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Developing Medication Reviews to Improve the Aruban Healthcare System: A Mixed-Methods Pilot Study
Minke L Copinga1, Ellen A Kok1, Anke J J van Dam2
1Pharmacy Master Programme, School of Science and Engineering, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands.
Pharmacy (Basel, Switzerland)
|July 25, 2024
Summary
This pilot study developed a medication review (MR) protocol for Aruba, involving pharmacists and general practitioners (GPs). The tailored approach optimizes patient care by addressing cultural factors and improving medication management.
Area of Science:
- Pharmacotherapy
- Health Services Research
- Cultural Competency in Healthcare
Background:
- Medication reviews (MRs) are crucial for optimizing patient outcomes.
- Implementing MRs in diverse cultural contexts requires tailored approaches.
- Aruba's unique healthcare landscape necessitates a specific protocol for MRs.
Purpose of the Study:
- To investigate the feasibility and methodology of pharmacist and general practitioner (GP)-led medication reviews (MRs) with patient involvement in Aruba.
- To develop a culturally relevant protocol for conducting MRs in the Aruban healthcare system.
- To examine healthcare providers' and patients' perspectives on MRs within the Aruban context.
Main Methods:
- A mixed-methods pilot study combining qualitative (interviews, surveys) and quantitative (observational) approaches.
- Involved community pharmacists, GPs, and patients in Aruba.
- Developed a protocol based on insights from healthcare providers, patients, and Dutch MR principles.
Main Results:
- Healthcare providers identified optimizing patient experience and concordance as key MR purposes.
- Pharmacists and GPs showed differing views on responsibilities in patient selection and follow-up for MRs.
- The pilot MR consultations identified 3-8 pharmacotherapy-related problems per patient; all patients found the consultations valuable.
- MRs have the potential for cost savings.
- A definitive MR format with practical recommendations for Aruban community pharmacists was developed.
Conclusions:
- A collaborative approach between GPs and pharmacists in patient selection and follow-up is recommended for Aruban MRs.
- MR protocols should incorporate Aruban cultural aspects, including lifestyle, health literacy, and herbal product use.
- The developed MR format offers a promising, practical model for enhancing medication management in Aruba.
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