PHP61 To Evaluate the Effectiveness and Cost of Pharmaceutical Care Volunteer Set Up by Tainan City Government Involved in the Hospital Attached Home Care Patients

Abstract

population of 30 pharmacists filled the questionnaires and validity test was done. A sample of 700 pharmacists was selected among ten leading provinces of the country and questionnaires were distributed at the continuing pharmacy education conferences at which pharmacists all over the country have to participate. RESULTS: Three essential factors named "Endogenous Satisfaction", "Exogenous Satisfaction" and "Current Sense of Being Pharmacists" were considered as the main job satisfaction factors and a mean score of Ͼ3 -based on a 5-point Likert scale-was considered as high job satisfaction. Generally low scores of exogenous and endogenous job satisfaction were concluded among pharmacists while most of them were highly satisfied with being pharmacist. Male pharmacists were more satisfied than their female colleagues and a positive relationship between age and work experience with exogenous job satisfaction was found. CONCLUSIONS: Low levels of job satisfaction which were found among Iranian pharmacists could be considered as a deficiency of health system in Iran. Fortunately, inherent interest in the pharmacy profession found among Iranian pharmacists is an optimistic point at which policy makers could develop their modifying policies. Health policy makers must endeavor to take other steps to issue solutions for this current problem. OBJECTIVES:To evaluate the effectiveness and cost of pharmaceutical care volunteer team set up by Tainan City Government involved in the hospital attached home care patients. METHODS: Tainan City Government set up a pharmaceutical care volunteer team. Members include six hospitals and fourteen pharmacists. Pharmacists visited their home once a month to give them education on drug administration, drug interaction, duplicated drug use, adverse drug reaction etc. Pharmacists were created drug profile for each patient and recorded the items of education and discussed with their visiting physicians about their drug regimen in case there were inappropriated drug usage. The outcome measures included the decrease of items and quantities of drugs prescribed in one prescription, patients' knowledge of drug safety, and the decrease of drug cost and the estimated cost of preventing potential adverse drug effect or drug interactions. RESULTS: Total 583 patients include in this study, the average number of drugs prescribed to one patient was 5.93. There were 50.48% (209/414) and 24.88% (103/414) of patients treated with poly-pharmacy and used drugs inappropriately, respectively. The most common medication-related problems were the use of medication without proper indication 12.56% (52/414), repeat medication 2.90% (12/414), inappropriate administrate route 8.21% (34/414), poor compliance 47.83% (198/414), the potential adverse drug reactions and drug interactions appeared in 6 patients (1.45%) and 26 patients (6.28%), respectively. The effectiveness of pharmaceutical care volunteer team intervation included the physicians prescibing medications appropriately and reduced the items of average 5.46 med...