Establishing a Pharmacy-Based Patient Registry System: A Pilot Study for Evaluating Pharmacist Intervention for Patients with Long-Term Medication Use
Abstract
1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Acknowledgments
Author Contributions
Conflicts of Interest
Disclosure
Appendix A. Data Collection at the Initial and Follow-Up Assessments
- Patient’s ID (automatically assigned at registration)
- Age and sex
- Clinical conditions for long-term medication use
- Date of informed consent
- Contact information if needed
- List of all medications used by the patient (not only dispensed medication at the pharmacy, but also those dispensed at different pharmacies)
- Treatment history
- Other conditions not for long-term medication use
- Lab results (blood pressure, lipid, HbA1c, etc.)
- Treatment conditions (one-pack doses, number of clinics used, etc.)
- Living environments related to treatment (living alone, job, home care, etc.)
- Potential problems reported by patient
- Potential concerns identified by pharmacist
- Preferred methods for follow-up contacts
- Others
- Date of contacts
- Method for monitoring (telephone or visit)
- Changes in medications
- Patient reported adherence or number of medications not used
- Reason for not taking medications as instructed
- Conditional changes (if any)
- Lab results (reported by patients)
- Pharmacist advice given to patients
- Next appointment dates
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Category | Potential Problems | Pharmacist Intervention (Suggestion or Recommendation) | Patient Outcomes |
---|---|---|---|
1. Medication Use | |||
Forget to take medicine when eating out | Keep some tablets in the bag constantly | Adherence was improved. | |
Forget to take medicine when busy with work | Put the medicine in a conspicuous place Notice that the medicine could be taken also before eating | Adherence was improved. | |
2. Concerns | |||
High blood sugar level despite efforts | Wait for the result of the next health check-up, and consider the possibility of hyperglycemia after a meal, as the current average blood sugar level is still better than before | The blood sugar level fell to the normal range on the next measurement. | |
Blood pressure variation (low in the morning and high in the night) | Receive counseling from the family doctor | Concern disappeared after hearing that it was not necessary to mind this. | |
3. Physical Complaint | |||
Chest ache after exercise | Get medical consultation for angina pectoris fear | The patient underwent detailed examination and was diagnosed and operated on for angina pectoris. | |
Dizziness | Drink more water or tea because of possible side effect | Dizziness disappeared after several weeks. | |
4. Others | |||
No interest in the results of the health check | Promote health education | The patient became interested in the value of health check-ups (e.g., purchased books); motivation to receive medical treatment increased. |
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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. https://doi.org/10.3390/pharmacy6010012
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(1):12. https://doi.org/10.3390/pharmacy6010012
Chicago/Turabian StyleAkazawa, Manabu, Akiko Mikami, Yuri Tamura, Natsuyo Yanagi, Shinichi Yamamura, and Hiroyasu Ogata. 2018. "Establishing a Pharmacy-Based Patient Registry System: A Pilot Study for Evaluating Pharmacist Intervention for Patients with Long-Term Medication Use" Pharmacy 6, no. 1: 12. https://doi.org/10.3390/pharmacy6010012
APA StyleAkazawa, M., Mikami, A., Tamura, Y., Yanagi, N., Yamamura, S., & Ogata, H. (2018). Establishing a Pharmacy-Based Patient Registry System: A Pilot Study for Evaluating Pharmacist Intervention for Patients with Long-Term Medication Use. Pharmacy, 6(1), 12. https://doi.org/10.3390/pharmacy6010012