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PHARMACIST COMPETENCES AND IMPACT OF PHARMACIST INTERVENTION ON MEDICATION ADHERENCE: AN OBSERVATIONAL STUDY

Jelena Boskovic ; Faculty of Pharmacy and Biochemistry, University of Zagreb, Zagreb, Croatia
Arijana Mestrovic ; Pharma Expert d.o.o., Zagreb, Croatia
Marcel Leppée ; Andrija Stampar Teaching Institute of Public Health, Zagreb, Croatia
Martina Bago orcid.org/0000-0001-7957-2076 ; Andrija Stampar Teaching Institute of Public Health, Zagreb, Croatia
Zvonimir Sostar ; Andrija Stampar Teaching Institute of Public Health, Zagreb, Croatia
Dario Naletilic ; University of Applied Health Sciences, Zagreb, Croatia

Sažetak

Background: The aim of this study is to determine the results of pharmacist interventions on patient's adherence to drugs in
community settings.
Subjects and methods: The study was designed using a standard EQ-SDQ questionnaire and a Culig questionnaire about the
adherence to drug. General Level Framework (GLF) was used as a tool for competence assessment among community pharmacists.
Participants were pharmacists that issued the medication on repeat prescription in the pharmacy. They interviewed the patient at the
first visit to the pharmacy and the next time when the patient came to refill the prescription. The survey was conducted during a twomonth
period in the Atlantic Pharma pharmacy chain. A total of 152 patients were included at the first visit and 87 patients at the
second visit.
Results: About two thirds of patients (65.5%) identified themselves as adherent during the first survey, and this number
increased slightly during the second interview (by 3.5%), but not statistically significant (p=0.75). A total number of drugs
prescribed during the first and second survey was 252 and 253 respectively. The percentage of the advices given to the patients
increased during the second survey, but not statistically significant (p=0.62).
Conclusion: It is definitely important to check that a patient understands current disease and what are doubts and difficulties in
taking a therapy. The reasons for possible nonadherence are different: fears, worsening of the clinical state or other negative
treatment outcomes. Enough time should always be left to clarify anything that is unclear and to listen. Application of GLF program
for improving pharmacist competences resulted in slightly increased patient adherence to medication. For further development of
competences, pharmacist intervention should include some other contents, i.e. tailoring the dosage scheme, counselling about drugdrug
and drug-food interactions. The pharmacist counseling should be reimbursed by the Croatian Health Insurance Fund.

Ključne riječi

pharmacist competences; pharmacist intervention; medication adherence; patient behavior

Hrčak ID:

177177

URI

https://hrcak.srce.hr/177177

Datum izdavanja:

12.12.2016.

Posjeta: 1.615 *