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Reducing Medication Problems among Minority Individuals with Low Socioeconomic Status through Pharmacist Home Visits
Ya-Hui Liang1,2,3, Kai-Hsun Wang1,4, Hung-Meng Huang5,6
1Graduate Institute of Business Administration, Fu Jen Catholic University, New Taipei City 242062, Taiwan.
Summary
Pharmacist home visits significantly improved medication knowledge and reduced problems like using expired drugs for underserved populations in Taiwan. These interventions enhance patient care and optimize medical resource use.
Area of Science:
- Gerontology
- Public Health
- Pharmacology
Background:
- Medically underserved populations face unique challenges in medication management.
- Factors like age, living situation, cognitive status, disability, and socioeconomic status impact health literacy and self-care.
- Inappropriate drug storage is prevalent among vulnerable patient groups.
Purpose of the Study:
- To assess medication habits and problems in underserved populations in Taiwan.
- To investigate the effectiveness of pharmacist home visits in mitigating medication-related issues.
- To identify key factors contributing to medication problems in these groups.
Main Methods:
- Pharmacists conducted home visits for medically underserved individuals in Taipei from April 2016 to March 2019.
- Evaluated drug-related problems, medication adherence, and patient knowledge.
- Quantified medication problems before and after interventions.
Main Results:
- Two pharmacist home visits led to significant improvements in disease knowledge, self-care skills, and lifestyle (p < 0.001).
- Substantial reduction in uninstructed drug discontinuation (p < 0.05) and use of expired medications (p < 0.001).
- Improved drug storage practices and reduced drug waste observed.
Conclusions:
- Pharmacist home visits are effective in addressing medication problems in underserved populations.
- Interventions enhance patient understanding of medications and improve adherence and storage.
- Findings support policy development for better resource utilization and care for vulnerable groups.
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