1 |
Measurable Benefit of Targeted versus Comprehensive Medication Reviews in Medication Therapy ManagementBuhl, Allison, Boesen, Kevin January 2015 (has links)
Class of 2015 Abstract / Objectives: To determine whether comprehensive medication reviews (CMRs) or non-CMR interventions following targeted medication reviews (TMRs) resulted in more positive medication changes. A CMR is a structured medication management session that includes a full review of an individual’s medical and medication records. Non-CMR interventions are more targeted problem-based interventions that include shorter medication management sessions, written patient outreach, and direct to provider interventions.
Methods: This cross-sectional quality improvement project compared the number of individuals with positive medication changes who received a CMR to those with positive medication changes who did not receive a CMR (non-CMR). Individuals were included in this project if they qualified for the Medication Management Center’s (MMC) pharmacist-driven medication therapy management (MTM) program and received their medication review(s) in 2012 or 2013. The addition of an appropriate medication or the removal of an inappropriate medication was considered a positive medication change within 120 days of intervention. Odds ratios were calculated using Wilcoxon Rank Sum.
Results: A total of 418,649 participants in 2012 and 370,107 in 2013 had their medications reviewed as part of the MTM program. The non-CMR group accounted for the majority of the interventions (375,159 for non-CMR versus 43,490 for CMR in 2012 and 332,006 versus 38,101 for 2013). Significantly more positive medication changes were achieved in the non-CMR group (n=88,467 for 2012 and n=54,971 for 2013) following the medication review compared to the CMR group (n=9,796 for 2012 and n=7,034 for 2013). CMR recipients were more likely to receive a recommendation (odds ratio 0.70, 95% confidence interval 0.69-0.72 for 2012 and odds ratio 0.62, 95% confidence interval 0.60-0.63 for 2013). Non-CMR recipients were more likely to have a recommendation result in a medication change (odds ratio 1.24, 95% confidence interval 1.21-1.28 for 2012 and 1.26, 95% confidence interval 1.22-1.30 for 2013).
Conclusions: While the percentage of participants who received a recommendation in the non-CMR group was lower, a greater percentage of these participants received a medication change. This indicates that non-CMR interventions following TMRs may be more effective in producing a positive medication change compared to CMRs.
|
2 |
Locating Mixed Race Belonging for Multiracial Nikkei Women in Canada in a Time of Rising Anti-Asian RacismWilkin, Kaitlyn Mitsuru 26 July 2023 (has links)
This exploratory study draws from six semi-structured interviews with multiracial Nikkei women living in Canada to investigate their experiences of mixed race belonging. After establishing belonging as intrinsic to the very nature of how multiraciality and Asianness have been historically constructed and are presently experienced in Canada, three areas relevant to how the interviewees experience mixed race belonging are then considered: multiracial name modification (MRNM), the nation and Canadianness, and Japaneseness in Canada. This study also considers how the recent racial climate of pandemic-related anti-Asian racism has potentially impacted how mixed race belonging is experienced by the interviewees, which reveals two additional areas of interest: the amplified experience of multiracial dysmorphia (MRD) during this time and the emergence of pan-Asianness in Canada as a potential new site of belonging. As captured, issues of mixed race belonging arise in various spheres of the interviewees' lives because of the very ways in which multiraciality and Asianness have been constructed and maintained in the Canadian social landscape. In doing so, this study hopes to drive home how issues of mixed race belonging speak more to the problematic nature of "race" itself than of mixed race people themselves.
|
Page generated in 0.017 seconds