Implementation of Home Medication Review in Patients with Chronic Diseases: A Pilot Study in Indonesia
Background: The high prevalence of chronic diseases such as diabetes mellitus, hypertension, and dyslipidemia is a concern for pharmacists. Pharmacists are expected to participate in these efforts by implementing Home Medication Review (HMR). HMR is a community-based collaborative service outside o...
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| Format: | Article |
| Language: | English |
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Research Center for Rational Use of Drugs (RCRUD)
2024-12-01
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| Series: | Journal of Pharmaceutical Care |
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| Online Access: | https://jpc.tums.ac.ir/index.php/jpc/article/view/761 |
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| author | Mega Silviana Vitarani Dwi Ananda Ningrum Okti Ratna Mafruhah |
| author_facet | Mega Silviana Vitarani Dwi Ananda Ningrum Okti Ratna Mafruhah |
| author_sort | Mega Silviana |
| collection | DOAJ |
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Background: The high prevalence of chronic diseases such as diabetes mellitus, hypertension, and dyslipidemia is a concern for pharmacists. Pharmacists are expected to participate in these efforts by implementing Home Medication Review (HMR). HMR is a community-based collaborative service outside of health facilities that involves physicians and pharmacists to improve the effectiveness of therapy. This study aimed to determine the incidence of drug-related problems (DRPs), the level of patient satisfaction, and the effect of improving the quality of life of patients with chronic diseases who received Home Medication Review services at the Banjarbaru Utara Primary Health Care.
Methods: This study used a quasi-experimental method with a single group pre-test and post-test design. Data were obtained prospectively, from January to May 2024. DRPs were measured by the Pharmaceutical Care Network Europe (PCNE) form. Patient satisfaction was measured using the five-dimensional service quality questionnaire. Quality of life was measured using the EQ-5D-5L questionnaire with the EQ-5D-5L Index and EQ Visual Analog Scale (VAS) parameters.
Results: The study showed that DRPs in patients with chronic diseases before undergoing HMR were 92.50%. Patient satisfaction with HMR services reached 91.33%. Quality of life in chronic disease patients increased, based on the EQ-5D-5L Index, from 0.802 + 0.199 before to 0.854 + 0.189 after HMR (p-value 0.002), and based on the EQ VAS from 72.25 + 12.80 before to 78.12 + 14.19 after HMR (p-value 0.001).
Conclusion: This study concludes that HMR services can identify DRPs, and improve satisfaction, knowledge, and quality of life of patients with chronic disease.
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| format | Article |
| id | doaj-art-c310ab137a914ffcb436449f5ba58643 |
| institution | Kabale University |
| issn | 2322-4630 2322-4509 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Research Center for Rational Use of Drugs (RCRUD) |
| record_format | Article |
| series | Journal of Pharmaceutical Care |
| spelling | doaj-art-c310ab137a914ffcb436449f5ba586432025-01-06T08:43:48ZengResearch Center for Rational Use of Drugs (RCRUD)Journal of Pharmaceutical Care2322-46302322-45092024-12-0112410.18502/jpc.v12i4.17452Implementation of Home Medication Review in Patients with Chronic Diseases: A Pilot Study in IndonesiaMega Silviana0Vitarani Dwi Ananda Ningrum1Okti Ratna Mafruhah2Master of Pharmacy, Department of Pharmacy, Universitas Islam IndonesiaMaster of Pharmacy, Department of Pharmacy, Universitas Islam IndonesiaMaster of Pharmacy, Department of Pharmacy, Universitas Islam Indonesia Background: The high prevalence of chronic diseases such as diabetes mellitus, hypertension, and dyslipidemia is a concern for pharmacists. Pharmacists are expected to participate in these efforts by implementing Home Medication Review (HMR). HMR is a community-based collaborative service outside of health facilities that involves physicians and pharmacists to improve the effectiveness of therapy. This study aimed to determine the incidence of drug-related problems (DRPs), the level of patient satisfaction, and the effect of improving the quality of life of patients with chronic diseases who received Home Medication Review services at the Banjarbaru Utara Primary Health Care. Methods: This study used a quasi-experimental method with a single group pre-test and post-test design. Data were obtained prospectively, from January to May 2024. DRPs were measured by the Pharmaceutical Care Network Europe (PCNE) form. Patient satisfaction was measured using the five-dimensional service quality questionnaire. Quality of life was measured using the EQ-5D-5L questionnaire with the EQ-5D-5L Index and EQ Visual Analog Scale (VAS) parameters. Results: The study showed that DRPs in patients with chronic diseases before undergoing HMR were 92.50%. Patient satisfaction with HMR services reached 91.33%. Quality of life in chronic disease patients increased, based on the EQ-5D-5L Index, from 0.802 + 0.199 before to 0.854 + 0.189 after HMR (p-value 0.002), and based on the EQ VAS from 72.25 + 12.80 before to 78.12 + 14.19 after HMR (p-value 0.001). Conclusion: This study concludes that HMR services can identify DRPs, and improve satisfaction, knowledge, and quality of life of patients with chronic disease. https://jpc.tums.ac.ir/index.php/jpc/article/view/761Chronic DiseasesDrug-Related ProblemsHome Medication ReviewPharmacist |
| spellingShingle | Mega Silviana Vitarani Dwi Ananda Ningrum Okti Ratna Mafruhah Implementation of Home Medication Review in Patients with Chronic Diseases: A Pilot Study in Indonesia Journal of Pharmaceutical Care Chronic Diseases Drug-Related Problems Home Medication Review Pharmacist |
| title | Implementation of Home Medication Review in Patients with Chronic Diseases: A Pilot Study in Indonesia |
| title_full | Implementation of Home Medication Review in Patients with Chronic Diseases: A Pilot Study in Indonesia |
| title_fullStr | Implementation of Home Medication Review in Patients with Chronic Diseases: A Pilot Study in Indonesia |
| title_full_unstemmed | Implementation of Home Medication Review in Patients with Chronic Diseases: A Pilot Study in Indonesia |
| title_short | Implementation of Home Medication Review in Patients with Chronic Diseases: A Pilot Study in Indonesia |
| title_sort | implementation of home medication review in patients with chronic diseases a pilot study in indonesia |
| topic | Chronic Diseases Drug-Related Problems Home Medication Review Pharmacist |
| url | https://jpc.tums.ac.ir/index.php/jpc/article/view/761 |
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