Evaluation of a Pharmaceutical Care Model on Diabetes Management

Jaber, Linda A.; Halapy, Henry; Fernet, Mireille; Tummalapalli, Suresh; Diwakaran, Hariharan

doi:10.1177/106002809603000305

Cited by 265 publications

(230 citation statements)

References 13 publications

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“…This is a potential area for intervention for public sector as well as association of physicians in the country. The cost of the prescriptions was higher than the earlier study conducted in Karachi (Jabar et al, 1996). The therapeutic categories of the drugs prescribed in the various disciplines is explained in and is as follows that is 2267 (14.6%) antimicrobial, 1180 (7.6%) analgesics and anti-inflammatory, 419 (2.7%) antidiabetics, 1942 (12.5%) cardiovascular or renal drugs, 1553 (10%) drugs acting on CNS, 1771 (11.4%) antihistamines etc.…”

Section: Discussioncontrasting

confidence: 51%

Assessment of antibiotic prescribing behavior of consultants of different localities of Pakistan

Riaz¹,

Malik²,

Raza³

et al. 2011

Afr. J. Pharm. Pharmacol.

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The objective of study was to evaluate the pattern and practice of consultants especially antimicrobials in the allopathic health sector in Pakistan to assess the magnitude of the problem and suggesting corrective measures. A cross-sectional survey in various cities of Pakistan was conducted which was developed in line with WHO and has so far been implemented in 12 developing countries. A total of 4923 prescriptions of 197 consultants were collected and analyzed. Drugs dispensed were 480142; average number of drugs per prescription for all disciplines was 3.13±1.5. The number of encounters with antibiotics in medicine department was 20.17% of the total antibiotic while ophthalmology had no encounter with injectables. Cost of 23.79% of prescriptions was below Rs.100 and 4.9% above 500 rupees. Therapeutic categories of the drugs prescribed were 14.6% antimicrobial followed by 12.5% cardiovascular or renal drugs. The age of the patient, severity of disease, socio-economic status, previous experience of treating similar patients were important factors that determined choice of drugs. EDL was not available in most of the facilities. Around 80% drugs were prescribed by brand name. The drugs prescribed from the essential list were around 30%. Concern of losing patients to others practitioners was considered among the top three factors by only 18% of providers. Age of the patient, severity of disease, socio-economic factors were important factors that determined choice of drugs. Prescribing and dispensing practices are inappropriate and irrational in Pakistan like many developing countries. Managerial and regulatory interventions are proposed to improve the rational use of drugs.

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Section: Discussioncontrasting

confidence: 51%

Assessment of antibiotic prescribing behavior of consultants of different localities of Pakistan

Riaz¹,

Malik²,

Raza³

et al. 2011

Afr. J. Pharm. Pharmacol.

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“…We analysed 18 relevant RCTs [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19], some of which had not been included in previous meta-analyses [20][21][22][23][24][25]. Why do these trials not provide a reliable answer?…”

mentioning

confidence: 99%

Self-monitoring of blood glucose in type 2 diabetes: a new look at published trials

et al. 2008

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“…The quality of life improvement in patients with cardiac failure, diabetes, hypertension, and dyslipidemia, occurring as a consequence of Pharmaceutical Care, was demonstrated by Jaber et al (1996). Hepler (2000) has also developed a project to evaluate Pharmaceutical Care in asthmatic patients; in Europe, works showing the positive impact of Pharmaceutical Care in asthma have also been developed (Gourley et al, 1998;Hepler, 2000).…”

Section: Introductionmentioning

confidence: 99%

Pilot-project of implantation of pharmaceutical care close to the program of bipolar mood disorder of the Hospital of Clinics of Porto Alegre

Ceresér¹,

Mascarenhas²,

Santin³

et al. 2009

Braz. J. Pharm. Sci.

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The Bipolar Mood Disorder is characterized by the alternation of depressive crises with episodes of mania or euphoria, having these patients 15 to 35 times more chances of suicide, as compared with people without this disorder. The pharmacotherapy is fundamental for this disease, aiming to decrease the frequency of episodes and disease severity. In these patients, the polypharmacy has recently increased and one of the main difficulties is the adherence to treatment. The objective of this study was to contribute for the improvement of bipolar patients health conditions, developing their respective pharmacotherapeutic follow-up. Twenty eight adult bipolar patients who were participants of a specialized clinic within a tertiary hospital in Porto Alegre have been randomly selected, and the Dader Method of pharmacotherapeutic follow-up has been applied. The more common clinical comorbidities were: hypertension (50%), obesity (46.43%), and hypothyroidism (36.29%). The bipolar patients are more susceptible to clinical comorbidities, and many of them could be due to pharmacotherapy. Only 1.43% of patients presented Drug Related Problems, being all of them resolved along the study. It was also observed that 32.14% of evaluated patients presented low adherence to treatment, and between these patients, 55.56% passed to have good adherence after pharmacotherapeutic follow-up. The pharmacotherapeutic follow-up is fundamental for the improvement of patient's health. New studies, with higher number of patients and longer duration, are necessary to evaluate the percentage of patients that could be beneficiary of Pharmaceutical Care.
O Transtorno do Humor Bipolar é caracterizando pela alternância de crises depressivas com episódios de mania ou euforia, tendo estes pacientes 15-35 vezes mais chances de suicídio em comparação com pessoas sem este transtorno. A farmacoterapia é fundamental, visando diminuir a freqüência dos episódios e a gravidade da doença. Nestes pacientes, a polifarmácia tem aumentado ultimamente e uma das maiores dificuldades é a adesão ao tratamento. O objetivo do estudo foi contribuir para a melhoria das condições de saúde de pacientes bipolares, realizando o acompanhamento farmacoterapêutico dos mesmos. Foram selecionados aleatoriamente 28 pacientes bipolares adultos, participantes de um ambulatório especializado de um hospital terciário em Porto Alegre e aplicado o Método Dáder de acompanhamento farmacoterapêutico. As co-morbidades clínicas mais comuns foram: hipertensão (50%), obesidade (46,43%) e hipotiroidismo (39,29%). Os pacientes bipolares são mais suscetíveis a co-morbidades clínicas e muitas destas podem ser devidas a farmacoterapia. Apenas 1,43% dos pacientes apresentavam Problemas Relacionados a Medicamentos, sendo todos solucionados no decorrer do estudo. Também se observou que 32,14% dos pacientes avaliados apresentavam baixa adesão ao tratamento e entre estes, 55,56% passaram a ter boa adesão após o acompanhamento farmacoterapêutico. É fundamental para a melhoria da saúde do paciente o acompa...

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Evaluation of a Pharmaceutical Care Model on Diabetes Management

Abstract: Our data demonstrate the effectiveness of pharmaceutical care in the reduction of hyperglycemia associated with NIDDM in a group of urban African-American patients.

Cited by 265 publications

References 13 publications

Assessment of antibiotic prescribing behavior of consultants of different localities of Pakistan

Assessment of antibiotic prescribing behavior of consultants of different localities of Pakistan

Self-monitoring of blood glucose in type 2 diabetes: a new look at published trials

Pilot-project of implantation of pharmaceutical care close to the program of bipolar mood disorder of the Hospital of Clinics of Porto Alegre

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