prikaz prve stranice dokumenta Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study
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Scientific paper - Original scientific paper
Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study
International Journal of Environmental Research and Public Health, 19 (2022), 5; 2781. https://doi.org/10.3390/ijerph19052781
Brajković, Andrea; Bosnar, Lorena; Nascimento, Mariana Martins Gonzaga do; Prkačin, Ingrid; Balenović, Antonija; Ramalho de Oliveira, Djenane; Mucalo, Iva

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Brajković, A., Bosnar, L., Nascimento, M. M. G. D., Prkačin, I., Balenović, A., Ramalho de Oliveira, D. & Mucalo, I. (2022). Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study. International Journal of Environmental Research and Public Health, 19. (5). doi: 10.3390/ijerph19052781

Brajković, Andrea, et al. "Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study." International Journal of Environmental Research and Public Health, vol. 19, no. 5, 2022. https://doi.org/10.3390/ijerph19052781

Brajković, Andrea, Lorena Bosnar, Mariana Martins Gonzaga do Nascimento, Ingrid Prkačin, Antonija Balenović, Djenane Ramalho de Oliveira and Iva Mucalo. "Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study." International Journal of Environmental Research and Public Health 19, no. 5 (2022). https://doi.org/10.3390/ijerph19052781

Brajković, A., et al. (2022) 'Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study', International Journal of Environmental Research and Public Health, 19(5). doi: 10.3390/ijerph19052781

Brajković A, Bosnar L, Nascimento MMGD, Prkačin I, Balenović A, Ramalho de Oliveira D, and sur.. Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study. International Journal of Environmental Research and Public Health [Internet]. 2022 February 27 [cited 2025 April 09];19(5). doi: 10.3390/ijerph19052781

A. Brajković, et al., "Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study", International Journal of Environmental Research and Public Health, vol. 19, no. 5, February 2022. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:030353. [Accessed: 09 April 2025]

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Metadata
Title (english)Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study
AuthorAndrea Brajković
AuthorLorena Bosnar
AuthorMariana Martins Gonzaga do Nascimento
AuthorIngrid Prkačin
AuthorAntonija Balenović
AuthorDjenane Ramalho de Oliveira
AuthorIva Mucalo
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Internal Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract (english)
The objective of this study was to evaluate the impact of comprehensive medication management (CMM) services on healthcare utilisation and cardiovascular risk factors among older patients with established cardiovascular diseases (CVDs). This quasi-experimental study that was performed at the Croatian primary care ambulatory clinic included patients aged 65 to 80 years. Patients were divided into intervention (65 patients) and control groups (68 patients) and were followed-up for one year. Pharmacists provided face-to-face consultations to patients from the intervention group. Groups were compared with regards to the clinical parameters (blood pressure, HbA1c, LDL, TC) and healthcare utilisation (hospital admission, emergency visits, unplanned GP visits). The CMM intervention significantly improved systolic blood pressure (p = 0.038), diastolic blood pressure (p = 0.001), total cholesterol (p = 0.014), low-density lipoprotein cholesterol (p = 0.005), and glycosylated haemoglobin (p = 0.045) in comparison with the control group. Patients included in CMM services had statistically and clinically lower systolic (−9.02 mmHg, p < 0.001) and diastolic blood pressure (−4.99 mmHg, p < 0.001) at the end of the study. The number of hospital admissions and unplanned GPs visits were 3.35 (95% CI 1.16–10.00) and 2.34 (95% CI 1.52–3.57) times higher in the control group compared to the intervention group, respectively. This study demonstrated that pharmacists providing CMM services can significantly contribute to better clinical outcomes and lower healthcare utilisation, thus potentially contributing to total healthcare savings.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleInternational Journal of Environmental Research and Public Health
Numberingvol. 19, no. 5, 2781
e-ISSN1660-4601
DOIhttps://doi.org/10.3390/ijerph19052781
URN:NBNurn:nbn:hr:184:030353
Publication2022-02-27
Document URLhttps://www.mdpi.com/1660-4601/19/5/2781
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2022-03-29 20:27:54