Medication therapy management delivery by community pharmacists: Insights from a national sample of Medicare Part D beneficiaries

被引：13

作者：

Adeoye, Omolola A. ^{[1
]}

Farley, Joel F. ^{[2
]}

Coe, Antoinette B. ^{[3
]}

Pestka, Deborah L. ^{[2
]}

Farris, Karen B. ^{[3
]}

Zillich, Alan J. ^{[1
]}

Snyder, Margie E. ^{[1
]}

机构：

[1] Purdue Univ, Coll Pharm, Indianapolis, IN 46202 USA

[2] Univ Minnesota, Coll Pharm, Minneapolis, MN USA

[3] Univ Michigan, Coll Pharm, Ann Arbor, MI USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF CLINICAL PHARMACY | 2019年 / 2卷 / 04期

关键词：

community pharmacists; Medicare Part D; medication therapy management; IMPLEMENTATION; SERVICES; BARRIERS; INTERVENTIONS; PERCEPTIONS; TECHNICIANS; STRATEGIES; ACCEPTANCE; PROVISION; RATES;

D O I：

10.1002/jac5.1160

中图分类号：

R9 [药学];

学科分类号：

1007 ;

摘要：

IntroductionThe Medicare Part D medication therapy management (MTM) program positions pharmacists to optimize beneficiaries' medications and improve care. Little is known regarding Part D MTM delivery by community pharmacists and other pharmacist provider types. ObjectivesTo (a) characterize Medicare Part D MTM delivery by community pharmacists, (b) compare MTM delivery by community pharmacists to other pharmacists, and (c) generate hypotheses for future research. MethodsA descriptive cross-sectional study using merged data from a 20% random sample of Medicare beneficiary enrollment data with a 100% sample of recently available 2014 Part D MTM files was conducted. Andersen's Behavioral Model was applied to describe MTM delivery across beneficiary characteristics. Descriptive and bivariate statistics were used to compare delivery of MTM between community and other pharmacist providers. ResultsAmong beneficiaries sampled, community pharmacists provided comprehensive medication reviews (CMRs) to 22% (n = 26 337) of beneficiaries receiving at least one CMR. Almost half (49.4%) were provided face-to-face. Across pharmacist cohorts, median days to CMR offer of post-MTM program enrollment were within the 60-day policy requirement. The community pharmacist cohort had fewer days from CMR offer to receipt (median 47 days). Community pharmacists provided more medication therapy problem (MTP) recommendations (mean [SD] of 1.8 [3.5]; P < .001), but resolved less MTPs (0.2 [0.7]; P < .001), and most commonly served beneficiaries that were in the south but less in the west/northeast. Additionally, community pharmacists served a smaller proportion of black beneficiaries, yet a larger proportion of Hispanic beneficiaries (P < .001). ConclusionCommunity pharmacists provided approximately one in five CMRs for MTM eligible beneficiaries in 2014, with CMRs occurring more quickly, resulting in more MTP recommendations, but resolving less MTPs than those provided by noncommunity pharmacists. Future research should explore geographic/racial-ethnic disparities in beneficiaries served and strategies to increase negligible MTP resolution by community pharmacists.

引用

页码：373 / 382

页数：10

共 50 条

[1] Medication therapy management delivery by community pharmacists: Insights from a national sample of Medicare Part D beneficiaries (vol 2, pg 373, 2019)
Adeoye, Omolola A.
Farley, Joel F.
Coe, Antoinette B.
Pestka, Deborah L.
Farris, Karen B.
Zillich, Alan J.
Snyder, Margie E.
[J]. JOURNAL OF THE AMERICAN COLLEGE OF CLINICAL PHARMACY, 2020, 3 (07): : 1393 - 1394
[2] Patterns and predictors of older adult Medicare Part D beneficiaries' receipt of medication therapy management
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Farley, Joel F.
[J]. RESEARCH IN SOCIAL & ADMINISTRATIVE PHARMACY, 2020, 16 (09): : 1208 - 1214
[3] Attitudes of Medicare beneficiaries toward pharmacist-provided medication therapy management activities as part of the Medicare Part D benefit
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Witry, Matthew J.
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Farris, Karen B.
Urmie, Julie M.
[J]. JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION, 2007, 47 (06) : 758 - 762
[4] Some Medicare Part D medication management programs will use pharmacists
Traynor, K
[J]. AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY, 2006, 63 (01) : 16 - +
[5] Perceptions of Medicare Part D enrollees about pharmacists and their role as providers of medication therapy management
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[J]. JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION, 2008, 48 (05) : 648 - 653
[6] Findings from a National Survey of Medicare Beneficiary Perspectives on the Medicare Part D Medication Therapy Management Standardized Format
Brandt, Nicole J.
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[J]. JOURNAL OF MANAGED CARE & SPECIALTY PHARMACY, 2019, 25 (03): : 366 - 391
[7] Centers for Medicare and Medicaid Services Support for Medication Therapy Management (Enhanced Medication Therapy Management) Testing Strategies for Improving Medication Use Among Beneficiaries Enrolled in Medicare Part D
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[J]. CLINICS IN GERIATRIC MEDICINE, 2017, 33 (02) : 153 - +
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[J]. JOURNAL OF MANAGED CARE PHARMACY, 2007, 13 (01): : 61 - 67
[9] National Survey Findings of Medicare Beneficiary Perspectives of the Medicare Part D Medication Therapy Management Standardized Format
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[J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2019, 67 : S249 - S249
[10] OUTCOMES OF IN-PERSON VERSUS TELEPHONIC MEDICATION THERAPY MANAGEMENT (MTM) SERVICES PROVIDED TO MEDICARE PART D BENEFICIARIES
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