Health outcomes assessment in community pharmacy practices: a feasibility project.
OBJECTIVE
To evaluate the feasibility and benefit of capturing outcomes data in community pharmacy settings, and to characterize the health status, resource use, and medication use of patients with musculoskeletal disorders.


METHODS
Patients (n = 460) with musculoskeletal disorders including osteoarthritis (OA), rheumatoid arthritis (RA), and low back pain from 12 community pharmacy sites responded to disease-specific questions, the Medical Outcomes Study Short Form-36 (SF-36) health survey, demographics, and resource use using touch screen computer technology. Patients provided information and met with a community pharmacist for scheduled visits at baseline, 3, 6, 9, and 12 months. Pharmacists, with the aid of the patient-reported information, documented medication use and identified and addressed drug therapy problems of the patients at each visit. Baseline results, based on descriptive statistics are reported.


RESULTS
OA was reported by 71% of the patients, 55% reported low back pain, and 19% reported RA. Despite receiving a variety of analgesic medications, a majority of the patients reported experiencing moderate to severe pain. SF-36 scores of the study population were significantly lower than age-adjusted population norms, with arthritis patients reporting worse physical health than patients with low back pain. Drug therapy problems were identified in 58% of the population, with need for additional drug therapy (31%) and adverse drug reactions (18%) being the most common problems identified.


CONCLUSIONS
Results indicate that routine capture of patient-reported health outcomes data is feasible in community pharmacy settings using touch screen technology.
Osterhaus
Jane T
JT
Global Outcomes Research, Pharmacia Corporation, Skokie, Illinois, USA.
Dedhiya
Seema D
SD
Ernst
Michael E
ME
Osterhaus
Matthew
M
Mehta
Shilpa S
SS
Townsend
Raymond J
RJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000188:drug therapy; D003157:Community Pharmacy Services / Q000592:standards*; D003625:Data Collection; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009862:Online Systems; D010003:Osteoarthritis / Q000188:drug therapy; D010043:Outcome and Process Assessment, Health Care; D010595:Pharmacists; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014481:United States