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Pharmaceutical care for elderly patients shared between community pharmacists and general practitioners: a randomised evaluation: RESPECT (Randomised Evaluation of Shared Prescribing for Elderly people in the Community over Time [ISRCTN16932128]

Wong, ICK; Campion, P; Coulton, S; Cross, B; Edmondson, H; Farrin, A; Hill, G; ... Russell, I; + view all (2004) Pharmaceutical care for elderly patients shared between community pharmacists and general practitioners: a randomised evaluation: RESPECT (Randomised Evaluation of Shared Prescribing for Elderly people in the Community over Time [ISRCTN16932128]. BMC Health Services Research , 4 , Article 11. 10.1186/1472-6963-4-11. Green open access

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Abstract

Background: This trial aims to investigate the effectiveness and cost implications of 'pharmaceutical care' provided by community pharmacists to elderly patients in the community. As the UK government has proposed that by 2004 pharmaceutical care services should extend nationwide, this provides an opportunity to evaluate the effect of pharmaceutical care for the elderly. Design: The trial design is a randomised multiple interrupted time series. We aim to recruit 700 patients from about 20 general practices, each associated with about three community pharmacies, from each of the five Primary Care Trusts in North and East Yorkshire. We shall randomise the five resulting groups of practices, pharmacies and patients to begin pharmaceutical care in five successive phases. All five will act as controls until they receive the intervention in a random sequence. Until they receive training community pharmacists will provide their usual dispensing services and so act as controls.The community pharmacists and general practitioners will receive training in pharmaceutical care for the elderly. Once trained, community pharmacists will meet recruited patients, either in their pharmacies (in a consultation room or dispensary to preserve confidentiality) or at home. They will identify drug-related issues/problems, and design a pharmaceutical care plan in conjunction with both the GP and the patient. They will implement, monitor, and update this plan monthly. The primary outcome measure is the 'Medication Appropriateness Index'. Secondary measures include adverse events, quality of life, and patient knowledge and compliance. We shall also investigate the cost of pharmaceutical care to the NHS, to patients and to society as a whole.

Type: Article
Title: Pharmaceutical care for elderly patients shared between community pharmacists and general practitioners: a randomised evaluation: RESPECT (Randomised Evaluation of Shared Prescribing for Elderly people in the Community over Time [ISRCTN16932128]
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/1472-6963-4-11
Publisher version: http://dx.doi.org/10.1186/1472-6963-4-11
Language: English
Additional information: © 2004 Wong et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy > Practice and Policy
URI: https://discovery.ucl.ac.uk/id/eprint/1358640
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