uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Intervention delivery within the MedBridge study: a comparison between study sites
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences.
2018 (English)Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Background: The Medication Reviews Bridging Healthcare (MedBridge) study aims to evaluate the effects of hospital initiated comprehensive medication reviews and active follow up among elderly. The study takes place in four different hospitals: Uppsala University Hospital, and the hospitals in Enköping, Gävle and Västerås. To draw solid conclusions from the results within MedBridge, it is important to assess the quality by which the interventions have been delivered. Two previously performed sub-studies examined the intervention delivery within the first study periods. However, Västerås hospital had not yet been assessed.

Aim: The aim was to investigate whether the intervention delivery at Västerås hospital was similar to the intervention delivery at the other three hospitals in terms of identified discrepancies, drug-related problems (DRPs), correction rate of discrepancies and acceptance rate of pharmacist proposals.

Methods and materials: One-third of all participants from two intervention periods in Västerås and one intervention period in each of the other hospitals, were randomised to this sub-study. The patients’ medical records were screened to classify identified discrepancies, DRPs and pharmacist proposals. Quantitative variables were compared using a student’s-t-test and categorical variables were compared using a chi-square-test.

Results: A mean number of 0.92 and 1.2 (p=0.16) discrepancies and 2.1 and 2.2 DRPs (p=0.85) were found in Västerås hospital and the other hospitals respectively with correction rates of 67% and 80% (p=0.037) and acceptance rates of 67% and 80% (p=0.0025). There was no difference in types of discrepancies between the groups (p=0.77). However, there was a difference in types of identified DRPs (p=0.0045) and pharmacist proposals (p=0.025).

Conclusion: The intervention delivery in Västerås hospital is similar in terms of number of identified discrepancies, DRPs and types of discrepancies but the correction rate of discrepancies, acceptance rate of pharmacist proposals, and types of DRPs and pharmacist proposals differ. It is unclear whether these differences are clinically relevant.

Place, publisher, year, edition, pages
2018.
National Category
Pharmaceutical Sciences
Identifiers
URN: urn:nbn:se:uu:diva-355898OAI: oai:DiVA.org:uu-355898DiVA, id: diva2:1231534
Subject / course
Pharmacotherapy
Educational program
Master of Science Programme in Pharmacy
Supervisors
Examiners
Available from: 2018-07-09 Created: 2018-07-07 Last updated: 2018-07-09Bibliographically approved

Open Access in DiVA

No full text in DiVA

By organisation
Department of Pharmaceutical Biosciences
Pharmaceutical Sciences

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 25 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf