title: Cognitive memory screening and referral program in community pharmacies in the United States.
abstract: BACKGROUND
  12 chain community pharmacy sites located in two geographic areas with the United States implemented easy-to-administer memory screening assessments for patients with risk factors of cognitive memory decline and referred at-risk patients to their physicians.
  
  
  OBJECTIVE
  To evaluate the impact of a pharmacy-based cognitive memory screening and referral program, measure patient satisfaction with these advanced clinical services, and assess willingness to pay for cognitive memory screening services.
  
  
  METHODS
  12 chain pharmacy sites located in two geographic areas--ten Fred Meyer Pharmacies located in the Portland, Oregon area and two Kerr Drug Pharmacies located in North Carolina.
  
  
  METHODS
  Pharmacists were educated on Alzheimer's disease, trained on how to provide cognitive memory screening exams, and equipped with screening and documentation tools. Following each screening, pharmacist provided education and counseling to the patients and referred at-risk patients to physicians for follow-up as appropriate.
  
  
  METHODS
  Results of screenings; satisfaction of patients; willingness to pay.
  
  
  RESULTS
  Pharmacists delivered cognitive memory assessments to 161 patients from June to November 2008. 44.1 % of patients experienced at least one cognitive deficiency that required referral to a physician based on the screening conducted. The cognitive memory screening and referral program was highly regarded by patients who completed the satisfaction survey, with 98.4 % of respondents indicating that they were either very satisfied or satisfied with the program.
  
  
  CONCLUSIONS
  Cognitive memory screening can be easily incorporated into clinical service offerings in community pharmacy practice and provides a valuable opportunity to identify patients at-risk and refer them to a physician for appropriate testing and diagnosis.
authors.affiliation: Northeastern University, Boston, MA, USA, n.rickles@neu.edu.
authors.forename: Nathaniel M
authors.initials: NM
authors.lastname: Rickles
authors.forename: Jann B
authors.initials: JB
authors.lastname: Skelton
authors.forename: Jennifer
authors.initials: J
authors.lastname: Davis
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hopson
mesh_terms: D000368:Aged; D000544:Alzheimer Disease / Q000175:diagnosis*; D003071:Cognition; D003157:Community Pharmacy Services; D003376:Counseling; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012017:Referral and Consultation; D014481:United States