Department of Pharmacology and Clinical Pharmacology, Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszyński University, Warsaw, Poland.
School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland.
BMC Health Serv Res. 2023 Sep 7;23(1):962. doi: 10.1186/s12913-023-09986-4.
Low adherence is a major challenge in healthcare worldwide, being particularly dangerous for patients with chronic diseases, such as cardiovascular diseases and heart failure, where strict adherence is essential. Non-adherence is observed in almost half of patients, and the consequences encompass a lack of therapeutic effects, health deterioration, decreased quality of life, and even death. For cardiovascular patients, the great importance of health education and pharmaceutical education can be provided within pharmaceutical care in community pharmacies. Therefore, our study aimed at evaluating the level of satisfaction with the "Healthy Heart" pharmaceutical service, in which patients received pictograms with dosage information affixed to their medication.
The study was designed for patients who had been prescribed an antiplatelet medication for the first time. The patients were recruited by 577 pharmacies that took part in the study after completing a special course. Ultimately, 1590 patients were enrolled in the study. The project ran from November 2019 to January 2022.
Most of patients had a positive attitude to the "Healthy Heart" pharmaceutical service. More than 85% of the respondents were of the opinion that the pictograms facilitated the use of the medication, and 81.7% of the respondents stated that the system of labels helped in adherence. Over 66% of the respondents thought that such labels should be included in pharmacy services, and 77.92% of the participants reported that this system of labelling medications should be offered through all pharmacies.
Pharmaceutical labels in the pharmacists' everyday practice can largely improve patient adherence. These efforts, provided as part of their pharmaceutical services, can have a huge influence on optimisation of patient health outcomes.
低依从性是全球医疗保健面临的主要挑战，对患有心血管疾病和心力衰竭等慢性病的患者尤其危险，因为严格的依从性至关重要。几乎一半的患者存在不依从的情况，其后果包括治疗效果不佳、健康状况恶化、生活质量下降，甚至死亡。对于心血管疾病患者，社区药店的药学服务中可以提供重要的健康教育和药品教育。因此，我们的研究旨在评估患者对“健康心脏”药品服务的满意度水平，该服务为患者提供附有剂量信息的用药图示。
该研究针对首次开具抗血小板药物的患者进行设计。参与研究的 577 家药店在完成专门课程后招募患者。最终，共有 1590 名患者参与了该研究。该项目于 2019 年 11 月至 2022 年 1 月进行。
大多数患者对“健康心脏”药品服务持积极态度。超过 85%的受访者认为图示有助于用药，81.7%的受访者表示标签系统有助于提高依从性。超过 66%的受访者认为此类标签应包含在药房服务中，77.92%的参与者报告称应通过所有药店提供这种标签药物系统。
药剂师日常实践中的药品标签可以大大提高患者的依从性。作为其药学服务的一部分提供这些服务可以对优化患者健康结果产生巨大影响。
