TY - JOUR
T1 - Medicines management activity with physiotherapy and podiatry
T2 - A systematic mixed studies review
AU - Stenner, Karen
AU - Edwards, Jude
AU - Mold, Freda
AU - Otter, Simon
AU - Courtenay, Molly
AU - Moore, Ann
AU - Carey, Nicola
N1 - Funding Information:
The authors would like to acknowledge that this research was funded by the UK Department of Health Policy Research Programme (grant number PR-R7-0513-11002 ). The views expressed in this publication are those of the authors and do not necessarily reflect those of the Department of Health.
Publisher Copyright:
© 2018 Elsevier B.V.
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2018/12
Y1 - 2018/12
N2 - Objective: Making best use of existing skills to increase service capacity is a global challenge. The aim was to systematically review physiotherapy and podiatrist prescribing and medicines management activity, including evidence of impact on patient care, levels of knowledge and attitudes towards extended medicines role. Methods: A search of MEDLINE, CINAHL, and Cochrane databases, using terms to identify prescribing and medicines management across a range of roles, was conducted from January 1985 to May 2016 for physiotherapy, and January 1968 to May 2016 for podiatry. Hand searching of citations and databases from professional organisations was undertaken. Data were extracted and analysed descriptively, and quality appraised by 2 reviewers using the mixed methods appraisal tool. Results:1316 papers were identified, and 21 included in the review. No studies were identified that reported prescribing and no studies specific to podiatry met the inclusion criteria. Physiotherapists were highly involved in administering medicines, providing medicines advice, and recommending new medicines. Patient satisfaction, cost and outcomes were equivalent when comparing physiotherapist-led injection therapy to traditional care. Pharmacology knowledge was variable and unmet training needs identified. Conclusion:Medicines management practices were identified in physiotherapy and positive outcomes of extended scope physiotherapy. There was a lack of evidence regarding podiatric practice. Review of educational preparation for medicines management is recommended along with evaluation of medicines management practice.
AB - Objective: Making best use of existing skills to increase service capacity is a global challenge. The aim was to systematically review physiotherapy and podiatrist prescribing and medicines management activity, including evidence of impact on patient care, levels of knowledge and attitudes towards extended medicines role. Methods: A search of MEDLINE, CINAHL, and Cochrane databases, using terms to identify prescribing and medicines management across a range of roles, was conducted from January 1985 to May 2016 for physiotherapy, and January 1968 to May 2016 for podiatry. Hand searching of citations and databases from professional organisations was undertaken. Data were extracted and analysed descriptively, and quality appraised by 2 reviewers using the mixed methods appraisal tool. Results:1316 papers were identified, and 21 included in the review. No studies were identified that reported prescribing and no studies specific to podiatry met the inclusion criteria. Physiotherapists were highly involved in administering medicines, providing medicines advice, and recommending new medicines. Patient satisfaction, cost and outcomes were equivalent when comparing physiotherapist-led injection therapy to traditional care. Pharmacology knowledge was variable and unmet training needs identified. Conclusion:Medicines management practices were identified in physiotherapy and positive outcomes of extended scope physiotherapy. There was a lack of evidence regarding podiatric practice. Review of educational preparation for medicines management is recommended along with evaluation of medicines management practice.
KW - Allied health professionals
KW - Medication management
KW - Physiotherapy
KW - Podiatry
KW - Systematic review
UR - http://www.scopus.com/inward/record.url?scp=85054730836&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85054730836&partnerID=8YFLogxK
U2 - 10.1016/j.healthpol.2018.10.004
DO - 10.1016/j.healthpol.2018.10.004
M3 - Review article
C2 - 30337160
AN - SCOPUS:85054730836
SN - 0168-8510
VL - 122
SP - 1333
EP - 1339
JO - Health Policy
JF - Health Policy
IS - 12
ER -