Earticle

초록

영어

Background: Medication-related problems (MRPs) frequently occur during the discharge period. Elderly patients, particularly, are at high risk for these problems due to polypharmacy and the use of potentially inappropriate medications. The purpose of this study was to build and implement collaboration between general hospital and community pharmacies to address MRPs among high-risk elderly patients before/after discharge. Methods: This retrospective study was conducted between June and December of 2020. The inclusion criteria were patients with aged ≥65 years; residents of Jeonju; discharged from Jeonbuk National University hospital; either on medication of exceeding 10 medications (or high-risk medications) after hospitalization through the emergency room, or having severe illness. Patients received medication reconciliation and counselling by hospital pharmacists before discharge and home-visit pharmaceutical care as follow-up by community pharmacists after discharge. Results: Twenty-two patients agreed to home-visit pharmaceutical services. Fifteen and 11 patients completed the first and second home-visit pharmaceutical care service, respectively. Forty-two MRPs were identified in 15 patients. The types of high-frequency MRPs were incorrect administration of drug, adverse drug reactions, medication non-compliance, drug-drug interactions, lifestyle modifications, and expired medication disposal. After consultation with the pharmacist, 34 out of 42 MRPs were resolved. Conclusions: Transitional care for high-risk elderly patients before and after discharge was successfully built and implemented through a collaboration between general hospital and community pharmacies. This study suggests that home-visit pharmaceutical services may have positive effects on the safe use of drugs during the transition period; however, additional research is needed to expand on these findings.

목차

ABSTRACT
Methods
Aim
Ethics Approval
Methods
Study population
Medication reconciliation and counselling at discharge in hospital
Post-discharge home visits by community pharmacists
Data collection and outcomes
Results
Patients and baseline characteristics
Outcomes
Discussion
Conclusion
References

키워드

저자

• Mi Seon Park [ Department of Pharmacy, College of Pharmacy, Chosun University, Department of Pharmacy, Jeonbuk National University Hospital, Jeonju 54907, Republic of Korea ]
• Ji Hee Lee [ Department of Pharmacy, Jeonbuk National University Hospital, Jeonju 54907, Republic of Korea ]
• Heung Bum Lee [ Internal Medicine, Research Center for Pulmonary Disorders, Jeonbuk National University Medical School and Hopital, Jeonju 54907, Republic of Korea ]
• Ju Sin Kim [ Department of Pharmacy, Jeonbuk National University Hospital, Jeonju 54907, Republic of Korea ]
• Eun Joo Choi [ Department of Pharmacy, College of Pharmacy, Chosun University, Gwangju 61452, Republic of Korea ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  한국임상약학회지 [Korean Journal of Clinical Pharmacy]

• 간기

  계간

• pISSN

  1226-6051

• 수록기간

  1991~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 518 DDC 615