| Reliability testing of a case-leveling framework for assigning level of difficulty of pharmacist's initial patient medication assessments. | |
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MedLine Citation:
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PMID: 18826903 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To develop and test the reliability of a case-leveling framework for assigning level of difficulty of the pharmacist's task for initial medication assessments conducted by pharmacists integrated into family physician offices. DESIGN: Descriptive study. SETTING: Seven family practice sites in Ontario from June 2004 to July 2006. PATIENTS: Patients referred by their family physician for pharmacist assessment. INTERVENTION: Individual medication assessments, monitoring, and follow-up by pharmacists. A case-leveling framework was developed with three levels of complexity (graded as I, II, or III) including specific descriptors and practice-based examples. Reliability was assessed between two standardized assessors and between one assessor and project pharmacists. Project pharmacist feedback was elicited through an e-mail survey. Reliability is reported using the kappa statistic. MAIN OUTCOME MEASURES: Reliability of a case-leveling framework and helpfulness of the framework as reported by pharmacists. RESULTS: 53 patient cases were evaluated for interrater reliability between standardized assessors. The mean (+/- SD) case level assigned was 1.8 +/- 0.68, and the kappa was 0.62 (95% CI 0.44-0.79), indicating a substantial strength of agreement between raters. For the second reliability test, 52 cases were rated, with a level of agreement between project pharmacists and the external assessor of 0.46 (95% CI 0.27-0.65), indicating moderate agreement. Feedback resulted in slight revisions to the original framework. CONCLUSION: The case-leveling framework was a reliable method and can be used to determine the level of difficulty of patient cases in primary care. |
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Authors:
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Natalie Kennie; Lisa Dolovich |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of the American Pharmacists Association : JAPhA Volume: 48 ISSN: 1544-3450 ISO Abbreviation: J Am Pharm Assoc (2003) Publication Date: 2008 Sep-Oct |
Date Detail:
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Created Date: 2008-10-01 Completed Date: 2009-02-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101176252 Medline TA: J Am Pharm Assoc (2003) Country: United States |
Other Details:
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Languages: eng Pagination: 640-7 Citation Subset: IM |
Affiliation:
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Department of Family and Community Medicine, St. Michael's Hospital, Toronto, Canada. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Data Collection Data Interpretation, Statistical Delivery of Health Care, Integrated / organization & administration Family Practice / organization & administration Humans Medication Therapy Management / organization & administration* Observer Variation Pharmaceutical Services / organization & administration* Pharmacists / organization & administration* Primary Health Care / organization & administration Professional Role* Referral and Consultation Reproducibility of Results |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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