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  • 1.
    Hämäläinen, Sanna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Apotekskunders informationsunderlag för att hålla reda på ordinerad läkemedelsbehandling2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    If patients have access to an adequate and updated list of prescribed drugs it will lead to reduced risk of medication error and thus to better quality of life at the individual level, as well as reduced public spending for medical care.

    In drug treatment, patient compliance is extremely important, as incorrect medical use can lead to severe consequences. For patients prescribed long-term treatment with drugs, compliance is estimated to be only 50% [1].

    There are several different sources patients can utilize to keep updated with their prescribed drugs;

    • The Medication List (ML) from the physicians’ electronic medical record[14].

    • The Prescription List (PL) with all prescriptions stored in the Swedish National

      Prescription Repository (NPR) accessible from any pharmacy in Sweden [19].

    • The Pharmacy Record List (PR) of the purchases on prescriptions made over the

      past 15-month period[15].

    • Paper prescriptions[20].

    • The pharmacy packaging labels[11].

      Patients may also access their PL over the internet.

    Objective

    The purpose of the study was to investigate, via questionnaire interviews in pharmacies, what sources of information customers used to keep updated in their prescribed drugs. Patients with at least five or more prescription drugs (data from the NPR) were included in the survey.

    It was also investigated how many customers that had knowledge of and had received a printout of the PL "My stored prescription at the pharmacy" at visits in the pharmacies.

    It was also investigated to what extent customers had visited a public website, through personal login, to take part of their PL, and how often.

    Methods

    This survey is a follow-up of another study "Patients' information on their prescribed current treatment" published in 2012 [25].

    In this study customers were recruited from 8 different pharmacies in Sweden. Customers where asked to answer questions from a questionnaire and a drug reconciliation was done. A total of 167 customers, with at least five prescribed drugs, were included.

    Key findings

    The majority, 55%, stated that they used the PL printout "My stored prescription at the pharmacy". 39% relied on instructions given on the of drug packages and the pharmacy labels with dosage instructions. 13% of the customers reported that they used the ML handed over from their physician. 8% stated that they used the website via personal login with e-ID to get to the PL ”My stored prescription at the pharmacy”.

    Conclusion

    On March 1, 2018, the government decided on the draft bill for a national pharmaceutical list. The list should provide a complete and up-to-date picture of the individual patient's drugs, regardless of who prescribed the drug and where in the country this occurred[19]. Thus, modernity development should lead to a reduced necessity of using several different sources for prescribed drugs, which can hopefully reduce the risk of errors in drug use and increase the overall patient safety.

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