CHE Seminar Series: The effect of Home Medicine Review on Resolution of Medication-Related Problems: A regression-discontinuity approach
Home Medicine Reviews (HMRs) are a service provided by accredited pharmacists with the aim of optimising medication management by patients/consumers. Despite being funded nationally, the evidence supporting HMR effectiveness is mixed, with a lack of studies using larger clinical and/or administrative datasets to assess outcomes.
Using a Victorian general practice dataset (Data for Decisions), we exploit one of the eligibility criteria for receipt the service – taking five or more concurrent medications - in a regression discontinuity study. A range of process and intermediate health outcomes are considered, including under/over prescribing, a lack of therapeutic monitoring, and chronic disease control, all of which are considered to be potentially preventable pathways to avoidable hospitalisation and/or serious health sequelae.
Results are discussed within the context of more targeted interventions being developed to avoid medication harm, and how the place in clinical practice for HMRs may subsequently be revised.
Speaker profile
Dr Jean Spinks is a Senior Research Fellow at the Centre for the Business and Economics of Health, the University of Queensland. She is trained as a health economist (at Monash CHE), pharmacist and a health systems researcher. She is currently co-leading a MRFF funded project “Activating pharmacists to reduce medication related problems: The ACTMed stepped wedge randomised controlled trial” which is being undertaken with partner organisations including the Pharmaceutical Society of Australia, Brisbane South PHN, NACCHO, the Australian Digital Health Agency, The Pharmacy Guild of Australia and Monash CHE. Her broad interests focus on efficient use of primary health workforce within a team-based approach.
Weekly seminar series
As part of our Centre's vibrant research culture, we host a weekly seminar series. Visiting and invited researchers present current research relating to the economics of health and wellbeing, and the healthcare sector. Visitors are welcome to join these sessions where discussion and debate is encouraged.
For further information on our seminar series, please contact shannon.stanwell@monash.edu.
Event Details
- Date:
- 3 April 2024 at 12:00 pm – 1:00 pm
- Venue:
- Caulfield campus, Building H, Level 9, Room H9.14
- Categories:
- CHE Seminar; Health Economics
Description
Home Medicine Reviews (HMRs) are a service provided by accredited pharmacists with the aim of optimising medication management by patients/consumers. Despite being funded nationally, the evidence supporting HMR effectiveness is mixed, with a lack of studies using larger clinical and/or administrative datasets to assess outcomes.
Using a Victorian general practice dataset (Data for Decisions), we exploit one of the eligibility criteria for receipt the service – taking five or more concurrent medications - in a regression discontinuity study. A range of process and intermediate health outcomes are considered, including under/over prescribing, a lack of therapeutic monitoring, and chronic disease control, all of which are considered to be potentially preventable pathways to avoidable hospitalisation and/or serious health sequelae.
Results are discussed within the context of more targeted interventions being developed to avoid medication harm, and how the place in clinical practice for HMRs may subsequently be revised.
Speaker profile
Dr Jean Spinks is a Senior Research Fellow at the Centre for the Business and Economics of Health, the University of Queensland. She is trained as a health economist (at Monash CHE), pharmacist and a health systems researcher. She is currently co-leading a MRFF funded project “Activating pharmacists to reduce medication related problems: The ACTMed stepped wedge randomised controlled trial” which is being undertaken with partner organisations including the Pharmaceutical Society of Australia, Brisbane South PHN, NACCHO, the Australian Digital Health Agency, The Pharmacy Guild of Australia and Monash CHE. Her broad interests focus on efficient use of primary health workforce within a team-based approach.
Weekly seminar series
As part of our Centre's vibrant research culture, we host a weekly seminar series. Visiting and invited researchers present current research relating to the economics of health and wellbeing, and the healthcare sector. Visitors are welcome to join these sessions where discussion and debate is encouraged.
For further information on our seminar series, please contact shannon.stanwell@monash.edu.