Brief summary: The randomised controlled trial investigates the effect of a pharmacist intervention targeting polypharmacy patient at two levels medical clinics and patient level. The purpose is to gain more knowledge to patients and physicians about their medication and to see changes in the patient's medication and health-related quality of life.
The main objective of the randomised controlled trial is to investigate the clinical effects of the roll-out of the systematic offer from Nord-KAP in the North Denmark Region at two different levels (medical clinic and patient-level). The primary outcome is changes in the participant's medicine from baseline to follow up and changes in healthcare usage Secondary outcomes include investigation of cost-effectiveness and changes in patients health-related quality of life. The hypothesis is that the regional intervention delivered by the pharmacists, from Nord-KAP, can lead to a decrease in medical products compared with a control group between baseline and at 6-month follow-up. * Will the use of a pharmacists intervention lead to a decrease in the number of polypharmacy patients in medical clinics compared to a control group of medical clinics? * Will the use of a pharmacist intervention lead to an increase in the polypharmacy patients health-related quality of life compared to a control group?
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Enrollment
400
Already described in the arm group intervention group for patient level
The quality unit for genreal practice
Aalborg, North Denmark, Denmark
RECRUITINGChanges in polypharmacypatients medication
The primary outcome at patient level is changes in the patients medication use at baseline and 6-month follow-up defined as the amount of medicine prescribed. Measuring the amount of medicine is extracted by the pharmacist from the participants SMC.
Time frame: 6 months
Health-related quality of life
HRQoL as measures of effect for the economic evaluations. HRQoL is measured by the EQ-5D-5L questionnaire and converted into quality of life which is a scale from o to 1 where 0 correspondts to death and 1 indicates perfect health
Time frame: 6 months
Healthcare services
Use of healthcare services to estimate costs for the economic evaluation. Use of health care services are measured by Danish health registers.
Time frame: 6 months months and long term follow-up
Healthcare services
Use of healthcare services to estimate costs for the economic evaluation. Use of health care services are measured by Danish health registers.
Time frame: Up to 10 years
Amount of medicine pr patient in each medical clinic
The primary outcome for the medical clinics are changes in the patients medication at baseline and at six months follow-up
Time frame: 6 months
Medical clinic number of polypharmacy patients
. A count of the total number of polypharmacy patients in each medical clinic is conducted at baseline and six months follow-up
Time frame: 6 months
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