Título [Translated article] Medication experience and clinical interventions in patients receiving pharmaceutical care: A scoping review of pharmaceutical care practice
Autores Orozco-Solano, Sofia , Silva-Castro, Martha Milena , MACHUCA GONZÁLEZ, MANUEL JESÚS
Publicación externa No
Medio Farm. Hosp.
Alcance Review
Naturaleza Científica
Cuartil SJR 3
Fecha de publicacion 01/09/2023
ISI 001080767600001
DOI 10.1016/j.farma.2023.07.001
Abstract Objective: Analyze scientific literature on qualitative research that studies the medication experience-MedExp- and related pharmaceutical interventions that bring changes in patients\' health. Through the content analysis of this scoping review, we intend to: (1) understand how pharmacists analyze the MedExp of their patients who receive Comprehensive Medication Management CMM and (2) explain which categories they establish and how they explain the individual, psychological, and cultural dimensions of MedExp. Methods: The scoping review followed recommendations from PRISMA Extension for Scoping Reviews. Medline (Pubmed), SCOPUS, Web of Science, and Psycinfo were used to identify research on MedExp from patients attended by pharmacists; and that they comply with quality standards, Standards for Reporting Qualitative Re-search. Articles published in English and Spanish were included. Results: 395 qualitative investigations were identified, 344 were excluded. In total, 19 investigations met the in-clusion criteria. Agreement between reviewers, kappa index 0.923, 95% CI (0.836-1.010). The units of analysis of the patients\' speeches were related to how they were progressing in their medications and how it was built through MedExp, the influence it has on the experience of becoming ill, the connection with socioeconomic aspects, and beliefs. Based on MedExp, the pharmacists raised cultural proposals, support net-works, health policies, and provide education and information about medication and disease. Additionally, char-acteristics of the interventions were identified, such as a dialogic model, therapeutic relationship, shared decision-making, comprehensive approach, and referrals to other professionals. Conclusions: The MedExp is an extensive concept, which encompasses people\'s life experience who use medica-tions based on their individual, psychological, and social qualities. This MedExp is corporal, intentional, intersub-jective, and relational, expanding to the collective because it implies beliefs, culture, ethics, and the socioeconomic and political reality of each person located in their context. (c) 2023 Sociedad Espanola de Farmacia Hospitalaria (S.E.F.H). Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Palabras clave Medication experience; Medication therapy management; Pharmaceutical care practice; Qualitative research; Scoping review; Social pharmacy
Miembros de la Universidad Loyola

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