Effects of family pharmacy intervention on clinical outcomes in primary care settings in Thailand
Abstract
Background
Despite pharmaceutical care had positive effect on improving patient health, currently data fact sheet illustrate slightly increasing of uncontrolled diabetes and uncontrolled hypertension among Thai elderly. Family pharmacist applied more effective communication, partnership and medication assessment by using IFFE, BATH, DRPs, DRSs, DSPs to achieve effectiveness outcomes.
Objectives
To explore the effectiveness of family pharmacist intervention compare with a usual care for diabetes patients with poor glycemic controlled and uncontrolled hypertensive patients in primary care setting.
Methods
Comparative design by recruited 8 primary health setting, randomly selected to provide as the usual care group (for 4 groups and each group had 40 patients) or family pharmacist intervention group (for 4 groups and each group had 40 patients) during January to July 2015. In family pharmacist intervention, emphasis on active communication and partnership by using IFFE, BATH technique and medication assessment concentrated about drug-related problems, drug-related suffering and drug-system problems. Both groups was received monthly follow-up visit for 3 and the end at 6 months. Two-sample t-test or Mann-Whitney U test was used for comparative parameters such as blood pressure level, fasting plasma glucose, Hb1AC level at baseline and end of project and between group.
Results
Eighty patients were recruited and follow-up for 6 months. At baseline, demographic, disease characteristics, blood pressure level and glucose parameters were similar. After 6 months, systolic blood pressure were significant decreased in both group (p < 0.0001, p < 0.0001) and similar to fasting plasma glucose level (p = 0.033, p = 0.042), but overall parameters such as systolic blood pressure, diastolic blood pressure, fasting plasma glucose and Hb1AC level, in family pharmacist intervention group found value significant decrease more than usual care group (p = 0.002, p = 0.006, p = 0.033, p = 0.042)
Conclusion
Family pharmacist intervention could significant reduce blood pressure and blood glucose and reveal more effectiveness when compared with usual care.
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