Medicines management activity with physiotherapy and podiatry: A systematic mixed studies review

Stenner, Karen, Edwards, Jude, Mold, Freda, Otter, Simon, Courtenay, Molly, Moore, Ann and Carey, Nicola (2018) Medicines management activity with physiotherapy and podiatry: A systematic mixed studies review Health Policy, 122 (12). pp. 1333-1339.

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Abstract

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.

Item Type:	Article
Divisions :	Faculty of Health and Medical Sciences > School of Health Sciences
Authors :	Name Email ORCID Stenner, Karen K.Stenner@surrey.ac.uk Edwards, Jude judith.edwards@surrey.ac.uk Mold, Freda Freda.mold@surrey.ac.uk Otter, Simon Courtenay, Molly Moore, Ann Carey, Nicola N.Carey@surrey.ac.uk
Date :	December 2018
DOI :	10.1016/j.healthpol.2018.10.004
Copyright Disclaimer :	Copyright 2018. This manuscript is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
Uncontrolled Keywords :	Allied health professionals; Systematic review; Medication management; Physiotherapy; Podiatry
Depositing User :	Melanie Hughes
Date Deposited :	17 Oct 2018 11:10
Last Modified :	11 Nov 2019 12:45
URI:	http://epubs.surrey.ac.uk/id/eprint/849709

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