Cardiovascular Medication Saving Activity during Dispensing Process at Specialist Clinic Pharmacy in Malaysia
DOI:
https://doi.org/10.31674/mjmr.2024.v08i04.002Abstract
Background: Medication saving activity via reduction of medication supply due to medication refusal by patients during dispensing process is a vital activity that can be led by the pharmacists. However, there is a lack of evidence on how to conduct this activity especially at specialist or outpatient pharmacy for those patients diagnosed with cardiovascular disease (CVD). Thus, this study aimed to determine prevalence, factors and cost associated with patients’ refusal to the CVD medication supply during dispensing process by pharmacist at specialist clinic pharmacy. Methods: Patients prescribed with CVD medications were invited to participate in this cross-sectional survey after medication dispensing process was completed. This process involved assessing participants’ refusal to the dispensed CVD medication and issues related to their treatment. Data regarding cost was obtained from Pharmacy Information System (PhIS) at the current facility. Results: A total of 270 patients participated in this survey. Prevalence of participants refusing medication prescribed was 33.7%. Participants receiving care from primary and secondary healthcare simultaneously, experiencing side effects and self-modified treatment were 4.88 (P = 0.027), 5.01 (P < 0.05) and 2.98 (P = 0.018) times more likely to refuse medications dispensed. Those who participated in ‘Medication Therapy Adherence and Counselling’ (MTAC) program however were 0.43 times less likely to refuse medication during dispensing process, (P = 0.012). A saving of 4.8% was achieved from this activity. Conclusion: Cost-saved achieved during this study was minimal and factors associated with medication refusal was rather concerning.
Keywords:
Adherence, Healthcare System, Medication Saving, Specialist PharmacyDownloads
References
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