Journal: Drug Invention Today

Article Id: JPRS-P'Col-00004711
Title: Clinical pharmacy services framework in the management of acute coronary syndrome: A qualitative study
Category: Pharmacology
Section: Research Article
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    Background: Optimization of pharmacotherapy through the provision of clinical pharmacy services gained importance despite having standard allusion of guidelines in the management of chronic conditions such as acute coronary syndrome, the association of multimorbidity, and polypharmacy to chronic conditions predispose the patient to drug- related problems. Aim: The aim of this study is to prototype a standardized framework in the provision of clinical pharmacy services and to optimize pharmacotherapy in patients with chronic diseases such as acute coronary syndrome. Materials and Methods: Double Diamond service model design was used to develop an ICDE framework that included identifying the needs of stakeholders, characterizing the service concept, and drafting the designs and establishment of the service strategies that are characterized from 4Ds of the study design. Multidisciplinary group discussions and personal meetings were conducted to understand the individual requirements that add to the improved services. We characterized the service concept through mind mapping and prioritize the service requirements according to the hierarchy. In the next phase, we aimed to draft the service activities by documenting the services and categorization of service type. Results: On applying the service design approach and considering the insights into the stakeholders, we addressed the needs of the stakeholders adhering to the evidence from secondary research and study site observations. The service activities identified and developed in the study site included (1) pharmacotherapy reconciliation service, (2) pharmacotherapy optimization (review and management), (3) providing evidence-based information and interventions, and (4) follow-ups at transition. We observed that the above four service activities are essential to address the expectations of the stakeholders and established the four service activities in coronary care practice. Conclusion: We developed a clinical pharmacy service framework for the optimization of pharmacotherapy and demonstrated that evidence-based clinical pharmacy service framework met the needs of the stakeholders. This clinical pharmacy service framework is likely applicable to chronic conditions such as acute coronary syndrome globally that can be beneficial in long-term follow-up of chronic conditions at inpatient and outpatient settings. Furthermore, adhering to evidence-based practices will address the requirements of stakeholders and build proficient association among the health-care professionals.

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    Author(s) Name:

    Oliver Joel Gona1 , S. Sunil Kumar2 , Ramesh Madhan1 *

    Affiliation(s) Name:

    1 Department of Pharmacy Practice, JSS College of Pharmacy, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India,

    2 Department of Cardiology, JSS Medical College and Hospital, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India

    *Corresponding author: Dr. Ramesh Madhan, Department of Pharmacy Practice, JSS College of Pharmacy, JSS Academy of Higher Education and Research, SS Nagar, Mysuru - 570 015, Karnataka, India.

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    Author:

    Oliver Joel Gona1 , S. Sunil Kumar2 , Ramesh Madhan1 *

    Title:Clinical pharmacy services framework in the management of acute coronary syndrome: A qualitative study
    Journal:Drug Invention Today
    Vol(issue):14 (January)
    Year:2020
    Page No: (56-61)
  • Experimental Methods Keywords

    Methodology:A qualitative study,Clinical pharmacy services, Coronary heart disease, Optimization of pharmacotherapy, Service design framework
    Research Materials: Acute coronary syndrome

Keywords

Acute coronary syndrome Clinical pharmacy services Coronary heart disease Optimization of pharmacotherapy Service design framework

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