| Summary: | 碩士 === 國防醫學院 === 藥學研究所 === 103 === Backgrounds:
Usually, after dispensing pharmacist may provide pharmaceutical advise for 1~2 minutes, however, it is questionable for such a short counseling. To improve the adherence of patients taking medicines, it is hoped that the pharmacists should provide 10~15 minutes adherence counseling service.
Purpose: The aim of this study was to build the model of and evaluate the effectiveness of providing adherence counseling service.
Methods:
The model of providing adherence counseling service was developed by the Taiwan Pharmacist Association (TPA) with five open-ended questions be asked for each drug patient is taken to induce more description by the patient of their knowledge and drug taking behaviors on that dug. Community pharmacists were recruited and trained to practice the service and every response from the patients should be recorded in the computerized documentation system developed by TPA. Patients who take refill prescription to be dispensed in the community pharmacy can be recruited in the study. Taiwan FDA provides research funding to pay pharmacists NT$200 per service provided.
Results:
Total of 275 pharmacists participated in this study with 3,790 patients received adherence counseling service. In average, pharmacist spends 25 minutes for a service. Total of 15,929 medications were consulted, 82.2% of which required pharmacists to give correct information because patient do not know or with wrong behavior. Around 76.3% of the drugs patients do not know what the drug is for, 77.5% took the drug with wrong time or wrong dosage, 47.3% use the wrong way of taking the drug, 79.4% do not know the side effects, and 80.7% need more necessary drug information.
Conclusions:
The face-to-face counseling could identify the knowledge gap and incorrect behavior of the patient taking the medications. By identify problems and resolve the problems, pharmacist could be a useful source of professional service to increase adherence of the drug therapy and to satisfy patients’ needs.
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