TY  - JOUR
AU  - Vezmar-Kovačević, Sandra
AU  - Miljković, Branislava
AU  - Vučićević, Katarina
AU  - Ćulafić, Milica
AU  - Kovačević, Milena
AU  - Golubović, Bojana
AU  - Jovanović, Marija
AU  - de Gier, Johan J.
PY  - 2017
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/2985
AB  - Objective: To evaluate elderly polypharmacy patients' needs and concerns regarding medication through the Structured Patient-Pharmacist Consultation (SPPC). Methods: Older patients on chronic treatment with > 5 medications were asked to fill in the SPPC form at home. A consultation with the community pharmacist, structured according to patient's answers, followed within 2-4 weeks. Logistic regression associated patients' individual treatment with care issues and consultation outcomes. Results: Out of 440 patients, 39.5% experienced problems, and 46.1% had concerns about medication use. 122 patients reported reasons for discontinuing treatment. The main outcome of the consultation was a better understanding of medication use (75.5%). Side effects and/or non-adherence were identified in 50% of patients, and 26.6% were referred to the doctor. Atrial fibrillation, COPD, anticoagulants, benzodiazepines, and beta agonists/corticosteroids were associated with problems during medication use. Patients with diabetes improved their understanding of medication use significantly. Conclusion: Patients on benzodiazepines, anticoagulants, and beta agonists/corticosteroids, with atrial fibrillation and/or COPD, may have a higher potential for non-adherence. Counseling patients based on the SPPC model may be particularly useful for patients with diabetes.
PB  - Elsevier Ireland Ltd, Clare
T2  - Patient Education and Counseling
T1  - Elderly polypharmacy patients' needs and concerns regarding medication assessed using the structured patient-pharmacist consultation model
VL  - 100
IS  - 9
SP  - 1714
EP  - 1719
DO  - 10.1016/j.pec.2017.05.001
ER  - 

@article{
author = "Vezmar-Kovačević, Sandra and Miljković, Branislava and Vučićević, Katarina and Ćulafić, Milica and Kovačević, Milena and Golubović, Bojana and Jovanović, Marija and de Gier, Johan J.",
year = "2017",
abstract = "Objective: To evaluate elderly polypharmacy patients' needs and concerns regarding medication through the Structured Patient-Pharmacist Consultation (SPPC). Methods: Older patients on chronic treatment with > 5 medications were asked to fill in the SPPC form at home. A consultation with the community pharmacist, structured according to patient's answers, followed within 2-4 weeks. Logistic regression associated patients' individual treatment with care issues and consultation outcomes. Results: Out of 440 patients, 39.5% experienced problems, and 46.1% had concerns about medication use. 122 patients reported reasons for discontinuing treatment. The main outcome of the consultation was a better understanding of medication use (75.5%). Side effects and/or non-adherence were identified in 50% of patients, and 26.6% were referred to the doctor. Atrial fibrillation, COPD, anticoagulants, benzodiazepines, and beta agonists/corticosteroids were associated with problems during medication use. Patients with diabetes improved their understanding of medication use significantly. Conclusion: Patients on benzodiazepines, anticoagulants, and beta agonists/corticosteroids, with atrial fibrillation and/or COPD, may have a higher potential for non-adherence. Counseling patients based on the SPPC model may be particularly useful for patients with diabetes.",
publisher = "Elsevier Ireland Ltd, Clare",
journal = "Patient Education and Counseling",
title = "Elderly polypharmacy patients' needs and concerns regarding medication assessed using the structured patient-pharmacist consultation model",
volume = "100",
number = "9",
pages = "1714-1719",
doi = "10.1016/j.pec.2017.05.001"
}

Vezmar-Kovačević, S., Miljković, B., Vučićević, K., Ćulafić, M., Kovačević, M., Golubović, B., Jovanović, M.,& de Gier, J. J.. (2017). Elderly polypharmacy patients' needs and concerns regarding medication assessed using the structured patient-pharmacist consultation model. in Patient Education and Counseling
Elsevier Ireland Ltd, Clare., 100(9), 1714-1719.
https://doi.org/10.1016/j.pec.2017.05.001

Vezmar-Kovačević S, Miljković B, Vučićević K, Ćulafić M, Kovačević M, Golubović B, Jovanović M, de Gier JJ. Elderly polypharmacy patients' needs and concerns regarding medication assessed using the structured patient-pharmacist consultation model. in Patient Education and Counseling. 2017;100(9):1714-1719.
doi:10.1016/j.pec.2017.05.001 .

Vezmar-Kovačević, Sandra, Miljković, Branislava, Vučićević, Katarina, Ćulafić, Milica, Kovačević, Milena, Golubović, Bojana, Jovanović, Marija, de Gier, Johan J., "Elderly polypharmacy patients' needs and concerns regarding medication assessed using the structured patient-pharmacist consultation model" in Patient Education and Counseling, 100, no. 9 (2017):1714-1719,
https://doi.org/10.1016/j.pec.2017.05.001 . .

TY  - JOUR
AU  - Vučićević, Katarina
AU  - Miljković, Branislava
AU  - Golubović, Bojana
AU  - Jovanović, Marija
AU  - Vezmar-Kovačević, Sandra
AU  - Ćulafić, Milica
AU  - Kovačević, Milena
AU  - de Gier, Johan J.
PY  - 2017
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/2892
AB  - Background: During the initiation of treatment of a chronic disease, patients may have varying interests, expectations, concerns, and reasons to stop treatment, influencing compliance with prescribed treatment. Thus, healthcare professionals are expected to integrate these needs into medicines management. Objectives: To determine what information is important to patients; assess predictors of patients' interests, expectations, concerns, reasons to stop therapy; evaluate drug-related problems following initiation of therapy and summarize how pharmacists resolve them during patient-pharmacist counselling. Methods: In 2014, a four-month study was performed in Serbian community pharmacies, as part of the Pharmaceutical Care Quality Indicators Project led by the European Directorate for the Quality of Medicines & Healthcare. Seventy community pharmacists were asked to participate in the study. Pharmacists recruited adult patients who consented to participate in the study and who initiated treatment, lasting at least six months. Patients completed an open-ended questions form. After two-to-four weeks, a patient-pharmacist consultation was performed. Results: Forty-four community pharmacists (response rate 62.9%) sent back the completed forms from 391 patients (response rate 67.1%). The total number of dispensed drugs was 403. In terms of drug safety, 29.4% of patients sought information, 32.5% expressed concerns, and 28.1% of patients cited it as a reason to discontinue treatment. During the first weeks of therapy, 18% of patients experienced practical problems, while 27.3% reported adverse drug reactions. Conclusion: Safety issues are a major focus of patients' prescribed new medicines for long-term treatment.
PB  - Taylor & Francis Ltd, Abingdon
T2  - European Journal of General Practice
T1  - Expectations, concerns, and needs of patients who start drugs for chronic conditions. A prospective observational study among community pharmacies in Serbia
VL  - 24
IS  - 1
SP  - 19
EP  - 25
DO  - 10.1080/13814788.2017.1388778
ER  - 

@article{
author = "Vučićević, Katarina and Miljković, Branislava and Golubović, Bojana and Jovanović, Marija and Vezmar-Kovačević, Sandra and Ćulafić, Milica and Kovačević, Milena and de Gier, Johan J.",
year = "2017",
abstract = "Background: During the initiation of treatment of a chronic disease, patients may have varying interests, expectations, concerns, and reasons to stop treatment, influencing compliance with prescribed treatment. Thus, healthcare professionals are expected to integrate these needs into medicines management. Objectives: To determine what information is important to patients; assess predictors of patients' interests, expectations, concerns, reasons to stop therapy; evaluate drug-related problems following initiation of therapy and summarize how pharmacists resolve them during patient-pharmacist counselling. Methods: In 2014, a four-month study was performed in Serbian community pharmacies, as part of the Pharmaceutical Care Quality Indicators Project led by the European Directorate for the Quality of Medicines & Healthcare. Seventy community pharmacists were asked to participate in the study. Pharmacists recruited adult patients who consented to participate in the study and who initiated treatment, lasting at least six months. Patients completed an open-ended questions form. After two-to-four weeks, a patient-pharmacist consultation was performed. Results: Forty-four community pharmacists (response rate 62.9%) sent back the completed forms from 391 patients (response rate 67.1%). The total number of dispensed drugs was 403. In terms of drug safety, 29.4% of patients sought information, 32.5% expressed concerns, and 28.1% of patients cited it as a reason to discontinue treatment. During the first weeks of therapy, 18% of patients experienced practical problems, while 27.3% reported adverse drug reactions. Conclusion: Safety issues are a major focus of patients' prescribed new medicines for long-term treatment.",
publisher = "Taylor & Francis Ltd, Abingdon",
journal = "European Journal of General Practice",
title = "Expectations, concerns, and needs of patients who start drugs for chronic conditions. A prospective observational study among community pharmacies in Serbia",
volume = "24",
number = "1",
pages = "19-25",
doi = "10.1080/13814788.2017.1388778"
}

Vučićević, K., Miljković, B., Golubović, B., Jovanović, M., Vezmar-Kovačević, S., Ćulafić, M., Kovačević, M.,& de Gier, J. J.. (2017). Expectations, concerns, and needs of patients who start drugs for chronic conditions. A prospective observational study among community pharmacies in Serbia. in European Journal of General Practice
Taylor & Francis Ltd, Abingdon., 24(1), 19-25.
https://doi.org/10.1080/13814788.2017.1388778

Vučićević K, Miljković B, Golubović B, Jovanović M, Vezmar-Kovačević S, Ćulafić M, Kovačević M, de Gier JJ. Expectations, concerns, and needs of patients who start drugs for chronic conditions. A prospective observational study among community pharmacies in Serbia. in European Journal of General Practice. 2017;24(1):19-25.
doi:10.1080/13814788.2017.1388778 .

Vučićević, Katarina, Miljković, Branislava, Golubović, Bojana, Jovanović, Marija, Vezmar-Kovačević, Sandra, Ćulafić, Milica, Kovačević, Milena, de Gier, Johan J., "Expectations, concerns, and needs of patients who start drugs for chronic conditions. A prospective observational study among community pharmacies in Serbia" in European Journal of General Practice, 24, no. 1 (2017):19-25,
https://doi.org/10.1080/13814788.2017.1388778 . .

TY  - JOUR
AU  - Vezmar-Kovačević, Sandra
AU  - Miljković, Branislava
AU  - Ćulafić, Milica
AU  - Kovačević, Milena
AU  - Golubović, Bojana
AU  - Jovanović, Marija
AU  - Vučićević, Katarina
AU  - de Gier, Johan J.
PY  - 2017
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/2811
AB  - Aims and Objectives Targeting older patients with predictive factors for drug-related problems (DRPs) could make clinical medication reviews more cost-effective. The aim of this study was to identify the number, type, and potential predictive factors for DRPs in older polypharmacy patients. Methods Community pharmacists performed clinical medication reviews and documented DRPs, types of interventions, and their implementation in older patients. Results Three hundred eighty-eight medication reviews were analyzed, 964 DRPs (average 2.51.9), and 1022 interventions (average 2.6 +/- 2.0) were identified. The overall implementation rate of interventions was 70.1%, the highest was observed in interventions aiming to resolve the lack of therapy monitoring (86.8%). Patients with 12 medications had an increased risk of 5 DRPs (P  lt  .001). Asthma was associated with lack of adherence (P = .002), lack of aspirin, statins, and proton pump inhibitors use with additional therapy needed (P = .002-.004). Predictive factors for drug interactions were antihypertensive medications and/or medications with narrow therapeutic index (P  lt  .05). Lack of efficacy was associated with diabetes (P = .006). Nonsteroidal anti-inflammatory drugs were risk factors for inappropriate drug selection (P = .002). Lack of monitoring was associated with hypertension (P = .013), whereas benzodiazepines (P  lt  .001) and aspirin (P = .021) were overused. Conclusion Patients with asthma, hypertension, and diabetes and lack of statin, antithrombotic agent, and/or proton pump inhibitor use were associated with higher risks for DRPs.
PB  - Wiley, Hoboken
T2  - Journal of Evaluation in Clinical Practice
T1  - Evaluation of drug-related problems in older polypharmacy primary care patients
VL  - 23
IS  - 4
SP  - 860
EP  - 865
DO  - 10.1111/jep.12737
ER  - 

@article{
author = "Vezmar-Kovačević, Sandra and Miljković, Branislava and Ćulafić, Milica and Kovačević, Milena and Golubović, Bojana and Jovanović, Marija and Vučićević, Katarina and de Gier, Johan J.",
year = "2017",
abstract = "Aims and Objectives Targeting older patients with predictive factors for drug-related problems (DRPs) could make clinical medication reviews more cost-effective. The aim of this study was to identify the number, type, and potential predictive factors for DRPs in older polypharmacy patients. Methods Community pharmacists performed clinical medication reviews and documented DRPs, types of interventions, and their implementation in older patients. Results Three hundred eighty-eight medication reviews were analyzed, 964 DRPs (average 2.51.9), and 1022 interventions (average 2.6 +/- 2.0) were identified. The overall implementation rate of interventions was 70.1%, the highest was observed in interventions aiming to resolve the lack of therapy monitoring (86.8%). Patients with 12 medications had an increased risk of 5 DRPs (P  lt  .001). Asthma was associated with lack of adherence (P = .002), lack of aspirin, statins, and proton pump inhibitors use with additional therapy needed (P = .002-.004). Predictive factors for drug interactions were antihypertensive medications and/or medications with narrow therapeutic index (P  lt  .05). Lack of efficacy was associated with diabetes (P = .006). Nonsteroidal anti-inflammatory drugs were risk factors for inappropriate drug selection (P = .002). Lack of monitoring was associated with hypertension (P = .013), whereas benzodiazepines (P  lt  .001) and aspirin (P = .021) were overused. Conclusion Patients with asthma, hypertension, and diabetes and lack of statin, antithrombotic agent, and/or proton pump inhibitor use were associated with higher risks for DRPs.",
publisher = "Wiley, Hoboken",
journal = "Journal of Evaluation in Clinical Practice",
title = "Evaluation of drug-related problems in older polypharmacy primary care patients",
volume = "23",
number = "4",
pages = "860-865",
doi = "10.1111/jep.12737"
}

Vezmar-Kovačević, S., Miljković, B., Ćulafić, M., Kovačević, M., Golubović, B., Jovanović, M., Vučićević, K.,& de Gier, J. J.. (2017). Evaluation of drug-related problems in older polypharmacy primary care patients. in Journal of Evaluation in Clinical Practice
Wiley, Hoboken., 23(4), 860-865.
https://doi.org/10.1111/jep.12737

Vezmar-Kovačević S, Miljković B, Ćulafić M, Kovačević M, Golubović B, Jovanović M, Vučićević K, de Gier JJ. Evaluation of drug-related problems in older polypharmacy primary care patients. in Journal of Evaluation in Clinical Practice. 2017;23(4):860-865.
doi:10.1111/jep.12737 .

Vezmar-Kovačević, Sandra, Miljković, Branislava, Ćulafić, Milica, Kovačević, Milena, Golubović, Bojana, Jovanović, Marija, Vučićević, Katarina, de Gier, Johan J., "Evaluation of drug-related problems in older polypharmacy primary care patients" in Journal of Evaluation in Clinical Practice, 23, no. 4 (2017):860-865,
https://doi.org/10.1111/jep.12737 . .