Utjecaj usluge upravljanja farmakoterapijom na utilizaciju zdravstvene skrbi u pacijenata starije životne dobi s kardiovaskularnim oboljenjima

master's thesis

• Title (english): Impact of comprehensive medication management services on health care utilization in elderly patients with cardiovascular diseases
• Author: Anđela Begonja
• Mentor: Iva Mucalo (mentor)
• Committee member: Iva Mucalo (predsjednik povjerenstva)
• Committee member: Lidija Bach-Rojecky (član povjerenstva)
• Committee member: Živka Juričić (član povjerenstva)
• Granter: University of Zagreb; Faculty of Pharmacy and Biochemistry; (Centre for applied pharmacy); Zagreb
• Defense date and country: 2021-06-01, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Pharmacy; Pharmacy

Abstract

Cilj ovog istraživanja bio je utvrditi utjecaj usluge upravljanja farmakoterapijom na učestalost hospitalizacija, posjeta hitnoj službi te nenadanih posjeta liječniku obiteljske medicine, odnosno utilizaciju zdravstvene skrbi u pacijenata starije životne dobi koji boluju od kardiovaskularnih bolesti. Studija je dizajnirana kao prospektivno, intervencijsko istraživanje s jednogodišnjim kontroliranim praćenjem pacijenata, a provodila se u Domu zdravlja Zagreb – Centar (DZZC). U ispitivanju je sudjelovalo 65 pacijenata koji su primili uslugu upravljanja farmakoterapijom u obliku opsežnih konzultacija s ljekarnikom te 68 pacijenata koji su primili standardnu zdravstvenu skrb. Uključujući kriteriji su bili: a) pacijenti u dobi od 65 do 80 godina, b) pacijenti s hipertenzijom i jednom ili više kardiovaskularnih. Vjerojatnost hospitalizacija bila je 4,3 puta veća u kontrolnoj nego intervencijskoj skupini, a vjerojatnost nenadanih posjeta LOM-u 2,3 puta veća u kontrolnoj u odnosu na intervencijsku skupinu. Nadalje, u intervencijskoj skupini bilo je 16,67% hospitalizacija uzrokovanih akutnim pogoršanjima kardiovaskularnih bolesti i pretragama/zahvatima na kardiovaskularnom sustavu, a u kontrolnoj 68,4%. Usluga upravljanja farmakoterapijom povoljno utječe na utilizaciju zdravstvene skrbi u populaciji kardiovaskularnih pacijenata starije životne dobi na razini primarne zdravstvene zaštite upravljanja farmakoterapijom na utilizaciju.

Abstract (english)

The aim of this study was to determine the impact of comprehensive medication management (CMM) services on the health care utilization, ie the frequency of hospitalizations, emergency visits and unexpected visits to family physicians in the population of elderly patients who suffer from cardiovacular diseases. The study was designed as a prospective, interventional study with one-year controlled patient follow-up, and was conducted at the Health Center Zagreb - Center (HCZC). The study included 65 patients who received a CMM services in the form of an extensive consultation with a pharmacist and 68 patients who received standard care. Including criteria were: a) patients aged 65 to 80 years, b) patients with hypertension and one or more cardiovascular diseases. The probability of hospitalization was 4.3 times higher in the control as opposed to the intervention group, and the probability of unexpected visits to the GP was 2.3 times higher in the control group compared to the intervention group. Furthermore, there was 68,4% of hospitalizations caused by acute cardiovascular disease exacerbations and medical examinations/procedures in control group and 16,67% in intervention group. Comprehensive medication management services have a favorable effect on the health care utilization in the population of elderly cardiovascular patients at the primary health care level.

• Keywords: usluga upravljanja farmakoterapijom; usluga UFT; utilizacija zdravstvene skrbi; kardiovaskularne bolesti; farmakoterapija; pacijenti starije životne dobi
• Keywords (english): comprehensive medication management services; CMM services; health care utilization; cardiovascular diseases; pharmacotherapy; elderly patients
• Language: croatian
• URN:NBN: urn:nbn:hr:163:826841
• Study programme: Title: Pharmacy; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: magistar/magistra farmacije (magistar/magistra farmacije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-03-29 08:54:32