Browsing by Subject "chronic disease"

Now showing 1 - 3 of 3
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    A Lifestyle Medicine Clinic in a Community Pharmacy Setting
    (University of Minnesota, College of Pharmacy, 2010) Lenz, Thomas L.; Skradski, Jessica; Skrabal, Maryann Z.; Ferguson, Liz; Monaghan, Michael S.
    Chronic diseases continue to be a significant burden to the health care system. Pharmacists have been able to show that drug therapy for patients with chronic diseases can be improved through medication therapy management (MTM) services but have yet to become significantly involved in implementing lifestyle modification programs to further control and prevent chronic conditions. A novel and innovative lifestyle medicine program was started by pharmacists in a community pharmacy in 2008 to more comprehensively prevent and manage chronic conditions. The lifestyle medicine program consists of designing seven personalized programs for patients to address physical activity, nutrition, alcohol consumption, weight control, stress management, sleep success, and tobacco cessation (if needed). The lifestyle medicine program complements existing MTM services for patients with hypertension, dyslipidemia, and/or diabetes. This program is innovative because pharmacists have developed and implemented a method to combine lifestyle medicine with MTM services to not only manage chronic conditions, but prevent the progression of those conditions and others. Several innovative tools have also been developed to enhance the effectiveness of a lifestyle medicine program. This manuscript describes the program’s pharmacy setting, pharmacy personnel, participants and program details as well as the tools used to integrate a lifestyle medicine program with MTM services.
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    Retrospective Analysis of Medication Adherence and Cost Following Medication Therapy Management
    (University of Minnesota, College of Pharmacy, 2010) Branham, Ashley; Moose, Joseph; Ferreri, Stefanie
    Objective: To determine if pharmacist-provided medication therapy management (MTM) improves medication adherence in Medicare patients. A secondary objective is to compare the total monthly cost of a patient’s prescription medication regimen 6 months before and 6 months following a comprehensive medication review (CMR). Design: Retrospective analysis of medication adherence, pre-post comparison. Setting: Three independent pharmacies in North Carolina. Patients: 97 Medicare Part D beneficiaries with one or more chronic disease states who participated in a comprehensive medication review (CMR). Intervention: MTM services provided by community pharmacists. Main outcome measure: Change in adherence as measured by the proportion of days covered (PDC) and change in medication costs for patients and third party payers. Results: Patients were adherent to chronic disease-state medications before and after MTM (PDC≥ 0.8). Overall, change in mean adherence before and after MTM did not change significantly (0.87 and 0.88, respectively; p = 0.43). However, patients taking medications for cholesterol management, GERD, thyroid and BPH demonstrated improved adherence following a CMR. No change in adherence was noted for patients using antihypertensives and antidiabetic agents. Average total chronic disease-state medication costs for participants were reduced from $210.74 to $193.63 (p=0.08) following the comprehensive medication review. Total costs for patient and third party payers decreased from patients prescribed antilipemics, antihypertensives, GERD and thyroid disorders following a CMR. Conclusions: Pharmacist-provided MTM services were effective at improving medication adherence for some patients managed with chronic medications. Pharmacist-provided MTM services also were effective in decreasing total medication costs.
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    Work Ability and Job Burnout: A Moderated Mediation Model of Health-Related Organizational Climate and Work-Health Management Interference
    (2023-05) McDonough, Mariah
    The purpose of this study was to determine how work ability, health-related organizational climate, and work health management interference (WHMI) contributed to burnout, with a particular interest in those with lower levels of work ability as a result of chronic illness/disease. The overall research objective was to examine whether healthrelated organizational climate moderated the mediating effect of work-health management interference on the relationship between work ability and job burnout. A convenience sample of 2,056 adults living and working in the United States who responded to a recruitment message participated in this study. Participants accessed a survey in Qualtrics via a link provided in an email or accessible via electronic posting and completed a survey that included sociodemographic and job-related items, as well as measures to evaluate levels of work ability, burnout, WHMI, and health-oriented organizational climate. Results showed that work ability had a significant predictive effect on burnout, WHMI played a mediating role in the relationship between work ability and burnout, and organizational health-related climate was found to play a moderating role in the relationship between work ability and WHMI. These findings add to research on the relationship between work ability and burnout and serve as a foundation for organizations to adapt and develop strategies to better support employees with lowered work ability due to chronic disease/health conditions in order to reduce job burnout and improve well-being and productivity.