Discipline of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Department of Clinical Pharmacy, Universiti Sains Malaysia, Malaysia.
J Patient Saf. 2012 Jun;8(2):76-80. doi: 10.1097/PTS.0b013e31824aba86.
This study aims to explore the perceptions of general practitioners (GPs) from the state of Penang toward the feasibility of implementing the medication reconciliation program in Malaysia.
A cross-sectional descriptive study using a validated, self-completed anonymous 18-item questionnaire was undertaken over a period of 2 months in 2010. The study was conducted in the state of Penang, Malaysia. A letter consisting of survey questionnaires and prepaid return envelope were mailed to 429 GPs identified from the Private Medical Practice Control Department Registry.
A total of 86 responses were received with response rate of 20.1%. Majority (90.1%) of the respondents agreed that medication reconciliation can be a feasible strategy to improve medication safety, and 97.7% confirmed that having an accurate up-to-date list of the patient's previous medication will be useful in the rational prescribing process. However, about half (56.9%) of them felt that standardization of the medication reconciliation process in all clinics will be difficult to achieve. Three quarters (73.2%) of the respondents believed that the involvement of GPs alone is insufficient, and 74.5% agreed that this program should be expanded to community pharmacy setting. More than 90% of the respondents agreed upon the medication reconciliation card proposed by the researchers.
General practitioners in Penang are generally in favor of the implementation of medication reconciliation program in their practice. Because medication reconciliation has been shown to reduce many medicine-related problems, it is thus worth considering the feasibility of nationwide implementation of such program.
本研究旨在探讨槟城州全科医生（GP）对在马来西亚实施药物重整计划的可行性的看法。
2010 年，采用经过验证的、自我完成的匿名 18 项问卷进行了为期 2 个月的横断面描述性研究。该研究在马来西亚槟城州进行。从私人医疗执业控制部门登记处确定的 429 名全科医生中，邮寄了一封包含调查问卷和预付回邮信封的信件。
共收到 86 份回复，回复率为 20.1%。大多数（90.1%）受访者同意药物重整可以是提高药物安全性的可行策略，97.7%的受访者确认拥有准确的最新患者既往用药清单将有助于合理处方过程。然而，约一半（56.9%）的受访者认为在所有诊所实现药物重整过程的标准化将很难实现。四分之三（73.2%）的受访者认为仅全科医生的参与是不够的，74.5%的受访者同意该计划应扩展到社区药房。超过 90%的受访者对研究人员提出的药物重整卡表示赞同。
槟城州的全科医生普遍赞成在其实践中实施药物重整计划。由于药物重整已被证明可减少许多与药物相关的问题，因此值得考虑在全国范围内实施该计划的可行性。
