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Mendeley readers
| Title |
Can a pharmacy intervention improve the metabolic risks of mental health patients? Evaluation of a novel collaborative service
|
|---|---|
| Published in |
BMC Health Services Research, April 2016
|
| DOI | 10.1186/s12913-016-1406-6 |
| Pubmed ID | |
| Authors |
Husna Maulavizada, Lynne Emmerton, Hendrika Laetitia Hattingh |
| Abstract |
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. 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. The evaluation framework comprised 13 process, 5 outcomes, 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. 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. |
Mendeley readers
The data shown below were compiled from readership statistics for 138 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 138 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 21 | 15% |
| Student > Ph. D. Student | 18 | 13% |
| Student > Bachelor | 17 | 12% |
| Researcher | 11 | 8% |
| Other | 8 | 6% |
| Other | 19 | 14% |
| Unknown | 44 | 32% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 26 | 19% |
| Pharmacology, Toxicology and Pharmaceutical Science | 22 | 16% |
| Medicine and Dentistry | 13 | 9% |
| Social Sciences | 7 | 5% |
| Psychology | 5 | 4% |
| Other | 17 | 12% |
| Unknown | 48 | 35% |