ArticleAmerican journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists2026
Provision of medication supply at hospital discharge: A rapid scoping review of the "Meds-to-Beds" care model.
Article in American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeMeds-to-beds (MTB) programs support care transitions by providing medications and related counseling to patients before hospital discharge. This review describes studies of MTB programs in terms of their study designs, intervention elements, and outcomes. .
methodsA rapid scoping review was performed searching MEDLINE, Embase, Web of Science, CINAHL, and International Pharmaceutical Abstracts (from inception to December 2023) for studies examining the implementation and evaluation of an MTB program. Citations and full-text articles were independently screened by 2 reviewers. An adaptation of the Consolidated Framework for Implementation Research for care transitions guided data extraction. Data were synthesized using the 3-stage approach of Petticrew and Roberts. .
resultsTitles and abstracts from 4,362 identified citations and 129 full-text articles were screened, with 45 studies extracted. Of these, quality improvement initiatives (n = 16; 36%) and retrospective cohort studies (n = 12; 27%) were the most common. The majority of included studies were published between 2019 and 2023 (n = 27; 60%) and were conducted in the US (n = 37; 82%). Twenty-nine studies (64%) examined an MTB program as the sole intervention, while 16 studies (36%) examined an MTB program as part of a complex intervention. More than half the studies examined multiple outcomes (n = 25; 56%), with the most studied outcomes being healthcare utilization or system outcomes (n = 32; 71%), cost effects or pharmacy operational impacts (n = 21; 47%), patient and caregiver experience (n = 11; 24%), and patient clinical outcomes (n = 7; 16%).
conclusionThis rapid scoping review highlights existing gaps in the literature around MTB programs. The reviewed studies primarily had noncontrolled study designs, focusing on healthcare utilization and cost or pharmacy operational impacts. Fewer studies examined patient and caregiver experiences and patient clinical outcomes. Future research expanding the breadth of outcomes studied using controlled designs is warranted. .
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