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Pharmacy 2018, 6(1), 12; https://doi.org/10.3390/pharmacy6010012

Establishing a Pharmacy-Based Patient Registry System: A Pilot Study for Evaluating Pharmacist Intervention for Patients with Long-Term Medication Use

1
Meiji Pharmaceutical University, Noshio 2-522-1, Kiyose-city, Tokyo 204-8588, Japan
2
Graduate School of Medical and Pharmaceutical Sciences, Chiba University, Inohana 1-8-1, Chuo-ku, Chiba 260-8670, Japan
3
Japanese Society for Applied Therapeutics, Hitotsubashi 1-1-1, Chiyoda-ku, Tokyo 100-0003, Japan
*
Author to whom correspondence should be addressed.
Received: 6 December 2017 / Revised: 23 January 2018 / Accepted: 24 January 2018 / Published: 25 January 2018
(This article belongs to the Special Issue Communication in Pharmacy Practice)
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Abstract

Background: In Japan, an increasing number of patients are prescribed a large amount of long-term medications by large hospitals that are then dispensed by a community pharmacy. This practice often leads to considerable wastage of medicine. As part of their professional role, community pharmacists are expected to contribute more to the appropriate use of medication by patients. Using a prospective cohort, we aimed to evaluate pharmacists’ role in the community. Methods: We created a patient registry system for community pharmacies to monitor long-term medication use by patients with chronic conditions. Patient drug adherence and potential problems were monitored through regular home visits or telephone calls by the pharmacist at least once a month between patient hospital visits. Patient data were collected and stored in an internet-based system. Results: Over a one-year follow-up, 28 out of 37 registered patients from 14 community pharmacies were continuously monitored. In total, we extracted 19 problems relating to medication use, 17 to physical complaints, eight to patient concerns, and two others. Conclusion: The registry system was useful for identifying medication-related problems as well as patient concerns and changes in their condition. Pharmacists might play a key role in improving patient care in the community. View Full-Text
Keywords: community pharmacy; patient registry; pharmacist intervention; chronic condition; long-term medication community pharmacy; patient registry; pharmacist intervention; chronic condition; long-term medication
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Akazawa, M.; Mikami, A.; Tamura, Y.; Yanagi, N.; Yamamura, S.; Ogata, H. Establishing a Pharmacy-Based Patient Registry System: A Pilot Study for Evaluating Pharmacist Intervention for Patients with Long-Term Medication Use. Pharmacy 2018, 6, 12.

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