Download Patients Needs of Information

Patients Needs of Information
- a Research Project in Pharmacy Practice
Aim of the project:
• For practitioners to provide a basis for improving
pharmacy advice to patients
• For researchers to implement and evaluate
paticipatory action research as a way of carrying out
development studies
• For pharmacy students to become involved in the
development of pharmacy advice to patients, gain
insight into the patient’s perspectives on illness and
drug use and gain experience in carrying out research
Linda Aagaard Larsen, Pharmakon, Denmark.
Stockholm April 2001
Patients Needs of Information
Can we give the information needed without
knowing the patients:
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perceptions of illness and medication
perceptions of the provided information
way of coping with illness and medication
knowledge about their disease and medication
drug related problems
Linda Aagaard Larsen, Pharmakon, Denmark.
Stockholm April 2001
Plan of the Project
1999:
Angina Pectoris
123 patient interviews/569 pharmacy staff
questionnaires
2000:
Type 2 Diabetes
176 patient interviews/595 pharmacy staff
questionnaires
2001:
Asthma
Linda Aagaard Larsen, Pharmakon, Denmark.
Stockholm April 2001
Type of Problem according to Marion Schaefer
A - Inappropriate choice of drug
B - Inappropriate use of drug by the patient
C - Inappropriate dosage
D - Drug interactions
E - Side effects
F - Other problems
Linda Aagaard Larsen, Pharmakon, Denmark.
Stockholm April 2001
Drug Related Problems and Angina Pectoris
1. Limited knowledge of the nature of the disease (Type F)
: 12 %
2. Symptoms of side-effects (Type E)
: 11 %
3. Inappropriate dosage intervals (Type C)
:9%
4. Lack of/incomplete info. about drug from the GP (Type F) : 9 %
5. Insufficient knowledge about the use of the drug (Type B) : 9 %
6. Patient has inappropriate lifestyle (Type F)
Linda Aagaard Larsen, Pharmakon, Denmark.
Stockholm April 2001
:6%
• 14 % of the drug related problems were due
to side effects (Type E problems)
• Only 2 % of community pharmacy staff
inform about side effects.
Linda Aagaard Larsen, Pharmakon, Denmark.
Stockholm April 2001
• 9 % of all the drug related problems were
due to lack of Nitrate free periods (Type C
problems)
• Only 16 % of community pharmacy staff
inform about the nessecity of Nitrate free
periods.
Linda Aagaard Larsen, Pharmakon, Denmark.
Stockholm April 2001
• 6 % of the drug related problems were due
to inappropriate lifestyle (Type F problems)
• Community pharmacy staff do not inform
about the risks of inappropriate lifestyle in
relation to Angina Pectoris
Linda Aagaard Larsen, Pharmakon, Denmark.
Stockholm April 2001
Drug Related Problems and Type 2 Diabetes
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Inappropriate lifestyle
Side effects
Symptoms of high blood glucose level
No self meassurement of blood glucose level
Lack of knowledge about symptoms of high/low
blood glucose level
• Lack of knowledge about the diseases following
diabetes
Linda Aagaard Larsen, Pharmakon, Denmark.
Stockholm April 2001
Information given to Type 2 Diabetics
by Pharmacy Staff
• 40% never give information to type 2 diabetics
• 4% often give relevant information about
appropriate lifestyle
• 50% estimate that the phamarcy could do
more for type 2 diabetics
• 20% feel that type 2 diabetics have sufficient
knowledge about their disease
Linda Aagaard Larsen, Pharmakon, Denmark.
Stockholm April 2001