{"id":3891,"date":"2016-08-24T09:04:52","date_gmt":"2016-08-24T14:04:52","guid":{"rendered":"http:\/\/kbicblog.com\/blog\/pharmacy\/?p=3891"},"modified":"2016-09-14T18:12:11","modified_gmt":"2016-09-14T23:12:11","slug":"lack-pharmacy-access-sends-patients-hospital","status":"publish","type":"post","link":"https:\/\/kbicblog.com\/pharmacy\/industry-news\/lack-pharmacy-access-sends-patients-hospital\/","title":{"rendered":"Lack of Pharmacy Access Sends Some Patients Back to the Hospital"},"content":{"rendered":"<p style=\"text-align: center\"><em><strong>Like what you&#8217;re reading? <a href=\"http:\/\/kbicblog.com\/blog\/pharmacy\/category\/blog\/industry-news\/\">Click here<\/a> for more Pharmacy Industry News.<\/strong><\/em><\/p>\n<p><a href=\"http:\/\/kbicblog.com\/blog\/pharmacy\/files\/2016\/08\/Lack-of-Pharmacy-Access-Sends-Some-Patients-Back-to-the-Hospital.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter  wp-image-3892\" src=\"http:\/\/kbicblog.com\/blog\/pharmacy\/files\/2016\/08\/Lack-of-Pharmacy-Access-Sends-Some-Patients-Back-to-the-Hospital.png\" alt=\"Lack of Pharmacy Access Sends Some Patients Back to the Hospital\" width=\"476\" height=\"248\" \/><\/a>Hospital readmissions, a $17 billion annual problem, are higher in rural, remote or smaller communities that sometimes have significantly less access to pharmacies, according researchers who are among the first to examine this issue (<em>J Am Pharm Assoc <\/em>2016 Aug 2. [Epub ahead of print]).<\/p>\n<p>Researchers at Oregon State University (OSU) and Oregon Health &amp; Science University (OHSU) found that the average number of readmissions in rural areas was higher compared with their urban counterparts (15.3% vs. 14.7%) where the days and hours a person could find an open pharmacy were much higher.<\/p>\n<p>\u201cIt\u2019s a huge burden both on a patient and our medical system when they have to be readmitted to a hospital,\u201d said David Lee, PharmD, PhD, an assistant professor at the OSU and OHSU Colleges of Pharmacy, in Corvallis and Portland.<\/p>\n<p>\u201cThe modern pharmaceutical profession is increasingly being recognized as an important partner in health care, and as its services continue to expand it will help even more. This research shows that pharmacy access can help people from going back to the hospital. For older populations who often find hospital experiences quite exhausting, that\u2019s extremely important to their overall health.<\/p>\n<p>\u201cThe sooner a person gets out and stays out of a hospital, the better off they usually will be,\u201d he said.<\/p>\n<p>U.S. hospitals are penalized by federal payors for unplanned hospital readmissions. It can be a problem with various groups: older adults; people who have several medical conditions; those taking multiple medications; and people who have difficulty adhering to their medication regimens.<\/p>\n<p>The study was done in Oregon with census data of patients older than 65 years of age, studying 507 pharmacies and 58 hospitals. It was supported by the OHSU Layton Aging &amp; Alzheimer\u2019s Disease Center, which is funded by the National Institutes of Health.<\/p>\n<p>In some rural areas of Oregon, Dr. Lee noted, a person might have to drive 100 miles or more to find a pharmacy. In one of Oregon\u2019s rural communities there is a single pharmacy that\u2019s open 54 hours a week; by comparison, in some major urban areas a person might be able to find multiple pharmacies that collectively are open more than 3,800 hours a week.<\/p>\n<p>These challenges of availability, distance and convenience to professional pharmaceutical products, service and counsel are a problem, the researchers said. Another interesting corollary to the issue, they said, is identification of what have been called \u201cpharmacy deserts\u201d even within major urban areas, such as Chicago.<\/p>\n<p>\u201cLarge, urban, predominantly white communities usually have a lot of pharmacies and access,\u201d said Sarah Bissonnette, an OSU postdoctoral fellow. \u201cBut in some lower socioeconomic areas even within cities, it\u2019s much more difficult to find an open pharmacy.\u201d<\/p>\n<p>Health-system pharmacists can help improve these statistics, they said. Improved hospital discharge medication counseling has been shown to increase adherence to use of new or changed medications, the study indicated. And some hospitals around the country have also taken it upon themselves to open outpatient, community and 24-hour pharmacies to reduce readmission rates.<\/p>\n<p>\u201cPharmacy-led initiatives have included performing medication reconciliation and discharge medication counseling at the patient\u2019s bedside. Discharge medication counseling has shown to increase adherence to new medications and medication changes made at hospital discharge,\u201d the researchers wrote.<\/p>\n<p>Nonadherence to medication usage ranges from 25% to 50% in the United States, depending on the disease state, and is associated with increased illness and death, the study noted. Causes can include adverse side effects, insurance coverage, costs, education levels, cognition and pharmacy access.<\/p>\n<p>\u201cThe scope of pharmacy is evolving,\u201d they said. \u201cOregon has recently recognized pharmacists as health care providers, and a survey in 2012 found that inpatient pharmacist monitoring increased from 20.3% in 2000 to 46.5% in 2012.\u201d<\/p>\n<p>If more conventional pharmacies are not economically viable, the researchers said, a possible remedy to the problem is growth and improvement of telepharmacy or mail-order services that are carefully backed up by personal advice, monitoring and counsel from professional pharmacists.<\/p>\n<p><em><strong>Like what you&#8217;re reading? <a href=\"http:\/\/kbicblog.com\/blog\/pharmacy\/category\/blog\/industry-news\/\">Click here<\/a> for more Pharmacy Industry News.<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Like what you&#8217;re reading? Click here for more Pharmacy Industry News. Hospital readmissions, a $17 billion annual problem, are higher in rural, remote or smaller communities that sometimes have significantly less access to pharmacies, according researchers who are among the first to examine this issue (J Am Pharm Assoc 2016 &#8230;<\/p>\n","protected":false},"author":26,"featured_media":3892,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[54],"tags":[286,287,9,284,6,153,187,251,23,285,288],"class_list":["post-3891","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-industry-news","tag-health-system-pharmacists","tag-hospital-readmissions","tag-kayebassman","tag-lack-of-pharmacy-access-sends-some-patients-back-to-the-hospital","tag-pharmacy","tag-pharmacy-careers","tag-pharmacy-education","tag-pharmacy-industry-news","tag-pharmacy-recruitment","tag-readmissions","tag-rural-healthcare","column","threecol","has-thumbnail"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pharmacy Recruiting<\/title>\n<meta name=\"description\" content=\"Lack of Pharmacy Access Sends Some Patients Back to the Hospital. 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