US Pharmacists' Effect as Team Members on Patient Care

Systematic Review and Meta-Analyses

Bibliographic Data

ID9101672
AuthorsMarie A Chisholm-Burns, Marie A Chisholm‐Burns (Medication Management (United States), corresponding author), Jeannie Kim Lee (University of Arizona), Christina A Spivey (0000-0002-8792-8420, University of Arizona, corresponding author), Marion Slack (0000-0001-6537-3092, University of Arizona, corresponding author), Richard N Herrier (University of Arizona, corresponding author), Elizabeth Hall-Lipsy, Elizabeth Hall‐Lipsy (0000-0002-6500-3339, University of Arizona), Joshua Graff Zivin (0000-0002-0820-4900, University of California San Diego), Ivo Abraham (0000-0002-5224-4977, University of Arizona, corresponding author), John Palmer (0000-0002-1752-4631, University of Arizona), Jennifer R Martin, Jennifer Martin (0000-0002-7400-8916), Sandra S Kramer, Timothy Wunz, Timothy P Wunz (University of Arizona, corresponding author)
Year2010
Volume48
Issue10
Pages923-933
Publication date2010-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e3181e57962
PMID20720510
OpenAlexW2121927413
LanguageEN
Citations received19
References cited28

BACKGROUND: One approach postulated to improve the provision of health care is effective utilization of team-based care including pharmacists. OBJECTIVE: The objective of this study was to conduct a comprehensive systematic review with focused meta-analyses to examine the effects of pharmacist-provided direct patient care on therapeutic, safety, and humanistic outcomes. METHODS: The following databases were searched from inception to January 2009: NLM PubMed; Ovid/MEDLINE; ABI/INFORM; Health Business Fulltext Elite; Academic Search Complete; International Pharmaceutical Abstracts; PsycINFO; Cochrane Database of Systematic Reviews; National Guideline Clearinghouse; Database of Abstracts of Reviews of Effects; ClinicalTrials.gov; LexisNexis Academic Universe; and Google Scholar. Studies selected included those reporting pharmacist-provided care, comparison groups, and patient-related outcomes. Of these, 56,573 citations were considered. Data were extracted by multidisciplinary study review teams. Variables examined included study characteristics, pharmacists' interventions/services, patient characteristics, and study outcomes. Data for meta-analyses were extracted from randomized controlled trials meeting meta-analysis criteria. RESULTS: A total of 298 studies were included. Favorable results were found in therapeutic and safety outcomes, and meta-analyses conducted for hemoglobin A1c, LDL cholesterol, blood pressure, and adverse drug events were significant (P < 0.05), favoring pharmacists' direct patient care over comparative services. Results for humanistic outcomes were favorable with variability. Medication adherence, patient knowledge, and quality of life-general health meta-analyses were significant (P < 0.05), favoring pharmacists' direct patient care. CONCLUSIONS: Pharmacist-provided direct patient care has favorable effects across various patient outcomes, health care settings, and disease states. Incorporating pharmacists as health care team members in direct patient care is a viable solution to help improve US health care

Family medicine · MEDLINE · Political science · Interprofessional Education and Collaboration · Medication Adherence and Compliance · Medicine · Nursing · Pharmaceutical Practices and Patient Outcomes