Home medication management practices and associated factors among patients with selected chronic diseases in a community pharmacy in UgandaReport as inadecuate




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BMC Health Services Research

, 12:323

Health systems and services in low and middle income settings

Abstract

BackgroundChronic diseases are rapidly increasing and are currently the major cause of death and disability worldwide. Patients with chronic diseases experience many challenges including medicine-related problems. However, there is limited information about the home management of medicines among these patients. This study therefore was to determine home medication management practices and associated factors among patients with chronic diseases seeking care in a community pharmacy in Uganda.

MethodsA cross-sectional study was conducted in a community pharmacy in Kampala from June to July 2010. A total of 207 consenting chronic disease patients or caregivers of children with chronic disease were consecutively sampled. The patients were visited at home to evaluate their drug management practices and to check their medical forms for disease types and drugs prescribed. An interviewer-administered questionnaire and an observation checklist were used to collect the data.

ResultsOverall home medication management was inappropriate for 70% n = 145 of the participants 95% CI = 63.3-76.2 and was associated with perceived severity of disease not severe OR =0.40, moderately severe OR = 0.35, duration of disease >5 years OR = 2.15, and health worker not assessing for response to treatment OR = 2.53. About 52% n = 107 had inappropriate storage which was associated with inadequate information about the disease OR = 2.39 and distance to the health facility >5 kilometres OR = 2.82. Fifteen percent n = 31 had no drug administration schedule and this was associated with increasing age OR = 0.97, inadequate information about the disease OR = 2.96, and missing last appointment for medical review OR = 6.55. About 9% n = 18 had actual medication duplication; 1.4% n = 3 had expired medicines; while 18.4% n = 38 had drug hoarding associated with increasing number of prescribers OR = 1.34 and duration of disease OR = 2.06. About 51% n = 105 had multiple prescribers associated with perceiving the disease to be non severe OR = 0.27, and having more than one chronic disease OR = 2.37.

ConclusionsPatients with chronic disease have poor home management of medicines. In order to limit the occurrence of poor outcomes of treatment or drug toxicity, health providers need to strengthen the education of patients with chronic disease on how to handle their medicines at home.

KeywordsHome management Medicines management Chronic disease  Download fulltext PDF



Author: Joan N Kalyango - Maurice Hall - Charles Karamagi

Source: https://link.springer.com/







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