Frail Older People with Multi‑morbidities in Primary Care: A New Integrated Care Clinical Pharmacy Service

Key Questions Answered
  • What kinds of medication-related problems arise for older people confined to their homes?
  • How can pharmacists contribute to addressing these problems?
Key Themes and Takeaways

This resource describes and evaluates a new specialist pharmacy service, called the integrated care clinical pharmacist.

  • Older people confined to their own homes due to are known to be at risk of medication-related problems.
  • For this study, 143 patients were referred to the service over a 15-month period. Medication-related problems were identified and divided into three categories: supply issues (7%), compliance issues (29%), and clinical issues (64%).
  • Participating pharmacists initiated a range of interventions, which required coordinating with other health and social services. Examples include setting up repeat ordering systems, arranging large font labels, and resolving medication errors.
  • Through this service, a wide range of medication-related problems were identified and addressed for a patient group with complex pharmaceutical needs.

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Lelly Oboh
Catherine Leon
Sulman Qadir
Felicity Smith
Sally‑Anne Francis
Population Addressed
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Level of Evidence
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