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Prescribing-Assessment Tools for Long-Term Care Pharmacy Practice: Reaching Consensus through a Modified RAND/UCLA Appropriateness Method

2021-12-03Artigo científico Acesso aberto
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dc.contributor.authorGonçalves, João R.
dc.contributor.authorSleath, Betsy L.
dc.contributor.authorLopes, Manuel J.
dc.contributor.authorCavaco, Afonso M
dc.date.accessioned2022-04-12T15:27:54Z
dc.date.available2022-04-12T15:27:54Z
dc.date.issued2021-12-03
dc.date.updated2022-02-24T14:40:59Z
dc.descriptionSupplementary Materials - The following are available online at https://www.mdpi.com/article/10.3390/pharmacy9040194/s1, Table S1: Summary of the identified Prescribing-Assessment Tools.pt_PT
dc.description.abstractMedicines are the most used health technology in Long-Term Care. The prevalence of potentially inappropriate medicines amongst Long-Term Care patients is high. Pharmacists, assisted by prescribing-assessment tools, can play an important role in optimizing medication use at this level of care. Through a modified RAND/UCLA Appropriateness Method, 13 long-term care and hospital pharmacists assessed as ‘appropriate’, ‘uncertain’, or ‘inappropriate’ a collection of commonly used prescribing-assessment tools as to its suitability in assisting pharmacy practice in institutional long-term care settings. A qualitative analysis of written or transcribed comments of participants was pursued to identify relevant characteristics of prescribing-assessment tools and potential hinders in their use. From 24 different tools, pharmacists classified 9 as ‘appropriate’ for pharmacy practice targeted to long-term care patients, while 3 were classified as ‘inappropriate’. The tools feature most appreciated by study participants was the indication of alternatives to potentially inappropriate medication. Lack of time and/or pharmacists and limited access to clinical information seems to be the most relevant hinders for prescribing-assessment tools used in daily practice.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGonçalves JR, Sleath BL, Lopes MJ, Cavaco AM. Prescribing-assessment tools for long-term care pharmacy practice: reaching consensus through a modified rand/ucla appropriateness method. Pharmacy [Internet]. 2021;9(4):194. Disponível em: https://www.mdpi.com/2226-4787/9/4/194pt_PT
dc.identifier.doihttps://doi.org/10.3390/pharmacy9040194pt_PT
dc.identifier.slugcv-prod-2640050
dc.identifier.urihttp://hdl.handle.net/10451/52315
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation.publisherversionhttps://www.mdpi.com/2226-4787/9/4/194pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectlong-term carept_PT
dc.subjectpotentially inappropriate prescribingpt_PT
dc.subjectpharmacistpt_PT
dc.subjectpharmacy practicept_PT
dc.subjectconsensuspt_PT
dc.subjectRAND/UCLApt_PT
dc.subjectprescribing-assessment toolspt_PT
dc.titlePrescribing-Assessment Tools for Long-Term Care Pharmacy Practice: Reaching Consensus through a Modified RAND/UCLA Appropriateness Methodpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue4pt_PT
oaire.citation.startPage194pt_PT
oaire.citation.titlePharmacypt_PT
oaire.citation.volume9pt_PT
person.familyNameCavaco
person.givenNameAfonso
person.identifier147768
person.identifier.ciencia-idA01F-2A0F-E23A
person.identifier.orcid0000-0001-8466-0484
person.identifier.ridG-9298-2012
person.identifier.scopus-author-id55927486200
rcaap.cv.cienciaidA01F-2A0F-E23A | Afonso Miguel das Neves Cavaco
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication3dd8fd20-b86a-4561-aa70-27503c229678
relation.isAuthorOfPublication.latestForDiscovery3dd8fd20-b86a-4561-aa70-27503c229678

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FF - CiênciaVitae - Faculdade de Farmácia