Medical student‐led patient education prior to hospital discharge improves 1‐month adherence rates

Leung, Chun H. S.; Chong, Carol P; Lim, Wen Kwang

doi:10.1111/imj.13365

Cited by 4 publications

(3 citation statements)

References 21 publications

(19 reference statements)

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“…Medical students are an important part of the health care system and clinical training is an integral part of their education. It cannot be substituted with other educational activities [ 9 , 21 , 22 ]. Involving medical students in daily clinical practice is a useful way to enhance their knowledge and widen their exposure if it is done well and with proper supervision.…”

Section: Discussionmentioning

confidence: 99%

“…Medical students and authorship members who collected the data underwent multiple training sessions before administering the survey to ensure that they were competent and sufficiently educated to handle parents’ questions and guide the discussion. The data collection tool was developed and designed by the research authors and built with the guidance of other studies [ 7 - 9 ]. It was reviewed and edited by a pediatric emergency physician, a clinical statistician, and a medical educator.…”

Section: Methodsmentioning

confidence: 99%

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The Effect of a Structured Gastroenteritis Discharge Management Plan on Compliance, Prognosis, and Parents' Satisfaction

Abuaish¹,

Mirza²,

Al-Zamzami³

et al. 2022

Cureus

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Background: Acute gastroenteritis is one of the most common causes of dehydration in children. Parents’ education is an essential part of its management. In this study, we assessed the efficacy of discharge instructions in the pediatric emergency department for parents of children with acute gastroenteritis, together with disease prognosis and parents’ satisfaction. Methods: An observational prospective cohort study was conducted among parents of children with acute gastroenteritis, with mild-to-moderate dehydration, who presented to the pediatric emergency room from March 2018 to July 2018. Parents were interviewed upon their child’s presentation and in follow-up phone calls after one week to assess the parents’ knowledge and the disease’s prognosis. Results: There were a total of 218 parents of children with acute gastroenteritis of mild and moderate dehydration. The mean age was four years and one month ± three years and seven months. Forty-four percent of study participants had reasonable awareness of their child’s condition, and most patients (86%) improved fully. The exact adherence to instructions was 54%, the proportion of children who returned to the emergency department was 13%, and parental satisfaction and appreciation of the provided education was 98%. Conclusion: In the study group, not strictly following fluid rehydration plans in discharge instructions did not negatively affect the course of improvement. This indicates that simple instructions to rehydrate with any fluid a child might accept and give clear red flags for observation are likely to be enough to treat gastroenteritis of mild-to-moderate severity.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The Effect of a Structured Gastroenteritis Discharge Management Plan on Compliance, Prognosis, and Parents' Satisfaction

Abuaish¹,

Mirza²,

Al-Zamzami³

et al. 2022

Cureus

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“…In an attempt to address patient confusion or lack of knowledge, an Australian study assigned medical students to meet with inpatients prior to discharge to go over their medications and the reasons for which they were prescribed. 44 The students wrote down a daily medication schedule for patients to follow at home. Compliance, which was assessed one month later, had improved from 60.3% to 76.3%.…”

Section: Forgettingmentioning

confidence: 99%

The Benefits and Risks of Adherence to Medical Therapy

Saavedra

Fugh‐Berman

2021

The Journal of Scientific Practice and Integrity

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Noncompliance or nonadherence to prescribed medication is common. Reasons given by patients for not taking medications as prescribed include cost, adverse effects, or perceived lack of effectiveness, all of which are important factors in shared decision-making between health care providers and patients. It has been assumed that better compliance with medication therapy would mean better control of disease, prevention of disease-associated health impairment, and cost savings, but these assumptions are questionable. Although adherence to some medications, including anti-tuberculosis drugs and oral contraception, is necessary for effectiveness, it is unclear whether adherence to many other medications improves outcomes. Patients who adhere to almost any medication, including placebo, have better health outcomes, but these benefits could be due to healthy behaviors for which adherence is a marker. On the other hand, compliance with treatments that are harmful increase harms. Efforts to increase compliance with new drugs may be risky because newer drugs have limited safety data. We recommend that practitioners use noncompliance as an opportunity to address problems identified by the patient, including medication cost, side effects, and lack of perceived benefits. We also argue that inadequate attention has been paid to the possible role of drug manufacturers in distorting information about the causes, benefits, and harms of adherence. PREVALENCE OF NONCOMPLIANCENoncompliance is widespread amongst patients facing a variety of health concerns. In one medical record/prescription

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Medication Counselling in Older Patients Prior to Hospital Discharge: A Systematic Review

et al. 2020

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Medical student‐led patient education prior to hospital discharge improves 1‐month adherence rates

Cited by 4 publications

References 21 publications

The Effect of a Structured Gastroenteritis Discharge Management Plan on Compliance, Prognosis, and Parents' Satisfaction

The Effect of a Structured Gastroenteritis Discharge Management Plan on Compliance, Prognosis, and Parents' Satisfaction

The Benefits and Risks of Adherence to Medical Therapy

Medication Counselling in Older Patients Prior to Hospital Discharge: A Systematic Review

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