{"id":4778,"date":"2021-04-14T20:47:48","date_gmt":"2021-04-15T00:47:48","guid":{"rendered":"https:\/\/ccna-ccnv.ca\/ccna_publication\/a-new-care-model-reduces-polypharmacy-and-potentially-inappropriate-medications-in-long-term-care-2\/"},"modified":"2024-12-03T14:57:38","modified_gmt":"2024-12-03T19:57:38","slug":"a-new-care-model-reduces-polypharmacy-and-potentially-inappropriate-medications-in-long-term-care-2","status":"publish","type":"ccna_publication","link":"https:\/\/ccna-ccnv.ca\/fr\/ccna_publication\/a-new-care-model-reduces-polypharmacy-and-potentially-inappropriate-medications-in-long-term-care-2\/","title":{"rendered":"A new care model reduces polypharmacy and potentially inappropriate medications in long-term care"},"content":{"rendered":"<h2 class=\"title\">Abstract<\/h2>\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\n<p><strong class=\"sub-title\">Objectives:\u00a0<\/strong>Assess the impact of a new pharmaceutical care model on (1) polypharmacy and (2) potentially inappropriate medication (PIM) use in long-term care facilities (LTCFs).<\/p>\n<p><strong class=\"sub-title\">Design:\u00a0<\/strong>Pragmatic quasi-experimental study with a control group. This multifaceted model enables pharmacists and nurses to increase their professional autonomy by enforcing laws designed to expand their scope of practice. It also involves a strategic reorganization of care, interdisciplinary training, and systematic medication reviews.<\/p>\n<p><strong class=\"sub-title\">Setting and participants:\u00a0<\/strong>Two LTCFs exposed to the model (409 residents) were compared to 2 control LTCFs (282 residents) in Quebec, Canada. All individuals were aged 65 years or older and residing in included LTCFs.<\/p>\n<p><strong class=\"sub-title\">Measures:\u00a0<\/strong>Polypharmacy (\u226510 medications) and PIM (2015 Beers criteria) were analyzed throughout 12 months between March 2017 and June 2018. Groups were compared before and after implementation using repeated measures mixed Poisson or logistic regression models, adjusting for potential confounding variables.<\/p>\n<p><strong class=\"sub-title\">Results:\u00a0<\/strong>Over 12 months, for regular medications, polypharmacy decreased from 42% to 20% (exposed group) and from 50% to 41% (control group) [difference in differences (DID): 13%, P &lt; .001]. Mean number of PIMs also decreased from 0.79 to 0.56 (exposed group) and from 1.08 to 0.90 (control group) (DID: 0.05, P = .002).<\/p>\n<p><strong class=\"sub-title\">Conclusions and implications:\u00a0<\/strong>Compared with usual care, this multifaceted model reduced the probability of receiving \u226510 medications and the mean number of PIMs. Greater professional autonomy, reorganization of care, training, and medication review can optimize pharmaceutical care. As the role of pharmacists is expanding in many countries, this model shows what could be achieved with increased professional autonomy of pharmacists and nurses in LTCFs.<\/p>\n<\/div>\n","protected":false},"author":19,"featured_media":0,"template":"","meta":{"_acf_changed":false},"studies-relation":[],"class_list":["post-4778","ccna_publication","type-ccna_publication","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A new care model reduces polypharmacy and potentially inappropriate medications in long-term care - CCNA - CCNV<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ccna-ccnv.ca\/fr\/ccna_publication\/a-new-care-model-reduces-polypharmacy-and-potentially-inappropriate-medications-in-long-term-care-2\/\" \/>\n<meta property=\"og:locale\" content=\"fr_CA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A new care model reduces polypharmacy and potentially inappropriate medications in long-term care - 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