Facilitating primary care non-antiretroviral drug prescribing in people living with HIV: The 'THINK ARV' initiative.
Int J STD AIDS
; 33(1): 88-93, 2022 01.
Article
em En
| MEDLINE
| ID: mdl-34632879
ABSTRACT
OBJECTIVES:
Older people living with HIV (PLWH) have higher rates of multimorbidity, polypharmacy and an associated increased risk of potential drug-drug interactions (DDIs). We describe the development, implementation and evaluation of an intervention to increase community prescribers' access to specialist prescribing advice.METHODS:
Phase One a survey evaluating General Practitioners' (GPs') knowledge of, and confidence detecting DDIs affecting PLWH, was circulated to eight General Practices in one UK city. Phase Two co-production was used to develop the THINK ARV intervention for prescribers in city-wide General Practices a dedicated mobile phone and e-mail advice service staffed by HIV specialist pharmacists. Queries were audited for 6 months pre- and post-intervention. A user-satisfaction survey was emailed to enquirers.RESULTS:
Phase One 42 GPs responded, of whom 62% requested further support identifying DDIs among PLWH. Phase Two the number of queries received increased from 25 (6 months before 'THINK ARV' launch) to 63 in the following 6 months (152% increase). 94% of the queries were specifically about DDIs.CONCLUSIONS:
Increasing community prescribers' access to specialist telephone and e-mail advice resulted in increased awareness and detection of DDIs. Similar interventions could be embedded within different healthcare settings to optimise medicines and avoid potential patient harm.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Prescrições de Medicamentos
/
Infecções por HIV
Limite:
Aged
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Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article