Abstract
Key points The study site was a university-affi liated community-based primary care practice and teaching site for medical residents. The intervention was a 10-step individualized Medication Assessment and Planning (iMAP) program provided by residency-trained, boardcertifi ed clinical pharmacists who collectively provided clinical services at the clinic 2 days per week. The researchers conducted a prospective, observational 6-month study using a convenience sample of older adults from the clinic. The primary outcome was total number and prevalence of medication-related problems (MRPs) identifi ed by the clinical pharmacists at 6 months, and the secondary outcomes were acute health services utilized by study patients. During the 6-month period, the pharmacists identifi ed 419 MRPs for 64 patients enrolled in the program, proposing therapy-optimizing plans for each problem to the patients’ primary care physicians. The physicians accepted 94% (392) of these recommendations. There was a signifi cant reduction in mean MRPs per patient from baseline to 6 months (4.2 vs. 1.0). Acute health services utilized by study patients declined from 8.3 to 5.4 events per 100 person–months.
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