Home medicines reviews and residential medication management reviews in Western Australia
File version
Author(s)
Hattingh, Laetitia
Si, Tin Fei
Parsons, Richard
Wright, Bronwen
Sunderland, Bruce
Griffith University Author(s)
Primary Supervisor
Other Supervisors
Editor(s)
Date
Size
File type(s)
Location
License
Abstract
Background Australian government funding for Residential Medication Management Reviews and Home Medicines Reviews commenced in 1997 and 2001 respectively. Limited data are available on their provision in Australia. Objective To investigate the extent and characteristics of Home Medicines Review and Residential Medication Management Review services provided by accredited pharmacists practising in Western Australia. Setting Pharmacists in Western Australia accredited by the Australian Association of Consultant Pharmacy or Society of Hospital Pharmacists of Australia. Method A paper questionnaire was developed and sent to 198 accredited pharmacists in Western Australia in June 2017. Simple descriptive statistics summarised demographic information and other responses. Logistic regression evaluated factors associated with the frequency of provision of Home Medicines Reviews. Main outcome measure Frequency and factors influencing services provided. Results Of 102 (51.5%) questionnaires returned, 67 (65.7%) respondents were female. Many were aged between 31 and 40 years (53; 52.0%). Most were accredited by the Australian Association of Consultant Pharmacy (101; 99.0%) and mainly offered Home Medicines Reviews (70; 68.6%). Home Medicines Reviews provided over the previous 12 months were limited in frequency with one quarter providing either 1–10 (27; 26.5%) or 21–50 (28; 27.5%) reviews. The median “average” preparation, interview and report writing times, plus communication with other health professionals aggregated to 175.0 min (interquartile range: 140.0–235.0 min) for Home Medicine Reviews and 110.0 min (90.0–140.0) for Residential Medication Management Reviews. Pharmacists born overseas and those who were accredited for a longer time were associated with performing 51 or more Home Medicines Reviews annually. Only one-third (36/101; 35.6%) agreed the current payment was appropriate. Most agreed their Home Medicines Reviews (92/96; 95.8%) and Residential Medication Management Reviews (26/28; 92.9%) provided improved patient outcomes. Over 97% of accredited pharmacists intended to continue to remain accredited. Conclusions Wide variations were evident in the times taken for tasks associated with performing reviews. Most respondents considered their medication reviews contributed to improved patient outcomes. The wide variation in times taken for the reviews suggests a tiered structure for service provision, with appropriate payment within each tier, since most consider current remuneration inadequate.
Journal Title
International Journal of Clinical Pharmacy
Conference Title
Book Title
Edition
Volume
42
Issue
2
Thesis Type
Degree Program
School
Publisher link
Patent number
Funder(s)
Grant identifier(s)
Rights Statement
Rights Statement
Item Access Status
Note
Access the data
Related item(s)
Subject
Pharmacology and pharmaceutical sciences
Other health sciences
Accredited pharmacists
Australia
Home medicines reviews
Medication review
Residential medication management reviews
Persistent link to this record
Citation
Czarniak, P; Hattingh, L; Sim, TF; Parsons, R; Wright, B; Sunderland, B, Home medicines reviews and residential medication management reviews in Western Australia, International Journal of Clinical Pharmacy, 2020, 42 (2), pp. 567-578