Implementation of Pharmaceutical Care Services for Patients with Hyperlipidemias by Independent Community Pharmacy Practitioners

1997 ◽  
Vol 31 (6) ◽  
pp. 713-719 ◽  
Author(s):  
Michelle CH Shibley ◽  
Carol B Pugh
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Community Pharmacy ◽  
Pharmaceutical Care ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Therapeutic Goals ◽  
Care Services ◽  
A Prospective Study

OBJECTIVE: To implement and evaluate pharmaceutical care services for patients with hyperlipidemias in the community pharmacy setting, to evaluate the results of a pharmaceutical care training process for pharmacists by using an assessment quiz, and to measure patient outcomes resulting from provision of pharmaceutical care to patients with hyperlipidemia. DESIGN: A prospective study was conducted over a 1 -year period. Patients served as their own controls. SETTING: Two independent community pharmacies in Richmond, Virginia. PARTICIPANTS: Twenty-five adult patients with confirmed dyslipidemias completed the study. INTERVENTIONS: Study pharmacists assessed each patient and assisted in setting therapeutic goals; patients also completed a visit with a registered dietitian. Drug therapy recommendations were made to physicians by the pharmacist when appropriate. Follow-up was scheduled with the pharmacist to ensure positive outcomes and reduce adverse effects. MAIN OUTCOME MEASURES: Fasting lipoprotein profiles were measured initially and at 6 and 12 months. The SF-36 survey, the MacKeigan-Larson satisfaction survey, and a patient opinion survey were administered initially and at the conclusion of the study. RESULTS: Total cholesterol and low-density lipoprotein cholesterol values were significantly decreased at 12 months compared with either the baseline or 6-month values (p < 0.02). Significant improvement was found in several domains of the surveys; quality of life, patient satisfaction with pharmacy services, and patient opinions on the role of the pharmacist improved after the intervention. CONCLUSIONS: Pharmaceutical care may positively affect lipid values, quality of life, and patient satisfaction.

72: Quality of Life and Patient Satisfaction of Care Among Women with Urinary Incontinence: A Prospective Study

2007 ◽  
Vol 177 (4S) ◽  
pp. 25-26
Author(s):  
Simon Kim ◽  
Rodney L. Dunn ◽  
Edward J. McGuire ◽  
John O.L. DeLancey ◽  
John T. Wei
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Patient Satisfaction ◽  
Prospective Study ◽  
A Prospective Study

Quality of life and patient satisfaction in breast cancer patients after immediate breast reconstruction: a prospective study

The Breast ◽  
2005 ◽  
Vol 14 (3) ◽  
pp. 201-208 ◽  
Author(s):  
Elisabeth Edström Elder ◽  
Yvonne Brandberg ◽  
Tina Björklund ◽  
Richard Rylander ◽  
Jakob Lagergren ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Patient Satisfaction ◽  
Breast Reconstruction ◽  
Prospective Study ◽  
Cancer Patients ◽  
Immediate Breast Reconstruction ◽  
Breast Cancer Patients ◽  
A Prospective Study

Can patient satisfaction with decisions predict compliance with surgery?

2002 ◽  
Vol 126 (4) ◽  
pp. 365-370 ◽  
Author(s):  
Afshin Parhiscar ◽  
Richard M. Rosenfeld
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Decision Maker ◽  
Health Care Services ◽  
Office Visit ◽  
Care Services ◽  
Satisfaction With Treatment ◽  
Study Population ◽  
Age Range

BACKGROUND: Patient satisfaction with treatment decisions is a discrete and measurable component of the satisfaction paradigm, distinct from satisfaction with health care services. OBJECTIVE: The study goal was to determine if the Satisfaction With Decision (SWD) scale, a valid and reliable 6-item survey, can predict patient compliance with surgery proposed by their otolaryngologist. DESIGN: Prospective study using the SWD scale plus measures of office visit satisfaction, provider satisfaction, and disease-specific quality of life. SETTING: Metropolitan, private nonprofit hospital. PATIENTS: The study population consisted of 151 patients scheduled for surgery, with a median age of 5.8 years and an age range of 0.6 to 65.3 years. INTERVENTIONS: At the time surgery was scheduled, the decision-maker completed a 12-item questionnaire about satisfaction and quality of life that included the SWD scale. Noncompliant patients were contacted, and the specific reason for cancellation was ascertained. RESULTS: The strongest predictor of surgical cancellation was the SWD survey score, with a median value of 4.8 for patients completing surgery compared with 3.8 for those who cancelled (P < 0.001). Patients with scores <4.0 had a 57% cancellation rate, whereas those with scores >4.0 had a 98% completion rate. Patients were also more likely to cancel if it was their first visit with the surgeon (P = 0.004) or if they were responsible for their own decisions ( P = 0.007). Cancellations were not associated with office visit satisfaction, patient quality of life, or demographic characteristics of the decision-maker. CONCLUSIONS: Patients who are satisfied with their initial decision to undergo surgery are most likely to comply with planned therapy. Conversely, patients who score <4.0 on the SWD scale may benefit from additional preoperative counseling to increase the likelihood of compliance.

scholarly journals THERAPEUTIC EFFICACY OF LEVONORGESTREL INTRAUTERINE SYSTEM AS AN ALTERNATIVE TO HYSTERECTOMY FOR MANAGEMENT OF HEAVY MENSTRUAL BLEEDING IN PERIMENOPAUSAL WOMEN

2018 ◽  
Vol 11 (3) ◽  
pp. 289
Author(s):  
Sudershan Dash ◽  
Jagannath Mishra ◽  
Shashis Shankar Behera ◽  
Subhashree Rout
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Prospective Observational Study ◽  
Good Alternative ◽  
Heavy Menstrual Bleeding ◽  
Menstrual Bleeding ◽  
Indian Women ◽  
Perimenopausal Women ◽  
A Prospective Study

 Objective: This prospective observational study has been conducted to find out the efficacy and patient satisfaction of levonorgestrel intrauterine system (LNG-IUS), and it was compared with results of hysterectomy in perimenopausal Indian women with heavy menstrual bleeding (HMB).Methods: It was a prospective study conducted on 135 cases after taking consent. Patients were inserted with LNG-IUS, and the outcome in terms of further bleeding and quality of life was compared to that of hysterectomy.Results and Conclusion: Levonogestrol containing-IUS is a highly effective treatment of HMB in perimenopausal women. It is a safe, effective, and quality of life after treatment makes it a good alternative to hysterectomy for HMB.

scholarly journals Effect of a Multidimensional Pharmaceutical Care Intervention on Inhalation Technique in Patients with Asthma and COPD

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Wanqing Wang ◽  
Tao Xu ◽  
Qiong Qin ◽  
Liyan Miao ◽  
Jian’an Bao ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Pharmaceutical Care ◽  
Intervention Group ◽  
Inhalation Therapy ◽  
Inhalation Technique ◽  
Control Group ◽  
Inhaler Technique ◽  
Copd Patients

Background. Inhalation therapy is the main treatment for asthma and chronic obstructive pulmonary disease (COPD) patients. Owing to the poor inhaler technique in using inhalers, we assessed the effect of a multidimensional pharmaceutical care on inhalation technique in patients with asthma and COPD. Materials and Methods. A 3-month controlled parallel-group study was undertaken in asthma and COPD patients using dry powder inhalers (DPIs). Patients in the intervention group received multidimensional pharmaceutical care, including establishment of a special dispensing window, face-to-face demonstration and education, brochure education, videos education, online consultation and education, and follow-up reeducation. Patients in the control group received usual pharmaceutical care. The inhaler technique score, correctness of inhaler usage, beliefs about medicines questionnaire (BMQ) score, asthma control test (ACT), and COPD assessment test (CAT) were measured pre- and postintervention. Quality of life improvement evaluated according to score changes of ACT in asthma and CAT in COPD and patient satisfaction were measured postintervention. Results. 259 patients finished the study with 133 in the intervention group and 126 in the control group. Compared to preintervention and control group postintervention, the inhaler technique score, correctness of inhaler usage, and ACT score significantly increased in the intervention group postintervention, while the BMQ score and CAT score decreased significantly P < 0.05 . Significant improvements in quality of life and patient satisfaction were found P < 0.05 . Conclusion. This study showed the multidimensional pharmaceutical care for asthma and COPD patients were effective in improving inhalation technique. By providing pharmaceutical care, pharmacists might help asthma and COPD patients to acquire better quality of life.

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