How medicines are playing out for patients in daily life: a qualitative analysis of drug related problems identified at the pharmacy counter

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Background. Up to 80% of patients with chronic illness experience drug related problems (DRPs), which decreases their quality of life and is costly for society. To advance pharmacy practice in supporting patients with DRPs, pharmacists need more insight into how patients experience the problems.
Purpose. To holistically investigate the DRPs that patients are experiencing in a daily life context across therapeutic areas and existing DRP categories.
Methods. Short written descriptions of DRPs detected during counter conversations when dispensing medicines, as recorded by the pharmacy staff. This was part of a larger study evaluating a new education for pharmacy staff in Denmark in patient-centred communication. The content of these stories were then subjected to an inductive content analysis to understand the problems patients face with their medicines in daily life as they are happening.
Results. Results showed that good medication treatment involves considerable efforts from both the patient and the prescriber. Three overall DRP themes were identified. Firstly, problems of actually receiving the medicines were observed. These pertained both to patients not picking up the medicine (for example due to the price or forgetfulness), a missing prescription or lack of prescription renewal, or problems with the medicine distribution system. Secondly, situations with lack of clarity about how to take the medicine were identified. This entailed patients not knowing why to take the medicine, how to administer the medicine or how to coordinate the intake with food/supplementary products. Thirdly, problems with getting satisfactory effects were registered. This included negative experiences with the medicine and concern of future side effect or lack of effect leading to strong worries and undertreatment.
Conclusions. DRPs are widespread and impact patients’ daily lives practically, emotionally and health-wise. Before even considering whether the medicine has the desired effects, it’s necessary to ensure that basic conditions are in place, such as a continued supply of medicine and that the patient knows the treatment plan.
OriginalsprogEngelsk
Publikationsdato2023
Antal sider1
StatusUdgivet - 2023
Begivenhed13th Working Conference 2023, Hillerod, Denmark “Pharmacies' new roles in pharmaceutical care: bridging research and practice” -
Varighed: 8 feb. 202311 feb. 2023
https://www.pcne.org/conference/32/13th-working-conference-2023

Konference

Konference13th Working Conference 2023, Hillerod, Denmark “Pharmacies' new roles in pharmaceutical care: bridging research and practice”
Periode08/02/202311/02/2023
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