dc.contributor.author |
Hikaka, Joanna |
|
dc.contributor.author |
Hughes, Carmel |
|
dc.contributor.author |
Jones, Rhys |
|
dc.contributor.author |
Connolly, Martin J |
|
dc.contributor.author |
Martini, Nataly |
|
dc.coverage.spatial |
United States |
|
dc.date.accessioned |
2024-03-13T22:14:26Z |
|
dc.date.available |
2024-03-13T22:14:26Z |
|
dc.date.issued |
2019-12 |
|
dc.identifier.citation |
(2019). Research in Social and Administrative Pharmacy, 15(12), 1383-1394. |
|
dc.identifier.issn |
1551-7411 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/67700 |
|
dc.description.abstract |
<h4>Background</h4>Pharmacist involvement in medicines reviews for older adults can improve prescribing and reduce adverse drug reactions. Māori experience poorer health outcomes than non-Māori resulting, in part, from inequitable access to and quality of medicine-related care. Despite international data showing benefit, it is unclear whether pharmacist-led medicines review services can improve outcomes for Māori older adults.<h4>Objective</h4>This systematic review aims to describe pharmacist-led medicines review services for community-dwelling adults in New Zealand, assess effectiveness of these interventions and identify their effect on health equity for Māori and older adults.<h4>Methods</h4>The review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses - Equity (PRISMA-E 2012). Observational studies were included. The intervention in included studies had to involve a pharmacist, occur in the outpatient setting in New Zealand, and involve review of all medicines for an individual patient. At least one patient-related outcome had to be reported.<h4>Results</h4>The search identified seven observational studies with 542 total participants. Study interventions included adherence-based reviews in community pharmacies and multi-step comprehensive clinical reviews in outpatient haemodialysis units. Medicines reviews identified up to a median of 3 drug-related problems per review. The effect of interventions on medicines adherence and knowledge was not clear. Māori may have been less likely than non-Māori to benefit from improved medicines knowledge as a result of interventions. None of the studies incorporated aspects in study design or delivery to address inequities for Māori.<h4>Conclusion</h4>Further investigation is needed to understand whether the development of culturally safe pharmacist-led medicines review services, responsive to community identified needs, can help to achieve equity in health outcomes for Māori older adults. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Elsevier |
|
dc.relation.ispartofseries |
Research in social & administrative pharmacy : RSAP |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.subject |
Humans |
|
dc.subject |
Professional Role |
|
dc.subject |
Adult |
|
dc.subject |
Pharmacists |
|
dc.subject |
Pharmaceutical Services |
|
dc.subject |
New Zealand |
|
dc.subject |
Inappropriate Prescribing |
|
dc.subject |
Medication Reconciliation |
|
dc.subject |
Drug-Related Side Effects and Adverse Reactions |
|
dc.subject |
Observational Studies as Topic |
|
dc.subject |
Health Equity |
|
dc.subject |
Indigenous Peoples |
|
dc.subject |
Equity |
|
dc.subject |
Indigenous health |
|
dc.subject |
Medicines review |
|
dc.subject |
Māori |
|
dc.subject |
Older adult |
|
dc.subject |
Pharmacist |
|
dc.subject |
4203 Health Services and Systems |
|
dc.subject |
4206 Public Health |
|
dc.subject |
42 Health Sciences |
|
dc.subject |
Clinical Research |
|
dc.subject |
8.1 Organisation and delivery of services |
|
dc.subject |
8 Health and social care services research |
|
dc.subject |
Generic health relevance |
|
dc.subject |
3 Good Health and Well Being |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Public, Environmental & Occupational Health |
|
dc.subject |
Pharmacology & Pharmacy |
|
dc.subject |
Maori |
|
dc.subject |
ADVERSE DRUG-REACTIONS |
|
dc.subject |
MEDICATION-REVIEWS |
|
dc.subject |
ETHNIC-DIFFERENCES |
|
dc.subject |
HEALTH |
|
dc.subject |
HOSPITALIZATION |
|
dc.subject |
INTERVENTIONS |
|
dc.subject |
DETERMINANTS |
|
dc.subject |
MORTALITY |
|
dc.subject |
QUALITY |
|
dc.subject |
ACCESS |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
Health services & systems |
|
dc.subject |
Health Services Research |
|
dc.subject |
1115 Pharmacology and Pharmaceutical Sciences |
|
dc.title |
A systematic review of pharmacist-led medicines review services in New Zealand - is there equity for Māori older adults? |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1016/j.sapharm.2019.01.009 |
|
pubs.issue |
12 |
|
pubs.begin-page |
1383 |
|
pubs.volume |
15 |
|
dc.date.updated |
2024-02-23T00:26:28Z |
|
dc.rights.holder |
Copyright: Elsevier Inc. |
en |
dc.identifier.pmid |
30733137 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/30733137 |
|
pubs.end-page |
1394 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RetrictedAccess |
en |
pubs.subtype |
Research Support, Non-U.S. Gov't |
|
pubs.subtype |
Systematic Review |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
761326 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
Te Kupenga Hauora Maori |
|
pubs.org-id |
Pharmacy |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Medicine Department |
|
dc.identifier.eissn |
1934-8150 |
|
dc.identifier.pii |
S1551-7411(18)30847-7 |
|
pubs.record-created-at-source-date |
2024-02-23 |
|
pubs.online-publication-date |
2019-01-14 |
|