» Articles » PMID: 32309200

Medication Therapy Management: Current Challenges

Overview
Date 2020 Apr 21
PMID 32309200
Citations 31
Authors
Affiliations
Soon will be listed here.
Abstract

Medication therapy management (MTM) services have evolved as a means for pharmacists and other providers to assist patients and caregivers in improving therapeutic outcomes and reducing health care expenditures. More than a decade has passed since the Medicare Modernization Act of 2003 provided pharmacists with the opportunity to deliver MTM services to Medicare beneficiaries. MTM continues to offer pharmacists the opportunity to use their knowledge; yet, pharmacists have reported challenges with service delivery. Identifying the challenges that affect MTM services in pharmacy practice is necessary in order to seek improvement to MTM delivery. This narrative review explores the current challenges pharmacists face with MTM delivery, summarizes potential solutions for addressing challenges, and seeks to incite further debate, service reconfiguration, and ultimately service improvement of pharmacist-provided MTM services.

Citing Articles

Bridging gaps in medication therapy management at community health centers: A mixed-methods study on patient perceptions and pharmacists' preparedness.

Yasin N, Kurniawati F, Ridhayani F Explor Res Clin Soc Pharm. 2025; 17():100554.

PMID: 39811096 PMC: 11732552. DOI: 10.1016/j.rcsop.2024.100554.


Bibliometric and visual analysis of medication therapy management from 2003 to 2023.

Guo Z, Fu L, Chu Z, Gao S, Lu L, Jiao W Medicine (Baltimore). 2024; 103(51):e40953.

PMID: 39705411 PMC: 11666177. DOI: 10.1097/MD.0000000000040953.


An integrative systematic review of nurses' involvement in medication deprescription in long-term healthcare settings for older people.

Vaismoradi M, Mardani A, Lillo Crespo M, Logan P, Sak-Dankosky N Ther Adv Drug Saf. 2024; 15:20420986241289205.

PMID: 39429678 PMC: 11487518. DOI: 10.1177/20420986241289205.


Enhancing pharmacist intervention targeting based on patient clustering with unsupervised machine learning.

Tsang C, Wang J Expert Rev Pharmacoecon Outcomes Res. 2024; 25(2):187-195.

PMID: 39311657 PMC: 11786995. DOI: 10.1080/14737167.2024.2406810.


The Impact of Health Equity-Informed Eligibility Criteria to Increase the Delivery of Pharmacist-Delivered Comprehensive Medication Management Services for Patients with High Blood Pressure.

Zagel A, Brummel A, Chacon M, ODonnell R, Styles E, Peacock J J Public Health Manag Pract. 2024; 30:S141-S151.

PMID: 39041750 PMC: 11268790. DOI: 10.1097/PHH.0000000000001962.


References
1.
Farley J, Ferreri S, Easter J, McClurg M . The North Carolina Experiment: Active Research in the Development and Assessment of New Practice Models. N C Med J. 2017; 78(3):186-190. DOI: 10.18043/ncm.78.3.186. View

2.
Smith M, Cannon-Breland M, Spiggle S . Consumer, physician, and payer perspectives on primary care medication management services with a shared resource pharmacists network. Res Social Adm Pharm. 2013; 10(3):539-53. DOI: 10.1016/j.sapharm.2013.08.003. View

3.
Bluml B . Definition of medication therapy management: development of professionwide consensus. J Am Pharm Assoc (2003). 2005; 45(5):566-72. DOI: 10.1331/1544345055001274. View

4.
Smith M, Ferreri S, Brown P, Wines K, Shea C, Pfeiffenberger T . Implementing an integrated care management program in community pharmacies: A focus on medication management services. J Am Pharm Assoc (2003). 2017; 57(2):229-235.e1. DOI: 10.1016/j.japh.2016.12.074. View

5.
Patel P, Vaidya V, Osundina F, Comoe D . Determining patient preferences of community pharmacy attributes: A systematic review. J Am Pharm Assoc (2003). 2019; 60(2):397-404. DOI: 10.1016/j.japh.2019.10.008. View