Abstract:

The scope of clinical pharmacy services available in outpatient settings,

including home care, continues to expand. This review sought to identify the
evidence to support pharmacist provision of clinical pharmacy services in a
home care setting. Seventy-five reports were identified in the literature that
provided evaluation and description of clinical pharmacy home visit services
available around the world. Based on results from randomized controlled trials,
pharmacist home visit interventions can improve patient medication adherence
and knowledge, but have little impact on health care resource utilization. Other
literature reported benefits of a pharmacist home visit service such as patient
satisfaction, improved medication appropriateness, increased persistence with
warfarin therapy, and increased medication discrepancy resolution. discrepancy
to consider in establishing or evaluating clinical pharmacy services offered in a
home care setting include: staff competency, ideal target patient population,
staff safety, use of technology, collaborative relationships with other health care
providers, activities performed during a home visit, and pharmacist autonomy.

Keywords: clinical pharmacy, home care, home visit, medication review,

pharmacist