Assessment of comprehensive medication management incorporating a patient-completed medical and medication history form in community practice.

Document Type

Article

Publication Date

7-2-2026

Publication Title

Journal of the American Pharmacists Association : JAPhA

Abstract

BACKGROUND: Community pharmacists provide direct patient care that requires patient health information. There is no standardized approach to obtaining health information and few studies in community pharmacy have assessed the feasibility and patient acceptability of the process for collecting medical and medication histories (MMH) through patient-completed electronic or paper formats.

OBJECTIVES: Describe the development, implementation, and assessment of the feasibility and identification and follow-up of drug-related problems (DRPs) with the integration of a patient-completed electronic or paper MMH form in community pharmacy. Patient acceptability of a self-completed MMH was additionally assessed.

PRACTICE DESCRIPTION: Four independent community pharmacies that serve urban communities and provide standard-of-care services collaborated with Wayne State University Eugene Applebaum College of Pharmacy and Health Sciences in Detroit (EACPHS).

PRACTICE INNOVATION: A patient-completed MMH form was created at EACPHS. Student pharmacists/pharmacists integrated the electronic or paper patient-completed MMH forms into community practice.

EVALUATION METHODS: This prospective Phase I and retrospective Phase II study conducted from 2019-2022 included patients over 18 years old. Phase I evaluated the time required for patients to complete the MMH and for student pharmacist/pharmacist review of the completed MMH with patients. Phase II incorporated the MMH in identifying DRPs and interventions. Post-surveys were conducted to assess patient acceptance.

RESULTS: A total of 163 patients participated (50 in Phase I; 113 in Phase II). In Phase I, the mean time for patient completion of the MMH was 7.92 minutes (SD± 3.6 minutes). The median time for student pharmacist/pharmacist review was 4.46 minutes (IQR ± 3.9 minutes). In Phase II, 319 DRPs (n=113 patients) were identified through review of the MMH. Ninety-six percent (n=157) of patients participated in the survey with 92.4% agreeing to update the form on future visits.

CONCLUSION: Integrating a patient-completed MMH form within community practice is feasible and supports pharmacists in providing patient care.

First Page

103476

DOI

10.1016/j.japh.2026.103476

ISSN

1544-3450

PubMed ID

42392571

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