A Questionnaire Survey on Medication Adherence at a Community Pharmacy in Okayama to Determine the Requirements for Pharmaceutical Care

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Abstract

Our present objective was to clarify the necessary pharmaceutical care for patients in a community pharmacy located in the town of Nagi, Okayama, Japan, using a simple questionnaire survey. The subjects included 925 regular adult patients who were dispensed prescriptions at the Nagi Branch of the Muscat Pharmacy more than two times from January 1, 2007 to March 31, 2007. Out of these patients, 213 respondents were interviewed by the pharmacist. The questionnaire consisted of questions regarding the following points: 1) missed doses, 2) unused medications, 3) patients' own methods to help take medications properly, and 4) concerns about taking medications.<br>The respondents (74.5 (±9.6) years old, 71% female) were mostly characterized as elderly females suffering from chronic diseases such as hypertension, heart disease, hyperlipidemia and diabetes complicated with gastric disorders, arthralgia and dermatological or ophthalmic problems. The number of medications (7.8 (±4.6)/patient) was approximately 1.5-2 times higher than that of other reports, and increased with age.<br>The present questionnaire survey was used to characterize the patients, thus showing that the rates of patients who missed doses, had unused medicine, devised a way to make sure they take their medicine, and had concerns about their own medications were 38.5%, 47.4%, 70.4% and 14.1%, respectively. After obtaining information about the background of each patient, such as their age, lifestyle, and anxiety about medications, the community pharmacists need to check for individual problems disturbing the adherence of patients and to then provide proper pharmaceutical care.

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