Author: Vince DeguzmanPublisher:
ISBN:
Category :
Languages : en
Pages : 148
Book Description
Examining the Implementation Medication Therapy Management Services Using the Theory of Planned Behavior
Author: Vince DeguzmanContemporary Research Methods in Pharmacy and Health Services
Author: Shane P. DessellePublisher: Academic Press
ISBN: 0323914268
Category : Medical
Languages : en
Pages : 672
Book Description
Emerging methods, as well as best practices in well-used methods, in pharmacy are of great benefit to researchers, graduate students, graduate programs, residents and fellows also in other health science areas. Researchers require a text to assist in the design of experiments to address seemingly age-old problems. New interventions are needed to improve medication adherence, patients’ lived experiences in health care, provider-patient relationships, and even various facets of pharmacogenomics. Advances in systems re-engineering can optimize health care practitioners’ roles. Contemporary Research Methods in Pharmacy and Health Services includes multi-authored chapters by renowned experts in their field. Chapters cover examples in pharmacy, health services and others transcendent of medical care, following a standardized format, including key research points; valid and invalid assumptions; pitfalls to avoid; applications; and further inquiry. This is a valuable resource for researchers both in academia and corporate R&D, primarily in pharmacy but also in health services, and other health disciplines. Social science researchers and government scientists can also benefit from the reading. Provides multi-authored chapters by renowned experts in their field Includes examples for pharmacy and health services and others that are transcendent of medical care Covers key research points, valid and invalid assumptions, pitfalls to avoid, applications, and further inquiry
Examining Issues of Cost, Target Population, and Collaborative Implementation of Medication Therapy Management Services Interventions
Author: Deborah S. LingPublisher:
ISBN:
Category :
Languages : en
Pages : 125
Book Description
This dissertation consists of three studies, each applying a different method, to evaluate the use of pharmacists on the primary care team for people with chronic health conditions, such as high blood pressure and diabetes. Pharmacist interventions, also called Medication Therapy Management (MTM) services, are the subject of considerable current debate in health reform policy. Major associations representing pharmacists are advocating for legislation that will establish reimbursement for MTM services for a wide range of chronic conditions. The studies included in this report address unanswered research questions regarding 1) whether enough evidence exists to conclude that MTM services interventions will result in cost savings and significant return on investment, 2) which patient populations might benefit most from MTM services interventions, and 3) what are the challenges associated with the implementation of these types of MTM services in collaborative partnerships with public and private community health entities. The first paper in the trilogy examined the existent literature on the cost-benefits of MTM programs. The findings suggest that existing economic studies of MTM services are lacking in quality and additional high-quality cost-effectiveness research work needs to be completed before there is enough evidence to support reimbursement and policy changes. The second study considered whether different populations of people who have commercial health insurance, Medicare insurance, or Medicaid insurance who take long-term medications were more or less likely to receive medication monitoring. Presumably, those who take long-term medications but may not be receiving proper monitoring could benefit from interventions such as MTM services. Through quantitative regression analysis, it was determined that for populations on widely prescribed medications, such as angiotensin converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), and diuretics - those with commercial insurance were almost three times less likely to be monitored than those with Medicare insurance. Also, significant effects on medication monitoring were found for important patient characteristic covariates including gender - females less likely to be monitored, age - older age associated with lower likelihood of monitoring, and income - higher income associated with higher likelihood of monitoring. The final study examined the efforts of a multi-sector collaborative partnership implementing an MTM services intervention using community pharmacists to assist with treatment of a population of school district employees and their dependents who have diabetes in San Diego, California. Contextual, resource, leadership, and internal conflict factors were evaluated with qualitative analysis to determine their effect on the abilities of the partnership to complete its initiatives. New contributions as a result of this research include developing a cost model to provide MTM services, quantifying relationships between health insurance status and medication monitoring, and revealing practical lessons on implementation of MTM models. This work provides an objective view on these subjects while adding to the growing number of studies on incorporating pharmacists on the primary care team.
Pharmacist Services
Author: Jon SchommerPublisher: MDPI
ISBN: 3039217542
Category : Business & Economics
Languages : en
Pages : 436
Book Description
The overall goal of this book is to give the reader a state-of-the-art synopsis of the pharmacist services domain. To accomplish this goal, the authors have addressed the social, psychosocial, political, legal, historic, clinical, and economic factors that are associated with pharmacist services. In this book, you will gain cutting-edge insights from learning about the research of experts throughout the world. The findings have relevance for enhancing pharmacist professionalism, pharmacist practice, and the progression of pharmacist services in the future.
Perceptions of Medical Students on Pharmacists Provided Counseling Services and Collaboration with Pharmacists Using the Theory of Planned Behavior
Author: Surbhi ShahPublisher:
ISBN:
Category :
Languages : en
Pages : 110
Book Description
In the past, pharmacists' roles were centered around dispensing and compounding medications. With the changing roles and responsibilities of pharmacists in managing patients' medication therapy, an emphasis is being made on providing team based care to patients. Recent changes in legislation, improvements in regulatory standards, and developmental changes in reimbursement strategies have driven this change in the healthcare environment. Several interprofessional models of care have been implemented in various settings to effectively allocate resources and improve the access and continuity of care. The counseling services provided by pharmacists provide opportunities for patients, physicians, and pharmacists to work closely with each other. Physicians benefit from these services through improving patient safety and utilizing their time and expertise to see more patients. Pharmacists benefit by building relationships with physicians with the goal of making medication related recommendations to improve patients' drug therapy. Therefore, for the collaboration between pharmacists and physicians to be successful, interaction between them is important and begins at the educational level. With the focus being made on patient centered care, incorporating some educational sessions on the services that other healthcare providers provide or workshops on collaboration could be an important part in the curriculum of both medical and pharmacy schools. It could allow them to better understand each other's role and responsibilities, skills, and expertise. It could also improve their communication skills, trust, and confidence with each other. Therefore, the aim of our study was to understand the perceptions of medical students on pharmacist-provided counseling services and towards collaboration. A modified Theory of Planned Behavior was used to assess awareness, attitude, perceived behavioral control, subjective norm, and intention of the first and second year medical students at the University of Toledo. The study consisted of developing a valid and reliable survey, which was sent to a total of 370 first and second year medical students from the University of Toledo, College of Medicine. A total of 87 surveys were included in the analysis. It was found that our theory was beneficial in supporting the framework and all the constructs of the theory together predicted intention of medical students to collaborate with pharmacists. By evaluating their thoughts through various open-ended questions, we found that medical students were interested in learning about the counseling services and collaboration in their curriculum. Hence, our research demonstrates the need for some changes in their curriculum by incorporating some lectures and workshops to learn about the roles and responsibilities of pharmacists and to experience interprofessionalism in their courses and clinical experiences.
Using the Theory of Planned Behavior to Understand Factors Influencing Intention of South Asian Consumers to Seek Pharmacist Provided Medication Therapy Management Services
Author: Shaquib Al HasanClinical pharmacist service promotes the improvement of medical quality
Author: Hao LiPublisher: Frontiers Media SA
ISBN: 2832548725
Category : Science
Languages : en
Pages : 280
Book Description
Perspectives in Pharmacy Practice
Author: Anantha Naik NagappaPublisher: Springer Nature
ISBN: 9811692130
Category : Medical
Languages : en
Pages : 342
Book Description
This comprehensive text provides information on fundamental principles of clinical practice and how these can be implemented to provide excellent treatment to the patients. The triads of health care delivery include Physicians, Pharmacist and Nurses that have distinct roles and responsibilities of patient care. Effective pharmacy practice requires an understanding of the social context within which pharmacy is practiced, recognizing the particular needs and circumstances of the users of pharmaceutical services and of pharmacy's place within health service provision. This book presents a contemporary view of pharmacy practice research covering theories, methodologies, models and techniques that are applicable. The initial chapters describe the basics of pharmacy profession and what is the key role and responsibilities of Pharmacist in health care delivery. The central part of the book illustrates the community, hospital and ethics regarding drug formulation. The last chapters cover the therapeutic aspect of pharmacy and how these can be employed to improve patient’s health care facilities.
Using the Theory of Planned Behavior to Examine Texas Community Pharmacists' Intentions to Utilize a Prescription Drug Monitoring Program
Author: Marc L. FlemingPublisher:
ISBN:
Category :
Languages : en
Pages : 546
Book Description
The purpose of this study was to determine the predictive utility of the theory of planned behavior (TPB) in predicting and explaining pharmacists' intention to utilize a prescription drug monitoring program (PDMP) database, when the validity of the prescription/patient need is in question. The study tested the significance of each TPB model construct variable (attitude [A], subjective norm [SN], and perceived behavioral control [PBC]) in predicting pharmacists' high intention, compared to non-high intention (dichotomous variable). In addition, the study examined the additional contribution of pharmacists' perception of prescription (PPDA) drug abuse and perceived obligation (PO) to the TPB model. Demographic and practice characteristics were also explored in relation to the TPB model predictors, A, SN and PBC. A mail questionnaire was sent to a random sample of 998 Texas community pharmacists with active licenses. Three focus groups were conducted to collect information regarding pharmacists' beliefs toward PDMP database utilization. The usable survey response rate was 26.2%. Due to data that were not normally distributed, intention was dichotomized into high intention and non-high intention. The TPB constructs were significant predictors of pharmacists' high intention. Pharmacists with positive attitudes were almost twice as likely to have high intention (odds ratio [OR] = 1.8, 95% confidence interval [CI] = 1.2 - 2.8). However, SN was the strongest predictor of pharmacists' high intention (OR = 2.2, 95% CI = 1.4 - 3.3). Pharmacists who reported substantial PBC were also twice as likely to have high intention (OR = 1.9, 95% CI = 1.2 - 3.0). PPDA was not significantly related to pharmacists' high intention. However, pharmacists' PO was shown to predict high intention above that explained by the TPB model (OR = 1.8, 95% CI = 1.0 - 3.1). The results of this study support the utility of the TPB model with PO in predicting pharmacists' high intention to utilize a PDMP database. Interventions that address pharmacists' A, SN, PBC, and PO may be necessary to increase pharmacists' high intention to utilize a PDMP database when it becomes available. Future studies using intention as a predictor of pharmacists' behavior are needed to assess the influence of intention on PDMP utilization.
The Handbook of Behavior Change
Author: Martin S. HaggerPublisher: Cambridge University Press
ISBN: 1108750117
Category : Psychology
Languages : en
Pages : 730
Book Description
Social problems in many domains, including health, education, social relationships, and the workplace, have their origins in human behavior. The documented links between behavior and social problems have compelled governments and organizations to prioritize and mobilize efforts to develop effective, evidence-based means to promote adaptive behavior change. In recognition of this impetus, The Handbook of Behavior Change provides comprehensive coverage of contemporary theory, research, and practice on behavior change. It summarizes current evidence-based approaches to behavior change in chapters authored by leading theorists, researchers, and practitioners from multiple disciplines, including psychology, sociology, behavioral science, economics, philosophy, and implementation science. It is the go-to resource for researchers, students, practitioners, and policy makers looking for current knowledge on behavior change and guidance on how to develop effective interventions to change behavior.