4CPS-157 Perspectives of patients and medical providers on multidisciplinary medication reconciliations service in adult patients undergoing thoracic and cardiovascular surgery (merits study)

Background and ImportanceThe implementation of medication reconciliation (MR) services is a global endeavour, but still faces technological and data-related barriers. To promote widespread adoption, understanding the perspectives of patients and medical providers on MR services is crucial.Aim and ObjectivesThis study aimed to investigate the satisfaction levels and perceptions of patients who have experienced MR services, as well as the satisfaction, perceived needs, and expectations of medical providers.Material and MethodsThis research is a part of the prospective study evaluating of multidisciplinary medication reconciliation service in adult patients undergoing thoracic and cardiovascular surgery (MERITS study). The protocol of the study was approved by Institutional Review Board of Seoul National University Hospital (IRB No. 2109–135-1257). Patients’ feedback was collected through surveys using 5-point Likert-scales, encompassing their awareness of services, improvement in medication behaviours, perception about pharmacists, and overall satisfaction with services. In parallel, healthcare providers were surveyed addressing their perceptions, satisfaction level, needs, and expectations concerning MR services.ResultsAmong 216 patients enrolled in MERITS study, 208 patients completed the questionnaires. These patients expressed a high degree of satisfaction with MR services (average score 4.67). The aspect receiving the highest rating (4.79) pertained to the professionalism exhibited by pharmacists, whereas the lowest score (4.61) was attributed to the need for revisiting the service. Average score of 4.63 were rated for improvement in medication behaviours. Medical staff (12 out of 22, response rate 54.5%) expressed satisfaction, with nine rating the overall services as ‘very satisfied’. They showed the highest satisfaction in ‘comprehensive medication review and resolving drug-related problems’ and ‘discharge counselling’. In terms of the need for services, eight respondents answered ‘very much in need’ while four considered they ‘needed’, with the greatest demand for ‘providing the best possible medication history’. Additionally, the services’ overall expectations were also positive, especially for identifying and improving discrepancies during transitions.Conclusion and RelevanceThe findings of this study underscore a positive reception of MR services from both patients and medical staff. These findings emphasise the need to further promote and enhanc