Can a pharmacy intervention improve the metabolic risks of mental health patients? Evaluation of a novel collaborative service

Background: The pressure on healthcare services worldwide has driven the incorporation of disease state management services within community pharmacies in developed countries. Pharmacists are recognised as the most accessible healthcare professionals, and the incorporation of these services facilita...

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Main Authors: Maulavizada, H., Emmerton, Lynne, Hattingh, H. Laetitia
Format: Journal Article
Published: BioMed Central 2016
Online Access:http://hdl.handle.net/20.500.11937/39453
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author Maulavizada, H.
Emmerton, Lynne
Hattingh, H. Laetitia
author_facet Maulavizada, H.
Emmerton, Lynne
Hattingh, H. Laetitia
author_sort Maulavizada, H.
building Curtin Institutional Repository
collection Online Access
description Background: The pressure on healthcare services worldwide has driven the incorporation of disease state management services within community pharmacies in developed countries. Pharmacists are recognised as the most accessible healthcare professionals, and the incorporation of these services facilitates patient care. In Australia, the opportunity to manage pharmacy patients with mental illness has been underutilised, despite the existence of service models for other chronic conditions. This paper is an independent evaluation of a novel service developed by a community pharmacy in Perth, Western Australia. The service represents collaboration between a nurse practitioner and community pharmacy staff in the management of mental health patients with metabolic risks. Methods: We applied practice service standards for Australian community pharmacies to develop an evaluation framework for this novel service. This was followed by semi -structured interviews with staff members at the study pharmacy to explore service processes and procedures. Descriptive analysis of interviews was supplemented with analysis of patients’ biometric data. All data were evaluated against the developed framework. Results: The evaluation framework comprised 13 process, 5 out comes, and 11 quality indicators. Interview data from eight staff members and biometric data from 20 community-dwelling mental health patients taking antipsychotics were evaluated against the framework. Predominantly, patients were managed by the pharmacy’s nurse practitioner, with medication management provided by pharmacists. Patients’ biometric measurements comprised weight, blood pressure, blood glucose levels, lipid profiles and management of obesity, smoking, hypertension and diabetes. Positive outcomes observed in the patient data included weight loss, smoking cessation, and improved blood pressure, blood glucose and lipid levels. Conclusions: The developed framework allowed effective evaluation of the service, and may be applicable to other pharmacy services. The metabolic clinic met key process, quality and outcomes indicators. The positive patient outcomes may assist in securing further funding.
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institution Curtin University Malaysia
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spelling curtin-20.500.11937-394532017-11-08T01:30:39Z Can a pharmacy intervention improve the metabolic risks of mental health patients? Evaluation of a novel collaborative service Maulavizada, H. Emmerton, Lynne Hattingh, H. Laetitia Background: The pressure on healthcare services worldwide has driven the incorporation of disease state management services within community pharmacies in developed countries. Pharmacists are recognised as the most accessible healthcare professionals, and the incorporation of these services facilitates patient care. In Australia, the opportunity to manage pharmacy patients with mental illness has been underutilised, despite the existence of service models for other chronic conditions. This paper is an independent evaluation of a novel service developed by a community pharmacy in Perth, Western Australia. The service represents collaboration between a nurse practitioner and community pharmacy staff in the management of mental health patients with metabolic risks. Methods: We applied practice service standards for Australian community pharmacies to develop an evaluation framework for this novel service. This was followed by semi -structured interviews with staff members at the study pharmacy to explore service processes and procedures. Descriptive analysis of interviews was supplemented with analysis of patients’ biometric data. All data were evaluated against the developed framework. Results: The evaluation framework comprised 13 process, 5 out comes, and 11 quality indicators. Interview data from eight staff members and biometric data from 20 community-dwelling mental health patients taking antipsychotics were evaluated against the framework. Predominantly, patients were managed by the pharmacy’s nurse practitioner, with medication management provided by pharmacists. Patients’ biometric measurements comprised weight, blood pressure, blood glucose levels, lipid profiles and management of obesity, smoking, hypertension and diabetes. Positive outcomes observed in the patient data included weight loss, smoking cessation, and improved blood pressure, blood glucose and lipid levels. Conclusions: The developed framework allowed effective evaluation of the service, and may be applicable to other pharmacy services. The metabolic clinic met key process, quality and outcomes indicators. The positive patient outcomes may assist in securing further funding. 2016 Journal Article http://hdl.handle.net/20.500.11937/39453 10.1186/s12913-016-1406-6 http://creativecommons.org/licenses/by/4.0/ BioMed Central fulltext
spellingShingle Maulavizada, H.
Emmerton, Lynne
Hattingh, H. Laetitia
Can a pharmacy intervention improve the metabolic risks of mental health patients? Evaluation of a novel collaborative service
title Can a pharmacy intervention improve the metabolic risks of mental health patients? Evaluation of a novel collaborative service
title_full Can a pharmacy intervention improve the metabolic risks of mental health patients? Evaluation of a novel collaborative service
title_fullStr Can a pharmacy intervention improve the metabolic risks of mental health patients? Evaluation of a novel collaborative service
title_full_unstemmed Can a pharmacy intervention improve the metabolic risks of mental health patients? Evaluation of a novel collaborative service
title_short Can a pharmacy intervention improve the metabolic risks of mental health patients? Evaluation of a novel collaborative service
title_sort can a pharmacy intervention improve the metabolic risks of mental health patients? evaluation of a novel collaborative service
url http://hdl.handle.net/20.500.11937/39453