Original Research Article
Year: 2020 | Month: December | Volume: 10 | Issue: 12 | Pages: 42-52
A Qualitative Study to Assess the Need of Home Medication Review to Improve the Quality of Life in General Population in a District Head Quarters
Anika A1, Muhammed Hisham B1, Pooitha1, Roshni Mohanan1, Ateendra Jha2, Ananya Bhattacharjee2
1Pharm D, Department of Pharmacy Practice, Srinivas College of Pharmacy, Mangalore, Karnataka, India
2Department of Pharmacy Practice, Assistant Professor, Srinivas College of Pharmacy
Corresponding Author: Anika A
ABSTRACT
Objective: Home Medication Review (HMR) is a structured and collaborative health care service provided to consumers in the community to ensure optimal use and understanding of medicine to promote its quality use and assist in continuity of care. The objective of the study was to assess the need of HMR in preventing adverse events and improvement in medication adherence.
Study Design: A community based observational study was carried out for a period of 6 months to assess the need of HMR with the help of NO TEARS tool by World Health Organization (WHO) which assess the need, indication and adverse events related with the therapy which was given to the patient.
Method: Subjects above 18 years and able to understand English/ Hindi/ Kannada/ Malayalam and living in Mangalore Taluk were included for the study. After obtaining the information, HMR was provided including counselling, life style modification, intervention on Drug Therapy Problems (DTPs) and the importance of adherence. They were requested to consult their physicians for taking appropriate measures for the same. After 2 months, follow-up was done and analysed whether any DTPs are still prevailing and what the benefit was after providing HMR, whether the adherence were improved or not or they have modified their lifestyle.
Result: Among 135 subjects, 74 DTPs including drug interaction 43.24%, inappropriate drug therapy 29.72% and Adverse Drug Reaction (ADR) with 27.02% were found. Among the 74 DTPs identified, 50(67.56%) were accepted by the physician and appropriate decisions were made. Considering adherence, initially 28 subjects were not adherent to the therapy. After providing HMR, 75% improvement in adherence was found.
Conclusion: Hence it clearly shows that pharmacists led medication reviews could reduce the adverse events as well as improve the adherence.
Key words: Home medication review, Patient safety, Drug therapy problems, Medication adherence.
- Importance of Home Medication Review in public population.
- Effectiveness in monitoring Drug Therapy Problems by Pharmacist.
- Attitude of Physicians towards the interventions made by the Pharmacist.
- Effectiveness of Patient counselling as well as HMR by Pharmacist.