![]() The model includes Collaboration with the general practitioner (GP) but does not include a patient interview, and was tested in a pilot study by conducting medication reviews on Poly pharmacy patients i.e. This paper describes a practice model for pharmacist's medication review, tailored to the general practice setting. A discussion of the procedures used by clinical pharmacists is, however, important in order to ensure a continuous development of the quality of the pharmaceutical services offered to patients. No single procedure will ever be universally accepted as a gold standard or a one-size-fits-all solution, nor should it be. Such procedures should clearly outline how to conduct a medication review, among other things taking into consideration the setting, as the data sources differ widely between e.g. While such considerations may be expressed on a general level, detailed descriptions and procedures for medication review is lacking. taking comorbidity and specific patient characteristics into consideration. Rather, a full medication review should ensure that all drugs on a patient's list of medication are assessed, and that every diagnosis is treated according to guidelines, e.g. The process of performing a medication review should, however, not only be a one-track search for inappropriate use of selected high-risk drugs, a reconciliation of medicine lists, or a search for cost-savings. or the Medication Appropriateness Index (MAI) by Hanlon et al. A few validated tools to support medication reviews have been developed, such as the STOPP & START-criteria by Gallagher et al. ![]() In studies of the effect of medication reviews, the tools used to perform the actual 'medication reviews' are vaguely often described or not described at all. The term 'medication review' does not have a single well-defined meaning and is often found to include a wide range of interventions, from technical prescription review over interventions aimed at patient compliance to comprehensive medication management strategies. ![]()
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