Developing Medication Reviews to Improve the Aruban Healthcare System: A Mixed-Methods Pilot Study

Pharmacy, Journal Year: 2024, Volume and Issue: 12(4), P. 108 - 108

Published: July 12, 2024

This study investigated whether and how medication reviews (MRs) conducted by pharmacists general practitioners (GPs) with patient involvement can be performed on the island of Aruba (Dutch Caribbean). In this mixed-methods pilot (both qualitative quantitative), constructive observational methodologies were combined. Healthcare providers’ patients’ views MRs aspects Aruban healthcare culture relevant to examined. These insights used develop a protocol for conducting implementing in Aruba. Surveys distributed semi-structured interviews held among community GPs, program was created which carried out four patients their GPs. According included providers, main purpose is optimize experience achieve concordance. Even though GPs consider partnership equal, they have different as who should bear responsibility MR process matters regarding selection follow-up. Common themes that mentioned providers deemed behaviour/culture, healthcare, lifestyle, therapy compliance. Anamnesis concise during MR, questions about storage, concerns, beliefs, practical problems, well checks limited health literacy, considered important. pilot, at least three to, maximally, eight pharmacotherapy-related problems (PRPs) detected per consultation, such an incorrect dosage acetylsalicylic acid, inappropriate combination tablet blood pressure regulation, absence important laboratory values. All consultation positive added value. addition, it observed potentially generate cost savings. The information obtained from patients, together basic principles MRs, applied Netherlands, led definitive promising format recommendations Aruba: comparison Dutch approach, could collaborate more follow-up, because specific knowledge medications are taking chronically (pharmacists), possible low levels literacy (GPs). Taking into account culture, ask extra referring lifestyle (high prevalence obesity), readability labels (limited literacy), herbal product use (Latin American culture). medical specialists sometimes miscommunication prescription medication, means must carefully take duplicate or interactions.

Language: Английский

Equity and Sustainability in the Health Care Market: Socio-economic Analysis of Governance and Reforms

Socio-Economic Planning Sciences, Journal Year: 2024, Volume and Issue: unknown, P. 102074 - 102074

Published: Sept. 1, 2024

Language: Английский