Browsing by Subject "PROVISION"

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  • Kallio, Sonja E.; Kiiski, Annika; Airaksinen, Marja S. A.; Mäntylä, Antti T.; Kumpusalo-Vauhkonen, Anne E. J.; Järvensivu, Timo P.; Pohjanoksa-Mantyla, Marika K. (2018)
    ObjectivesTo identify medication review interventions for older adults that involve community pharmacists and evidence of outcomes of these interventions. DesignSystematic review. MeasurementsCinahl, MEDLINE (Ovid), Scopus, International Pharmaceutical Abstracts, and Cochrane Library were searched for articles published between January 2000 and February 2016. Articles involving community pharmacists in medication reviews for outpatients aged 65 and older were included. Evidence of economic, clinical, and humanistic outcomes of interventions was summarized. ResultsSixteen articles were found that described 12 medication review interventions, of which 6 were compliance and concordance reviews, 4 were clinical medication reviews, and 2 were prescription reviews according to a previously developed typology. Community pharmacists' contributions to reviewing medications varied from sending the dispensing history to other healthcare providers to comprehensive involvement in medication management. The most commonly assessed outcomes of the interventions were medication changes leading to reduction in actual or potential drug-related problems (n=12) and improved adherence (n=5). ConclusionRegardless of community pharmacists' contributions to interventions, medication review interventions seem to reduce drug-related problems and increase medication adherence. More well-designed, rigorous studies with more sensitive and specific outcomes measures need to be conducted to assess the effect of community pharmacists' contributions to reviewing medications and improving the health of older adults.
  • Husa, Miikka Helmer; Kosenius, Anna-Kaisa (2021)
    In boreal commercial forests, carbon sequestration, climate change adaptation, and biodiversity conservation can be promoted through various measures. This study examines the factors affecting non-industrial private forest (NIPF) owners' preferences for such forest management practices. A systematic literature review serves as a reference for the empirical analysis of a survey data on the Finnish NIPF owners' stated willingness to adopt thirteen distinct forest management practices. Binary logit models reveal socio-demographic factors, site-specific characteristics, previous forest management, and motivations for forest ownership that are associated with the stated adoption of management practices. Especially, environmental and financial motivations play an important role in decisions concerning forest management practices. Statistically significant factors vary depending on the forest management practice, reflecting the NIPF owner heterogeneity. Younger and highly educated forest owners are more supportive for various management practices that promote biodiversity, while older forest owners are reluctant towards deadwood retention. The results underline the importance of accounting for heterogeneous preferences regarding forest management practices when designing and implementing policies and advisory services aiming at enhancing carbon sequestration, climate change adaptation, or biodiversity in boreal commercial forests.