Impact of Home Medication Review (HMR) Services on Medication Adherence in Elderly Population of Mysore
Journal Title: The International Journal of Therapeutics - Year 2018, Vol 1, Issue 1
Abstract
Background: The prevalence of chronic diseases and associated polypharmacy is high in elderly population. Continuous monitoring, assessment is required to improve the health outcomes as there is also chances of medication non-adherence. Home Medication Review (HMR) services are designed to provide pharmaceutical care to the patients in their home in consultation with a Physician. Objective: To monitor the impact of HMR services on medication adherence in elderly population of Mysore. Methodology: A prospective observational study was conducted in elderly patients around Mysore district. Upon the referral, the patients were visited and followed-up for a period of three months. Medication adherence was assessed using a standard developed and validated adherence scale. During the visit, prescription was reviewed and counseling was provided. Statistical analysis used: Statistical Package for Social Studies (SPSS) version 20. Results: A total of 45 patients were enrolled in the study and all the patients completed the study. Sixteen patients were males and 29 were females. The mean age of the patients was 65.23 ± 11.32 years. The mean increase in medication adherence was 2.61 ± 0.03 and 0.58 ± 0.39 at P = <0.001, in the first and final follow-ups respectively. The overall increase seen in the medication adherence was 3.19 ± 0.36 (P = <0.001). Conclusions: A statistically-significant overall increase in medication adherence was observed in the patients enrolled in the study. This study concluded that HMR service is very effective in the elderly population in Indian setup as well.
Authors and Affiliations
Shafeekh Ali PT, Dr. Ambed Mishra, Shilpa Palaksha, Dr. BR Nataraj, Dr. Bhanu Kumar M
Keywords
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