„Humanistic Outcomes in the Hypertension and COPD Arms of a Multicenter Outcomes Study.”
To evaluate the effects of pharmaceutical care on selected humanistic outcomes in patients with hypertension or chronic obstructive pulmonary disease (COPD).
Clinic patients with hypertension or COPD were randomly assigned to a treatment group (pharmaceutical care) or a control group (traditional pharmacy care) over a six-month period. Clinical pharmacists and pharmacy residents conducted the protocols. There were 133 evaluable patients (63 treatment, 70 control) in the hypertension study arm and 98 evaluable patients (43 treatment, 55 control) in the COPD study arm. The Pharmaceutical Care Questionnaire evaluated patient satisfaction with care. Tests specific to the disease states assessed disease and disease management knowledge. Quality of life (QOL) was evaluated using the Health Status Questionnaire 2.0 (HSQ 2.0) in the COPD arm; in the hypertension arm, the Hypertension/Lipid TyPE Specification Form 5.1 was used.
Ambulatory care centers of 10 Department of Veterans Affairs (DVA) medical centers and 1 university medical center.
Patient-centered pharmaceutical care model (employing standardized care) implemented by clinical pharmacy residents.
Satisfaction with pharmaceutical care, disease and disease management knowledge, and QOL.
Statistically significant differences in most satisfaction items were found, with treatment patients expressing greater satisfaction. Treatment groups in both arms strongly agreed that pharmacists helped them with confidence in use of their medication and understanding of their illness, gave complete explanations about their medications, made them feel that their care was a priority, and followed up on their questions and concerns. In the hypertension arm, treatment patients demonstrated significant increases in knowledge scores. Trends in QOL were positive for both hypertension groups, with a significant decrease found in number of treatment patients reporting problems with sexual function. In the COPD arm, improvement trends were significantly stronger for treatment patients.
Although patients were not dissatisfied with traditional pharmacy care, they were more satisfied overall with the pharmaceutical care model.
Available from: Johan J de Gier
- "We hypothesized that consultations would increase adherence as had been previously reported. Gourley et al., for example, showed that for hypertensive patients receiving five consultations over a period of 6 months was more effective on adherence and general health than receiving just two consultations in the same time period . One explanation for why our results did not match those of Gourley et al. could be that there was only one consultation in our study. "
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ABSTRACT: To evaluate the use of patient self-completion concordance forms and to determine the effect of patient counselling by using concordance forms on adherence to chronic medication.
Patients with a prescription for new chronic treatment were randomised in an intervention or control group. The intervention group received a concordance form to fill in at home and to discuss during a consultation 2 weeks later in the pharmacy. The control group received the usual information and instruction on how to use the medicine. Afterwards, all patients were asked to fill in a questionnaire about their use of medicines and contact with the pharmacy employees. Adherence to the medicine was determined using rates of prescription refills after 6 months of use.
The questionnaires showed that patients were satisfied about the concordance model. After 6 months of use, 79% of the patients from both intervention and control group were defined as adherent.
There was no significant difference found in adherence between intervention and control group.
Use five selected questions from the concordance form which provided most answers. Focus on one drug group and have more consultation moments.
Available from: Sonia A. N. Uema
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ABSTRACT: Objetivo: Valorar la satisfacción de pacientes bajo seguimiento farmacoterapéutico con la método Dáder basada en los resultados percibidos por los mismos. Métodos: Se diseñó un cuestionario autoadministrable semi-estructurado conteniendo 6 preguntas en formato check-list (SÍ-NO), 5 ítems de satisfacción en una escala de intervalos y un apartado final abierto para que puedan expresarse comentarios y sugerencias adicionales. Resultados: Se obtuvieron 40 cuestionarios completos. El resultado promedio de los 5 ítems de satisfacción fue de 3,8 (DE=0,4) y el porcentaje de respuestas con la calificación más alta del 84,1%. Discusión: La satisfacción de los pacientes con en seguimiento farmacoterapéutico se relacionó fundamentalmente a: mejoras en el conocimiento de los medicamentos y en el cumplimiento de los tratamientos prescriptos por el médico. Conclusiones: Todos los ítems consultados obtuvieron altas calificaciones por parte de los pacientes. Fueron unánimes las intenciones de permanecer en el programa y recomendarlo a otras personas, ambos indicadores directos de satisfacción con el seguimiento farmacoterapéutico.
Available from: Pedro D Armando
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