Ferreri Stefanie P, Hughes Tamera D, Snyder Margie E
UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7574, USA.
College of Pharmacy, Purdue University, Indianapolis, IN 46202, USA.
Integr Pharm Res Pract. 2020 Apr 2;9:71-81. doi: 10.2147/IPRP.S179628. eCollection 2020.
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.
药物治疗管理（MTM）服务已发展成为药剂师和其他医疗服务提供者帮助患者及护理人员改善治疗效果和降低医疗保健支出的一种方式。自2003年《医疗保险现代化法案》为药剂师提供向医疗保险受益人提供MTM服务的机会以来，已经过去了十多年。MTM继续为药剂师提供运用其知识的机会；然而，药剂师报告了服务提供方面的挑战。为了寻求改进MTM服务的提供，识别影响药房实践中MTM服务的挑战是必要的。这篇叙述性综述探讨了药剂师在提供MTM服务时面临的当前挑战，总结了应对挑战的潜在解决方案，并旨在引发进一步的辩论、服务重新配置，最终改善药剂师提供的MTM服务。
