Construction and effectiveness evaluation of home medication therapy management model for patients with complex medication use
Objective To develop a model for home medication therapy management(MTM)for patients with complex medication use and to evaluate its implementation effectiveness.Methods From 2021 to 2023,patients with complex medication use were collected at Beijing Jingmei Group General Hospital,including the outpatient pharmacy clinic,discharged patients,community-based home healthcare system,and medication risk monitoring system.MTM was then conducted.The management model was constructed by optimizing the MTM processes and methods,and the implementation effect was evaluated.Results A total of 170 patients completed home MTM.Before management,none of the patients met the medication therapy targets.After management,the target achievement rate increased to 91.76%,and the medication adherence score achievement rate improved from 17.1%to 79.41%,there was a statistically significant difference in the comparison before and after management(P<0.05),and patients's understanding and management ability of their own diseases were enhanced.Conclusion The home MTM model can improve the effectiveness,safety and adherence of patients'medication therapy.
medication therapy managementhome care pharmacy practicepatients with complicated medicationpharmaceutical service model
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