Intervención farmacéutica al alta hospitalaria para reforzar la comprensión y cumplimiento del tratamiento farmacológico

Ulayar, A Sanchez; Lopez, S. Gallardo; Llobet, N. Pons; Sancho, A Murgadella; Bernadas, L Campins; MENDEZ, R

doi:10.1016/j.farma.2011.02.003

Cited by 18 publications

(35 citation statements)

References 12 publications

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“…15,33 Detecting these differences is crucial to customize the interventions according to each group of patients, such as adapting the information delivery materials or establishing the visits frequency. 33,35 In concordance with previous research, health professionals are situated as the preferred source of information. 11,12,15 In younger populations, a greater use of Internet was observed for health-related information search.…”

supporting

confidence: 72%

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Development and Validation of the Hospital Outpatients’ Information Needs Questionnaire (HOINQ)

Andreu-March¹,

Compaired²,

Busom³

et al. 2021

PPA

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The main objective was to develop and validate a "Hospital Outpatients' Information Needs Questionnaire" (HOINQ). Secondly, to identify patients' preferred sources of information. Finally, to establish differences depending on the disease, as well as between sociodemographic and clinical variables. Patients and Methods:This is a transversal study based on a questionnaire. All adult hospital outpatients' who collected their medication at the Pharmacy Service were consecutively recruited, regardless of their diagnosis time, treatment or disease. The Spanish version of the internationally validated European Organization for Research and Treatment Cancer Quality of Life Questionnaire (EORTC QLQ-25) aimed at oncology patients was used as the starting point. In order to be applicable on new target population, it was crucial to make several changes and ensure that it complies with the validity, viability and reliability criteria. The questionnaire prepared for validation was then obtained by a literature review (face validity), submitting the EORTC QLQ-25 to an expert committee (content validity), by piloting (viability) and Cronbach's alpha statistical analysis (reliability). Once the questionnaire was completed, Cronbach's alpha of the final study (reliability) and factor analysis (construct validity) were performed. Then, pertinent modifications were applied to obtain the HOINQ.Results: A total of 153 outpatients filled the questionnaire, which was widely accepted and required 5-10 min to complete. Cronbach's alpha coefficients met criteria >0.7. Three factors were established by factor analysis: aspects about the disease, pharmacological and no-pharmacological treatment and satisfaction and perception of the information received. Participants felt satisfied (41-52%) with the information amount, quality and usefulness, although 1 out of 3 stated wanting to know more about the different information areas. Younger patients (P-value <0.05) and those who had been attending the Pharmacy Service for a longer time span (P-value <0.01) reported receiving more information. On a 0 to 7 scale, medical specialists (mean = 6.28, SD = 1.38) followed by the rest of health care professionals (mean = 4.23-4.63, SD = 2.25-2.29) were selected as the preferred sources of information. HIV patients reported being more informed, while those with rheumatoid arthritis felt less informed (P-value <0.05). Conclusion:The HOINQ was developed. It is a self-completed questionnaire, composed of three blocks: the 16-item information needs questionnaire, demographic and clinical variables, and patients' preferred sources of information. It is an easy tool to use and replicate, both for patients and professionals.

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supporting

confidence: 72%

“…15,18,33,34 Therefore, it becomes important for health professionals to spend more time instructing the elderly, due to their age-specific difficulties in understanding. 35 As mentioned above, no significant…”

Section: Discussionmentioning

confidence: 80%

Development and Validation of the Hospital Outpatients’ Information Needs Questionnaire (HOINQ)

Andreu-March¹,

Compaired²,

Busom³

et al. 2021

PPA

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“…Only articles published in English were assessed for this review. Potentially, there may have been studies, such as that by Sánchez Ulayar et al , 66 published in non-English journals, involving interventions for improving care transitions. In addition, research disseminated through the grey literature, such as conference papers and unpublished reports, was not considered.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of pharmacist-led medication reconciliation programmes on clinical outcomes at hospital transitions: a systematic review and meta-analysis

2016

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ObjectivesPharmacists play a role in providing medication reconciliation. However, data on effectiveness on patients’ clinical outcomes appear inconclusive. Thus, the aim of this study was to systematically investigate the effect of pharmacist-led medication reconciliation programmes on clinical outcomes at hospital transitions.DesignSystematic review and meta-analysis.MethodsWe searched PubMed, MEDLINE, EMBASE, IPA, CINHAL and PsycINFO from inception to December 2014. Included studies were all published studies in English that compared the effectiveness of pharmacist-led medication reconciliation interventions to usual care, aimed at improving medication reconciliation programmes. Meta-analysis was carried out using a random effects model, and subgroup analysis was conducted to determine the sources of heterogeneity.Results17 studies involving 21 342 adult patients were included. Eight studies were randomised controlled trials (RCTs). Most studies targeted multiple transitions and compared comprehensive medication reconciliation programmes including telephone follow-up/home visit, patient counselling or both, during the first 30 days of follow-up. The pooled relative risks showed a more substantial reduction of 67%, 28% and 19% in adverse drug event-related hospital revisits (RR 0.33; 95% CI 0.20 to 0.53), emergency department (ED) visits (RR 0.72; 95% CI 0.57 to 0.92) and hospital readmissions (RR 0.81; 95% CI 0.70 to 0.95) in the intervention group than in the usual care group, respectively. The pooled data on mortality (RR 1.05; 95% CI 0.95 to 1.16) and composite readmission and/or ED visit (RR 0.95; 95% CI 0.90 to 1.00) did not differ among the groups. There was significant heterogeneity in the results related to readmissions and ED visits, however. Subgroup analyses based on study design and outcome timing did not show statistically significant results.ConclusionPharmacist-led medication reconciliation programmes are effective at improving post-hospital healthcare utilisation. This review supports the implementation of pharmacist-led medication reconciliation programmes that include some component aimed at improving medication safety.

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“…The results of several studies suggest that medication counseling before hospital discharge reduces the incidence of patient medication discrepancies and adverse drug events 4 , 7 . Counseling also improves adherence 14 , 15 , decreases readmission rates 1 , 16 and mortality 5 , and consequently results in cost savings 17 , 18 ; however, other reports have suggested that counseling has little or no effect 19 , 20 .…”

Section: Introductionmentioning

confidence: 99%

Impact of discharge medication counseling in the cardiology unit of a tertiary hospital in Brazil: A randomized controlled trial

Bonetti

Bagatim

Mendes

et al. 2018

Clinics

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OBJECTIVES:This study aimed to evaluate the impact of pharmacist-provided discharge counseling on mortality rate, hospital readmissions, emergency department visits, and medication adherence at 30 days post discharge.METHODS:This randomized controlled trial was approved by the local ethics committee and included patients aged 18 years or older admitted to the cardiology ward of a Brazilian tertiary hospital. The intervention group received a pharmacist-led medication counseling session at discharge and a telephone follow-up three and 15 days after discharge. The outcomes included the number of deaths, hospital readmissions, emergency department visits, and medication adherence. All outcomes were evaluated during a pharmacist-led ambulatory consultation performed 30 days after discharge.RESULTS:Of 133 patients, 104 were included in the analysis (51 and 53 in the intervention and control groups, respectively). The intervention group had a lower overall readmission rate, number of emergency department visits, and mortality rate, but the differences were not statistically significant (p>0.05). However, the intervention group had a significantly lower readmission rate related to heart disease (0% vs. 11.3%, p=0.027), despite the small sample size. Furthermore, medication counseling contributed significantly to improved medication adherence according to three different tools (p<0.05).CONCLUSIONS:Pharmacist-provided discharge medication counseling resulted in better medication adherence scores and a lower incidence of cardiovascular-associated hospital readmissions, thus representing a useful service for cardiology patients.

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Intervención farmacéutica al alta hospitalaria para reforzar la comprensión y cumplimiento del tratamiento farmacológico

Abstract: The pharmacist's intervention upon discharge has helped increase the percentage of patients that understood and took their medication correctly in accordance with their prescription. The number of hospital readmissions in the intervention group has also reduced.

Cited by 18 publications

References 12 publications

Development and Validation of the Hospital Outpatients’ Information Needs Questionnaire (HOINQ)

Development and Validation of the Hospital Outpatients’ Information Needs Questionnaire (HOINQ)

Effectiveness of pharmacist-led medication reconciliation programmes on clinical outcomes at hospital transitions: a systematic review and meta-analysis

Impact of discharge medication counseling in the cardiology unit of a tertiary hospital in Brazil: A randomized controlled trial

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