Primary care Not Applicable
Conditions
Interventions
General practices, pharmacies and patients will be grouped according to the Primary Care Trust to which they belong. These five groups will begin the intervention (pharmaceutical care) in five success
Sponsors
Medical Research Council (MRC) (UK)
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged more than 75 years with repeat prescriptions for five or more drugs (excluding drugs taken only when required), who are living at home, well oriented in time and place, and able to give their consent to take part. Their GPs' consent is also necessary.
Exclusion criteria
Exclusion criteria: Patients in residential or nursing homes. Patients who took part in our feasibility study of vulnerable elderly people or who normally use a pharmacy which has refused to participate in the trial. Patients with dementia who score 6 or below on the Abbreviated Mental Test.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Medication Appropriateness Index (Validated for the UK). | — |
Secondary
| Measure | Time frame |
|---|---|
| Patients' knowledge, compliance and concordance, practice-reported (and therefore more serious) adverse events, and self-assessed health outcome. Economic: Cost of treatment to NHS, patients and society as a whole. | — |
Countries
United Kingdom
Outcome results
None listed