A mixed methods evaluation of medication reconciliation in the primary care setting.

Objectives: To understand the extent to which behaviors consistent with high quality medication reconciliation occurred in primary care settings and explore barriers to high quality medication reconciliation.

Design: Fully mixed sequential equal status design including ethnographic observations, semi-structured interviews, and surveys.

Setting: Primary care practices within an integrated healthcare delivery system in the United States.

A mixed methods evaluation of the implementation of pharmacy services within a team-based at-home care program.

Background: Sub-optimal medication use results in significant avoidable morbidity, mortality, and costs. Programs, such as comprehensive medication management (CMM), can help to optimize medication use, improve outcomes, and reduce costs. However, implementing programs like CMM can be challenging and differences in how CMM has been implemented may be responsible for observed heterogeneity in the outcomes associated with CMM.