Medication Therapy Management, MTM, barriers, value, patient-perceived
Objective: To determine the patient-perceived value of MTM services and non-financial barriers preventing patients with insurance coverage from receiving MTM services.
Design: Focus groups.
Setting: Fairview Pharmacy Services, Minneapolis, MN.
Participants: Three focus groups, each with five to nine participants, consisting of different participant populations: (i) patients who paid out-of-pocket to receive MTM services; (ii) insurance beneficiaries, under which MTM is a covered benefit and participants may have received incentives for receiving MTM services; (iii) patients with an insurance plan which covers MTM services who were recruited to receive MTM services but declined. Intervention: MTM services.
Main Outcome Measure: Patient-perceived value of MTM services and non-financial barriers.
Results: Seven themes were identified relating to the patient-perceived value of MTM services: collaboration of the health care team, MTM pharmacist as a supporter/advocate/confidant, MTM pharmacist as a resource for questions and education, accessibility to the MTM pharmacist, financial incentives for participation in MTM services, MTM pharmacy as a specialty field, and the MTM pharmacist as a coordinator. Three themes were identified regarding patient-perceived non-financial barriers to receiving MTM services, including: availability of the MTM pharmacist, patient/physician lack of knowledge of MTM services, patient's belief that MTM services are not needed.
Conclusion: MTM is a service which patients identify as valuable. Patients are able to identify non-financial barriers that may prevent some patients from receiving MTM services. This study provides preliminary evidence of both the value and barriers perceived by patients.
Schultz H, Westberg SM, Oliveira DR, Brummel A. Patient-perceived value of Medication Therapy Management (MTM) services: a series of focus groups. Inov Pharm. 2012;3(4): Article 96. http://pubs.lib.umn.edu/innovations/vol3/iss4/7.