Estella M. Davis|Kathleen A. Packard|Cynthia A. Jackevicius
The Pharmacist Role in Predicting and Improving Medication Adherence in Heart Failure Patients
Creighton University|Western University of Health Sciences
heart failure one common reasons hospital admissions patients aged 65 years older estimated 1 million hospitalizations annually 2010 health care expenditures heart failure estimated 32 billion nonadherence medications lifestyle contributes hospital admissions onethird patients efforts reduce readmissions critical importance pharmacist involvement management heart failure patients shown reduce heart failure hospitalizations trends towards reduction mortality literature scarce instruments clinicians use identify patients risk medication nonadherenceto describe factors predict medication adherence patients heart failure b evaluate impact value pharmacist interventions adherence outcomes c assess tools predict medication nonadherence heart failure patientsfrom inception september 2013 search conducted databases medline pubmed cinahl cochrane library identify relevant studies 3 separate searches identifying predictors medication adherence heart failure patients pharmacist involvement impact medication adherence tools predict medication nonadherence populationmany significant predictors medication adherence nonadherence identified heart failure patients studies evaluating effect pharmacist involvement management heart failure demonstrated improvements medication adherence dissipated intervention withdrawn morisky medication adherence scale merck adherence estimator simple practical tools may useful identifying nonadherence heart failure patientsclinicians cognizant factors may affect medication adherence heart failure patients aware instruments available predict risk medication nonadherence pharmacist interventions part multidisciplinary system care initiated discharge involve personal contact continued indefinitely order sustain benefits