Treatment related problems for outpatients with chronic diseases in Jordan: the value of home medication reviews
Background Research conducted in Jordan has shown that suboptimal use of medications by outpatients along with the suboptimal role played by community pharmacists is currently a big dilemma highlighting the need for the Home Medication Review (HMR) service in the country. Objectives To evaluate the...
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Veröffentlicht in: | International journal of clinical pharmacy 2013-02, Vol.35 (1), p.92-100 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Background
Research conducted in Jordan has shown that suboptimal use of medications by outpatients along with the suboptimal role played by community pharmacists is currently a big dilemma highlighting the need for the Home Medication Review (HMR) service in the country.
Objectives
To evaluate the prevalence and types of treatment related problems (TRPs) for outpatients with chronic diseases.
Setting
Patient interview was conducted at the patients’ community pharmacy initially, then at their home to collect required data.
Methods
167 patients with chronic conditions (mean age 58.9 ± 13.54, 53 % males) were recruited. Data collected by the graduate pharmacists to conduct a HMR included patient’s demographics, income, laboratory data, medical history, medication record, and adherence. A HMR was conducted for each patient by the researchers (experienced clinical pharmacists) to identify the patients’ TRPs based on published literature. A focus group interview was conducted to elicit information regarding the feasibility of the HMR process and acceptability of the patient to the service.
Main outcome measure
Prevalence and nature of identified TRPs, associated diseases and drugs, and patients’ acceptability to the HMR service.
Results
The mean number of disease conditions per patient was 4.1 ± 1.7, and the mean number of medications taken by each patient was 8.1 ± 2.7. HMR results showed a mean number of TRPs per patient of 7.4 ± 2.8. TRPs prevalence: 34.7 % of patients were found to have unnecessary drug therapy; 68.3 % had untreated conditions, and 74.9 % had ineffective/incomplete drug therapy; 50.3 % had inappropriate dosage regimen; 10.2 % were found to have actual adverse drug effects. A significant correlation between the number of TRPs and the number of disease states the patient had (r = 0.311,
p
= 0.003; Pearson correlation) and the number of drugs the patient was taking (r = 0.443,
p
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ISSN: | 2210-7703 2210-7711 |
DOI: | 10.1007/s11096-012-9713-4 |