Evaluation of the impact of pharmaceutical care for tuberculosis patients in a Secondary Referral Outpatient Clinic, Minas Gerais, Brazil

The long period of tuberculosis treatment causes patients to have a high risk of forgetting or stopping the medication altogether, which increases the risk of oral anti-tuberculosis drug resistance. The patient’s knowledge and perception of the disease affect the patient’s adherence to treatment. This research objective was to determine the impact of educational videos in the local language on the level of knowledge, perception, and adherence of tuberculosis patients in the Regional General Hospital (RSUD) Bangil. This quasi-experimental study design with a one-month follow-up allocated 62 respondents in the intervention group and 60 in the control group. The pre- and post-experiment levels of knowledge and perception were measured with a validated set of questions. Adherence was measured by pill counts. The results showed that the intervention increases the level of knowledge of the intervention group higher than that of the control group (p-value < 0.05) and remained high after one month of follow-up. The perceptions domains that changed after education using Javanese (Ngoko) language videos with the Community Based Interactive Approach (CBIA) method were the timeline, personal control, illness coherence, and emotional representations (p-value < 0.05). More than 95% of respondents in the intervention group take 95% of their pill compared to 58% of respondents in the control group (p-value < 0.05). Utilization of the local languages for design a community-based interactive approach to educate and communicate is important and effective.

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A study to assess the impact of pharmaceutical care services to cancer patients in a tertiary care hospital

Journal of Oncology Pharmacy Practice ◽

10.1177/10781552211005003 ◽

2021 ◽

pp. 107815522110050

Author(s):

Kavya Karthikeyan ◽

Vinayak B Sunil ◽

Soumya M Alex ◽

Madhu CS

Keyword(s):

Pharmaceutical Care ◽

Clinical Pharmacist ◽

Therapeutic Outcome ◽

Care Hospital ◽

Knowledge Level ◽

Care Providers ◽

Patient Counselling ◽

Cancer Data ◽

Care Services ◽

The Impact

Introduction Clinical pharmacist can enthusiastically involve in oncology department through utilizing the skills and knowledge to support wide variety of functions in patient care. The impact of pharmaceutical care services in oncology department were analysed through various approaches including the analysis of knowledge level of patients towards the disease and its management through patient counselling, monitoring of performance status, observing of ADR and drug safety. Incidence of cancer was scrutinized during the study. Methodology: A Prospective interventional study was conducted from November 2019 to March 2020 with the support of institutional ethical approval at oncology department of Lourdes hospital, Ernakulam. 133 patients were included with all type of cancer. Data collected through Performa with KAP questionnaire and direct interview was conducted. Statistical significance was evaluated through p value of <0.001 Result: 123 patients were completed both questionnaire. Among this 69.91% were females and most of the patients belonged to 50 – 65yeras age group and carcinoma was frequently reported type. End of the study showed significant change in the knowledge level of patients after interaction with the clinical pharmacist. 26 ADRs were reported including solitary and multiple ADRs. Recommendations associated with drug reconstitution, administration were frequently given to the nurses. Most of the interventions to improve therapeutic outcome of the patients were accepted by the oncologist. Conclusion Clinical pharmacist can actively participate in all aspects of the oncology department in association with physician and other health care providers to improve the therapeutic outcome and quality of life of patients.

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The Impact of Isoniazid Resistance on the Treatment Outcomes of Smear Positive Re-Treatment Tuberculosis Patients in the State of Andhra Pradesh, India

PLoS ONE ◽

10.1371/journal.pone.0076189 ◽

2013 ◽

Vol 8 (10) ◽

pp. e76189 ◽

Cited By ~ 14

Author(s):

Dorai Deepa ◽

Shanta Achanta ◽

Jyoti Jaju ◽

Koteswara Rao ◽

Rani Samyukta ◽

...

Keyword(s):

Treatment Outcomes ◽

Andhra Pradesh ◽

The State ◽

Isoniazid Resistance ◽

Tuberculosis Patients ◽

The Impact

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HIV INFECTION AMONG PATIENTS WITH TUBERCULOSIS IN MOSCOW

Epidemiology and Infectious Diseases (Russian Journal) ◽

10.18821/1560-9529-2018-23-4-178-185 ◽

2018 ◽

Vol 23 (4) ◽

pp. 178-185

Author(s):

Mikhail Valerevich Sinitsyn ◽

S. E. Borisov ◽

E. M. Belilovskiy ◽

E. M. Bogorodskaya

Keyword(s):

Comparative Analysis ◽

Hiv Infection ◽

Monitoring System ◽

Drug Users ◽

Significant Contribution ◽

Age Group ◽

Tuberculosis Patients ◽

Number Of Patients ◽

The Impact ◽

Epidemiological Situation

The study is devoted to the evaluation of the impact of the spread of HIV infection on the epidemiological indicators of tuberculosis in a megacity. Based on information from the registers of the tuberculosis monitoring system in Moscow for 2014-2015. A comparative analysis of indicators for patients with tuberculosis was conducted with the presence and absence of co-infected HIV infection. The results showed that among patients with tuberculosis combined with HIV infection, patients from the city’s permanent population, from the age group of 31-40 years old, non-working, injecting drug users are much more likely than other TB patients. The number of tuberculosis patients who died of HIV infection, in comparison with the number of patients who died from tuberculosis, accounted for more than a third of the total number of tuberculosis-related deaths. Thus, when assessing the epidemiological situation of tuberculosis, it is necessary to take into account the significant contribution of HIV infection to the values of the main indicators and their dynamics.

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EFEITOS DO PROGRAMA TERRITÓRIOS DA CIDADANIA SOBRE INDICADORES ECONÔMICOS E SOCIAIS DOS MUNICÍPIOS DE MG: uma abordagem de mensuração com métodos de pareamento

Revista Políticas Públicas ◽

10.18764/2178-2865.v19n2p551-563 ◽

2016 ◽

Vol 19 (2) ◽

pp. 551

Author(s):

Henrique Dantas Neder ◽

Tiago Camarinha Lopes

Keyword(s):

Propensity Score ◽

Propensity Score Matching ◽

Impact Evaluation ◽

Minas Gerais ◽

Territorial Development ◽

Impact Measurement ◽

Estimation Model ◽

Matching Method ◽

Government Programs ◽

The Impact

Resumo: O artigo tem o objetivo de medir o efeito do Programa Territórios da Cidadania no Estado de Minas Gerais, com um modelo de estimação com base no método Propensity Score Matching (PSM). Assim, analisa os problemas de medição de impacto do programa, de forma didática, com o propósito de apresentar a metodologia de avaliação de programas governamentais baseada no pareamento de indivíduos com características semelhantes. Conclui que existem evidências de que no período de vigência do programa, os indicadores de aumento do produto da agropecuária foram afetados positivamente, em termos causais, pelo programa Territórios da Cidadania.Palavras-chave: Desenvolvimento territorial, avaliação de políticas públicas, métodos de pareamento, avaliação de impactos. TERRITORIAL PROGRAMS EFFECTS OF CITIZENSHIP ON SOCIAL AND ECONOMIC INDICATORS OF MG CITIES: an measuring approach with pairing methods Abstract: The paper has the objective of measuring the impact of the Brazilian governmental with a program called Territórios da Cidadania in the state of Minas Gerais. An estimation model was constructed on the basis of the Propensity Score Matching method (PSM). Thus, analyzes the program's impact measurement problems in a didactic way, in order to present the methodology for evaluating government programs based on the pairing of individuals with similar characteristics. Concludes there are evidences that for the period analyzed, the indicators of rural product were positively affected by the program.Key words: Territorial development, public policies evaluation, pairing methods, impact evaluation.

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Effective Pharmacist led interventional strategies to improve outcomes in hypertensive patients: a narrative review

Global Journal of Medical Therapeutics ◽

10.46982/gjmt.2021.103 ◽

2021 ◽

Vol 3 (2) ◽

Author(s):

Samra Bashir ◽

Akash Syed

Keyword(s):

Pharmaceutical Care ◽

Cost Effective ◽

Pharmacist Intervention ◽

Care Plan ◽

Hypertensive Patients ◽

Disease Outcomes ◽

Cost Effective Alternative ◽

The Impact

The role of pharmacist intervention as a cost-effective alternative to physician in disease management is increasingly been recognized. Studies have demonstrated that pharmaceutical care can improve drug therapy as well as patient satisfaction in chronic health conditions including cardiovascular diseases. This study is aimed to review and outline a comprehensive pharmaceutical care plan from the randomized controlled trials previously conducted to assess the impact of pharmacist-managed care on disease outcomes in hypertensive patients. Compared with usual care, the pharmaceutical intervention involved patient evaluation, patient education and counselling, medication review and management, patient monitoring and follow-up, and feedback to the primary physician as major strategies.

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Impact of Tuberculosis in Elderly Population

Handbook of Research on Geriatric Health, Treatment, and Care - Advances in Medical Diagnosis, Treatment, and Care ◽

10.4018/978-1-5225-3480-8.ch018 ◽

2018 ◽

pp. 326-338

Author(s):

Gagan Chooramani ◽

Pooja Singh

Keyword(s):

Clinical Characteristics ◽

Elderly Population ◽

The Elderly ◽

World Health ◽

Tuberculosis Patients ◽

Disease Outcomes ◽

Age Related ◽

Health Organization ◽

The Impact ◽

Poor Memory

The World Health Organization has declared that the spread of tuberculosis is a global emergency. Despite the implementation of strong tuberculosis-control initiatives by WHO, this highly infectious disease continues to affect all vulnerable populations, including the elderly population. Adverse social factors and poor living conditions also affect the elderly much more than the young. The clinical characteristics of tuberculosis in older adults can be unusual and may be confused with age-related illnesses. Various factors related to old age can also cause complications in the diagnosis, treatment, and disease outcomes for tuberculosis patients. The contributory factors may be poor memory, deafness, mental confusion, or impairment of speech. In addition, therapy for tuberculosis in elderly individuals is challenging because of the increased incidence of adverse drug reactions. Hence, understanding the impact of these substantial aspects will help to overcome the problem of tuberculosis in the elderly population.

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Prevalence of psychological distress and associated factors among adult tuberculosis patients attending public health institutions in Dire Dawa and Harar cities, Eastern Ethiopia

BMC Public Health ◽

10.1186/s12889-019-7684-2 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Tegegn Mulatu Ayana ◽

Kedir Teji Roba ◽

Myrla Obejero Mabalhin

Keyword(s):

Psychological Distress ◽

Chronic Disease ◽

Severe Form ◽

Cross Sectional ◽

Eastern Ethiopia ◽

Tuberculosis Patients ◽

Dire Dawa ◽

Related Stigma ◽

Health Institutions ◽

The Impact

Abstract Background In developing countries, the prevalence of psychological distress was higher among tuberculosis patients. Patients with tuberculosis infection were more prone to psychological distress than peoples without tuberculosis. However, little studies were conducted on psychological distress among tuberculosis patients in Ethiopia, particularly in the Eastern Ethiopian health institutions. Methods Institution-based cross-sectional study design was conducted. Based on the TB burden, four hospitals and six health centers were selected from Dire Dawa and Harar cities. Socio-demographic factors, psychological distress, TB related stigma experience, and alcohol use data were collected by face to face interview while TB and HIV related variables collected from TB registration book. All TB patients from the first month of TB treatment initiation through 6 were consecutively interviewed by trained data collectors from January to February 2018. The collected data were entered into Epi Data Version 3.1 software and exported into SPSS window version 20 for analysis. Bivariate and multivariate binary logistic regression was carried out. All variables with P-value ≤0.25 were taken into the multivariate model. Crude and adjusted odds ratios with a 95% confidence interval were estimated, and variables with P-value less than 0.05 in the final model were taken as significant predictors of psychological distress. Results The prevalence of psychological distress among tuberculosis in this study population was 63.3% (95% CI: 58.1, 68.1). Being from rural residence (AOR: 1. 98; 95% CI: 1.01,3.86), co-infection TB- HIV (AOR: 2.15; 95% CI:1.02, 4.56), presence of at least one chronic disease (AOR:3.04; 95% CI:1.59,5.79), experience of stigma (AOR: 1.71; 95% CI:1.01, 2.90), Pulmonary and MDR-TB (AOR:2.53; 95% CI:1.50,4.28) and smoking cigarette (AOR:2.53; 95% CI:1.06,6.03) were associated with psychological distress. Conclusions In this study, almost two-thirds of the tuberculosis patients had psychological distress. Chronic disease morbidity, HIV-TB co-infection and experienced TB related stigma were associated with psychological distress. Attention should be given to chronic diseases including HIV/AIDS diagnosis and referring to chronic disease units to prevent the impact on mental health. Consideration should be given for psychological distress and linking moderate to severe form of the disease to the Psychiatric clinics to hinder its effects.

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Role of telepharmacy in pharmacist counselling to coronavirus disease 2019 patients and medication dispensing errors

Journal of Telemedicine and Telecare ◽

10.1177/1357633x20964347 ◽

2020 ◽

pp. 1357633X2096434 ◽

Cited By ~ 3

Author(s):

Osama M Ibrahim ◽

Rana M Ibrahim ◽

Ahmad Z Al Meslamani ◽

Nadia Al Mazrouei

Keyword(s):

Pharmaceutical Care ◽

United Arab Emirates ◽

Control Group ◽

Community Pharmacies ◽

Pharmacist Interventions ◽

Patient Status ◽

Collection Form ◽

The Impact ◽

Dispensing Errors ◽

Medication Dispensing

Introduction Remote pharmacist interventions have achieved much more attention during the coronavirus disease 2019 (COVID-19) outbreak, since they reduce the risk of transmission and can potentially increase the access of vulnerable populations, such as patients with COVID-19, to pharmaceutical care. This study aimed to examine differences in rates and types of pharmacist interventions related to COVID-19 and medication dispensing errors (MDEs) across community pharmacies with and without telepharmacy services. Methods This was a prospective, disguised, observational study conducted over four months (from March 2020 to July 2020) in 52 community pharmacies (26 with and 26 without telepharmacy) across all seven states of the United Arab Emirates using proportionate random sampling. A standardised data-collection form was developed to include information about patient status, pharmacist interventions and MDEs. Results The test (telepharmacy) group pharmacies provided pharmaceutical care to 19,974 patients, of whom 6371 (31.90%) and 1213 (6.07%) were probable and confirmed cases of COVID-19, respectively. The control group pharmacies provided care to 9151 patients, of whom 1074 (11.74%) and 33 (0.36%) were probable and confirmed cases of COVID-19, respectively. Rates of MDEs and their subcategories, prescription-related errors and pharmacist counselling errors across pharmacies with telepharmacy versus those without remote services were 15.81% versus 19.43% ( p < 0.05), 5.38% versus 10.08% ( p < 0.05) and 10.42% versus 9.35% ( p > 0.05), respectively. Discussion This is one of the first studies to provide high-quality evidence of the impact of telepharmacy on COVID-19 patients’ access to pharmaceutical care and on medication dispensing safety.

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