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Hospital a Domicilio

On-line version ISSN 2530-5115

Abstract

SANCHEZ-MOYA, Jessica; SANZ-VALERO, Javier  and  LOPEZ-PINTOR, Elsa. Community pharmacy interventions in adult patients receiving home health care: an exploratory review. Hosp. domic. [online]. 2020, vol.4, n.4, pp.209-227.  Epub Dec 28, 2020. ISSN 2530-5115.  https://dx.doi.org/10.22585/hospdomic.v4i4.113.

Objective:

To review the scientific literature related to interventions from the community pharmacy in adult patients who received home health care.

Method:

Exploratory review of the articles retrieved from the bibliographic databases MEDLINE (PubMed), Embase, Cochrane Library, Scopus and Web of Science until March 2020. The search equation was formulated using the descriptors "Home Care Services" and "Pharmacies" or "Community Pharmacy Services", also using the related Entry Terms and filters: "Humans" and "Adult: 19+ years". The quality of the articles was evaluated using the STROBE questionnaire.

Results:

From the 307 references retrieved, after applying the inclusion and exclusion criteria, 44 articles were selected: 11 cross-sectional descriptive studies and 10 randomized controlled trials. In 19 (43%) of these, it was observed that the interventions carried out by the community pharmacy increased drug-therapeutic adherence. Also, a better knowledge of medications (administration, safety, dosage, dosage) in 17 (38.6%) studies and in 13 (29.5%) studies, the prevention or resolution of DRM was achieved. Once the articles were evaluated by means of the STROBE questionnaire for this review the scores ranged from a minimum of 11 to a maximum of 20.8 out of a maximum score of 22.

Conclusions:

Pharmaceutical intervention, through community pharmacy, brought benefits in the older adult population, by increasing pharmacotherapeutic adherence, reducing drug-related problems, and challenges in preserving and storing medications.

Keywords : Home Care Services; Pharmacies; Community Pharmacy Services; Treatment Adherence and Compliance; Medication Errors; Patient Education as Topic; Polypharmacy; Aged; Patient Satisfaction.

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