditions. There were 74 (56.5%) patients who received ≥1 medication review service (MedsCheck). Of 79 unique drug therapy problems (DTPs) identified, the most common categories related to patients needing additional drug therapy and adverse drug reactions. Discussion and conclusion: Patients enrolled in the ABM were generally older adults experiencing polypharmacy. The ABM presented opportunities for DTP identification and delivery of reimbursed services. Findings support continued exploration of the ABM to support integration of clinical services within community practice.

Identifiers

PMID38737357
PMCPMC11086738

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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.