Development and Assessment of the Pharmaceutical Management and Guidance Services for Inpatients Considering Clinical Value and Economy

Higuchi, Kazuko; Kubo, Takeji; Tsuji, Shigeko; Mukai, Eiji; Tsukamoto, Toyohisa; Morita, Satoru

doi:10.1248/yakushi1947.119.10_710

Cited by 5 publications

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“…Analysis of consultations suggested that, despite patient reports indicating the opposite, 5 patients rarely initiate medication topics and can take a passive role when discussing medicines with health care practitioners 17,30,33 . Moreover, when providing information, doctors rarely assess patients’ understanding of it, 19 despite an awareness of the importance of doing so 26,34 …”

Section: Balance Of Discussion In Consultationsmentioning

confidence: 99%

A systematic review of the research on communication between patients and health care professionals about medicines: the consequences for concordance

Stevenson

Cox

Britten

et al. 2004

Health Expectations

339

247

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Objectives We draw on a systematic review of research on two-way communication between patients and health practitioners about medicines in order to determine the extent to which concordance is, or is not, being put into practice.Data sources Six electronic databases were searched using the following categories of search terms: health care professionals, patients/consumers, medicine-taking/prescribing and communication. Articles were also identified from handsearches of journals, article reference lists and the Concordance website.Review methods Studies published between 1991 and 2000 were included. Studies were not excluded on the basis of design, methods or language employed. Abstracts of identified articles were assessed by at least two reviewers and the full articles were assessed by one reviewer and checked by at least one other reviewer. Data on the design, analysis and relevant findings were extracted.Results A total of 11 801 abstracts were reviewed and 470 full articles were retrieved. Of the 134 articles subsequently included, 116 were descriptive studies. All but 10 of the papers were written in English.There were mixed findings about the extent to which patients feel that their beliefs, experience and preferences about medicines can be shared. Doctors tend to dominate discussions in consultations, although patient participation is associated with positive outcomes. Health care professionalsÕ behaviour can impede as well as enhance patient involvement.Conclusions There is little research that examines fundamental issues for concordance such as whether an exchange of views takes place. It is possible that interventions are needed to facilitate the development of concordance in practice.

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Section: Balance Of Discussion In Consultationsmentioning

confidence: 99%

A systematic review of the research on communication between patients and health care professionals about medicines: the consequences for concordance

Stevenson

Cox

Britten

et al. 2004

Health Expectations

339

247

View full text Add to dashboard Cite

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Patients’ knowledge of the indications for their medications – a scoping review

Bülow,

Clausen,

Thøgersen

et al. 2024

BMC Health Serv Res

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Background Inadequate medication knowledge may contribute to inappropriate medication use and treatment harms. We aimed to map and synthesise the existing evidence on patients’ knowledge of the indications for their medications. Method We searched MEDLINE, Embase, CINAHL, PsychInfo and the Cochrane Library for studies that assessed patients’ knowledge of the indications for their medications from inception to June 16, 2022. A pair of reviewers independently screened and extracted data on study characteristics, aims, and methods used to assess and report patients’ knowledge of the indications for their medications. Results We included 99 studies conducted in 33 countries, published between 1979 and 2021, with 42,377 participants in total (median 126 participants [Interquartile range: 63–338]). Studies were observational (n = 77), experimental (n = 18), or qualitative interviews (n = 4). The exact question used to assess knowledge of the indications was reported in 27 studies and was phrased in 25 different ways. Knowledge of the indications was reported as a proportion of either 1) all participants (n = 65) or 2) the total number of medications used by all patients (n = 13). Sixteen studies used both reporting methods, while five only reported a proportion without specifying the denominator. Fourteen studies in various populations reported the number of participants with correct knowledge of all their medications, ranging from 19% (long-term psychiatric in-patients) to 87% (general practice patients). Conclusion We did not identify any established scientific standard for assessing patients’ knowledge of the indications for their medications. The wide range of study methodologies and reporting styles observed call for a methodological consensus in this research field. Estimates of correct knowledge varied widely between studies, but whether this was due to differences in study populations or study methodology could not be determined. Furthermore, we did not identify any study investigating whether participants’ knowledge of the indications for their medications was associated with the quality, e.g. appropriateness, of their treatment.

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Improvement of Method to Estimate Guidance by Pharmacists and Trial to Obtain Standard Pharmaceutical Management and Guidance Services Program

et al. 2001

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The level of understanding of taking medicine was examined at the start and the end of medicine-taking guidance, based on the estimation by pharmacists and inpatients. Six items for the estimation, such as``the way of taking medicines'' were evaluated using aˆve-grade system. The signiˆcant improvement was observed in all items, suggesting that inpatients' understanding is improved by the guidance. A markedly positive correlation was found between the estimation by inpatients and that by pharmacists ( p＜0.001). This conˆrms the appropriateness of estimation by pharmacists. Inpatients whose estimation was signiˆcantly diŠerent from that by pharmacists (diŠerence of two grades or more) were examined to identify clear and potential problems with taking medicine. The problems were classiˆed into such seven categories as``types of medicine''. For each item with diŠerences in estimation (two grades or more), problems were biased in some speciˆc categories. On the basis of such a bias, a ‰ow chart was prepared to clarify problems. In addition, a standard pharmaceutical management and guidance services program was drafted, in which measures in observation, treatment and education against problems by pharmacists were described according to the frequency of occurrence. Information about the program available on the Internet enables its use by other hospitals.

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Development and Assessment of the Pharmaceutical Management and Guidance Services for Inpatients Considering Clinical Value and Economy

Cited by 5 publications

References 0 publications

A systematic review of the research on communication between patients and health care professionals about medicines: the consequences for concordance

A systematic review of the research on communication between patients and health care professionals about medicines: the consequences for concordance

Patients’ knowledge of the indications for their medications – a scoping review

Improvement of Method to Estimate Guidance by Pharmacists and Trial to Obtain Standard Pharmaceutical Management and Guidance Services Program

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