scholarly journals Tingkat Kesepahaman Masalah terkait Obat antara Dokter dan Apoteker di Apotek

2017 ◽  
Vol 1 (2) ◽  
pp. 85-91
Author(s):  
Fauna Herawati ◽  
Ni Nyoman Yuni Astrini ◽  
I Made Agus Gelgel Wirasuta
Keyword(s):  
Diabetes Mellitus ◽  
Pharmaceutical Care ◽  
Medication Therapy Management ◽  
Therapy Management ◽  
Care Network ◽  
Medication Therapy ◽  
Consecutive Sampling ◽  
Diabetes Melitus

Kolaborasi antar tenaga kesehatan diperlukan untuk meningkatkan pelayanan kesehatankepada pasien. Kolaborasi antar tenaga kesehatan didefinisikan sebagai profesional tenaga kesehatandengan peran yang saling melengkapi dan kooperatif bekerja sama, berbagi tanggung jawab untukpemecahan masalah dan pengambilan keputusan untuk merumuskan dan melaksanakan rencanaperawatan pasien; demikian pula dalam kolaborasi dokter dan apoteker, diperlukan kesepahamantentang masalah terkait obat. Penelitian ini bertujuan untuk mengukur tingkat kesepahaman dokter-apoteker di klinik pada periode September-Oktober 2013. Penelitian ini menggunakan metodedeskriptif observasional dan dilakukan di salah satu apotek di Bali yang bekerja sama dengan dokterspesialis penyakit dalam. Sampel penelitian adalah resep dokter spesialis penyakit dalam untukpasien diabetes mellitus (DM) dan pengambilan resep dilakukan secara consecutive sampling. Jumlahsampel yang berhasil diperoleh berjumlah 102 lembar resep pasien diabetes melitus rawat jalanyang akan dianalisis melalui 3 tahap dengan menggunakan elemen medication therapy management(MTM), daftar periksa the Pharmaceutical Care Network Europe (PCNE) versi 6.2, dan kappa agreement.Hasil analisis menunjukkan tingkat kesepahaman (κ) sebesar 0,84. Kesepahaman antara dokterdan apoteker tentang masalah terkait obat sangat baik (95% sepaham); ketidaksepahaman terutamaterkait pertimbangan klinis penggunaan obat dan kepatuhan pasien, oleh karena itu apotekerperlu meningkatkan pengetahuan agar dapat berkontribusi dalam kolaborasi tersebut. Apotekerdalam kolaborasi interprofesional dapat berperan dalam pengaturan dosis, identifikasi efek samping,rekonsiliasi pengobatan, dan memberikan rekomendasi terapi berbasis bukti.

scholarly journals EMDIA Case Series—Effective Medication Therapy Management (MTM) for Diabetes Type 2 Patients—A Proof of Concept Study

Pharmacy ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 137
Author(s):  
Maira Anna Deters ◽  
Emina Obarcanin ◽  
Holger Schwender ◽  
Stephanie Läer
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Pharmaceutical Care ◽  
Case Series ◽  
Medication Therapy Management ◽  
Therapy Management ◽  
Medication Therapy ◽  
Patients With Diabetes

Background: A 2016 meta-analysis of pharmaceutical care for patients with diabetes mellitus showed that the following four components were most effective: (a) individual goal setting, (b) sending feedback to the physician, (c) reviewing the medication, and (d) reviewing blood glucose measurements. Methods: To formulate a hypothesis regarding the effect of these four pharmaceutical care components on glycemic control in patients with diabetes mellitus and the feasibility of these components in practice. Ten patients with type 2 diabetes were included in the case series and received medication therapy management over four months. Results: The four care components were feasible in everyday practice and could be implemented within one patient visit. The average visits were 49 and 28 min at the beginning and end of the study, respectively. The glycated hemoglobin values did not change over the study period, though the fasting blood glucose decreased from 142 to 120 mg/dl, and the number of unsolved drug-related problems decreased from 6.9 to 1.9 per patient by the study end. Conclusions: This case series supports the hypothesis that community pharmacists can implement structured pharmaceutical care in everyday pharmacy practice for patients with type 2 diabetes mellitus.

Medication therapy management: Its relationship to patient counseling, disease management, and pharmaceutical care

2007 ◽  
Vol 47 (5) ◽  
pp. 620-628 ◽  
Author(s):  
Melissa Somma McGivney ◽  
Susan M. Meyer ◽  
Wendy Duncan–Hewitt ◽  
Deanne L. Hall ◽  
Jean-Venable R. Goode ◽  
...  
Keyword(s):  
Disease Management ◽  
Pharmaceutical Care ◽  
Medication Therapy Management ◽  
Patient Counseling ◽  
Therapy Management ◽  
Medication Therapy

scholarly journals The Effect of Based Services Medication Therapy Management on Treatment Adherence and Quality of Life of Diabetes Mellitus Patients

2020 ◽  
Vol 10 (3) ◽  
pp. 204
Author(s):  
Rachma Malina ◽  
Nanang Munif Yasin ◽  
Chairun Wiedyaningsih
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Medication Adherence ◽  
Treatment Adherence ◽  
Medication Therapy Management ◽  
Wilcoxon Test ◽  
Therapy Management ◽  
Medication Therapy ◽  
Before And After

Diabetes mellitus is a chronic metabolic disorder that is characterized by hyperglycemia. Diabetes mellitus need appropriate therapeutic management, because it can cause complications. On of the services that can do to improve diabetes control is Medication Therapy Management (MTM). MTM is a new service that will help pharmacist to improve patient adherence and quality of life. This study aims to determine the effect of based services MTM on treatment adherence and quality of life in patients with diabetes mellitus. This study was an experimental study using a quasi-experimental with one group pretest and posttest design which was conducted in Tegalrejo, Jetis and Gedontengen Health Center Yogyakarta City. Variables measured were medication adherence using the Morisky-Green Levine Medication Adherence Scale (MGLS) questionnaire and quality of life using Diabetes Quality of Life Clinical Trial Questionnaire (DQLCTQ) before and after MTM services. The effect of MTM on medication adherence was analyzed using Wilcoxon test and the effect of MTM on quality of life using Paired T-Test. The patients participate in this study were 20 people, with average score of adherences before application of MTM was 2.20±0.410 to 1.80±0.616 after the application of MTM (P=0.005) and the average of the patient's quality of life was 73.82±7.918, increased to 76.42±5,623 after MTM service (P=0.033). Statistically mean, there is a difference in adherence and quality of life before and after MTM services. Therefore, it can be concluded that MTM-based services performed by pharmacists have a significant effect on improving medication adherence and quality of life for DM patients. Moreover, it can facilitate monitoring patient therapy, and identification of problems related to the treatment.

scholarly journals Primary Care Providers' experiences with Pharmaceutical Care-based Medication Therapy Management Services

2012 ◽  
Vol 3 (1) ◽  
Author(s):  
Heather L. Maracle ◽  
Djenane Ramalho de Oliveira ◽  
Amanda Brummel
Keyword(s):  
Primary Care ◽  
Pharmaceutical Care ◽  
Primary Care Providers ◽  
Medication Therapy Management ◽  
Original Research ◽  
Healthcare Team ◽  
Team Approach ◽  
Care Providers ◽  
Therapy Management ◽  
Medication Therapy

This study explored primary care providers' (PCPs) experiences with the practice of pharmaceutical care-based medication therapy management (MTM). Qualitative, semi-structured interviews were conducted with six PCPs who have experiences working with MTM pharmacists for at least three years. The first author conducted the interviews that were audio-taped, transcribed, and coded independently. The codes were then harmonized via discussion and consensus with the other authors. Data were analyzed for themes using the hermeneutic-phenomenological method as proposed by Max van Manen. Three men and three women were interviewed. On average, the interviewees have worked with MTM pharmacists for seven years. The six (6) themes uncovered from the interviews included: (1) "MTM is just part of our team approach to the practice of medicine": MTM as an integral part of PCPs' practices; (2) "Frankly it's education for the patient but it's also education for me": MTM services as a source of education; (3) "It's not exactly just the pharmacist that passes out the medicines at the pharmacy": The MTM practitioner is different from the dispensing pharmacist; (4) "So, less reactive, cleaning up the mess, and more proactive and catching things before they become so involved": MTM services as preventative health care efforts; (5)"I think that time is the big thing": MTM pharmacists spend more time with patients; (6) "There's an access piece, there's an availability piece, there's a finance piece": MTM services are underutilized at the clinics. In conclusion, PCPs value having MTM pharmacists as part of their team in ambulatory clinics. MTM pharmacists are considered an important source of education to patients as well as to providers as they are seen as having a unique body of knowledge äóñmedication expertise. All PCPs highly treasure the time and education provided by the MTM pharmacists, their ability to manage and adjust patients' medications, and their capability to address patients' medication experiences. MTM pharmacists are seen as being different from dispensing pharmacists, and PCPs usually highlight that difference to patients as they refer them to MTM services. Lastly, it is apparent that MTM pharmacists struggle to explain what their role is within the healthcare team and they need to find a more effective way to explain the unique value they add to the care of patients.   Type: Original Research

scholarly journals Pengaruh Medication Therapy Management (MTM) terhadap Tingkat Pengetahuan dan Kualitas Hidup Pasien Diabetes Melitus Di Puskesmas Kota Yogyakarta

2020 ◽  
Vol 17 (2) ◽  
pp. 142-155
Author(s):  
Nita Trinovitasari ◽  
Nanang Munif Yasin ◽  
Chairun Wiedyaningsih
Keyword(s):  
Medication Therapy Management ◽  
Therapy Management ◽  
Purposive Sampling ◽  
Group Design ◽  
Medication Therapy ◽  
Quasi Experimental ◽  
Diabetes Melitus

Masalah yang sering terjadi pada pasien diabetes adalah kurangnya pengetahuan terkait pengobatan dan penyakitnya. Permasalahan ini dapat diatasi dengan memberikan edukasi kepada pasien secara kolaboratif dan kontinu. Salah satu bentuk intervensi yang dapat dilakukan adalah pelayanan Medication Therapy Management (MTM). MTM merupakan suatu layanan yang bertujuan untuk mengoptimalkan hasil terapi pasien. Pelayanan yang belum lama dilaksanakan ini memiliki elemen yang cukup banyak. Sehingga pada penelitian ini dilakukan modifikasi MTM yang diacu dari pelayanan MTM BPJS (Badan Penyelenggara Jaminan Sosial) Kesehatan. Penelitian ini bertujuan untuk mengetahui pengaruh pelayanan MTM terhadap tingkat pengetahuan dan kualitas hidup pasien diabetes melitus di Puskesmas Kota Yogyakarta. Metode penelitian yang digunakan adalah quasi-experimental one-group design with pretest-posttest design yang dilakukan pada bulan Maret hingga April 2020. Metode pengambilan sampel menggunakan teknik purposive sampling. Penelitian ini menggunakan kuesioner sebagai instrumen penelitian. Data dianalisis dengan menggunakan SPSS. Hasil penelitian menemukan bahwa terjadi peningkatan pengetahuan pasien dari 8,9 ± 2,3 menjadi 11,6 ± 1,5 setelah diberikan pelayanan MTM dengan nilai p = 0,000 dan terjadi peningkatan kualitas hidup pasien dari 50,56 ± 3,9 menjadi 52,84 ± 4,3 dengan nilai p = 0,003. Kesimpulan penelitian ini adalah pelayanan MTM dari apoteker dapat meningkatkan pengetahuan dan kualitas hidup pasien diabetes.

scholarly journals Impact of medication therapy management service on selected clinical and humanistic outcomes in the ambulatory diabetes patients of Tikur Anbessa Specialist Hospital, Addis Ababa, Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0251709
Author(s):  
Zenebe Negash ◽  
Alemseged Beyene Berha ◽  
Workineh Shibeshi ◽  
Abdurezak Ahmed ◽  
Minyahil Alebachew Woldu ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Drug Therapy ◽  
Treatment Satisfaction ◽  
Medication Therapy Management ◽  
Type I ◽  
Post Intervention ◽  
Therapy Management ◽  
Medication Therapy ◽  
Drug Therapy Problems ◽  
Diabetes Patients

Background Diabetes mellitus (DM) patients are at increased risk of developing drug therapy problems (DTPs). The patients had a variety of comorbidities and complications, and they were given multiple medications. Medication therapy management (MTM) is a distinct service or group of services that optimize therapeutic outcomes for individual patients. The study assessed the impact of provision of MTM service on selected clinical and humanistic outcomes of diabetes patients at the diabetes mellitus clinic of Tikur Anbessa Specialized Hospital (TASH). Methods A pre-post interventional study design was carried out at DM clinic from July 2018 to April 2019. The intervention package included identifying and resolving drug therapy problems, counseling patients in person at the clinic or through telephone calls, and providing educational materials for six months. This was followed by four months of post-intervention assessment of clinical outcomes, DTPs, and treatment satisfaction. The interventions were provided by pharmacist in collaboration with physician and nurse. The study included all adult patients who had been diagnosed for diabetes (both type I & II) and had been taking anti-diabetes medications for at least three months. Patients with gestational diabetes, those who decided to change their follow-up clinic, and those who refused to participate in the study were excluded. Data were analyzed using Statistical Package for the Social Sciences (SPSS). Descriptive statistics, t-test, and logistic regressions were performed for data analyses. Results Of the 423 enrolled patients, 409 fulfilled the criteria and included in the final data analysis. The intervention showed a decrease in average hemoglobin A1c (HbA1c), fasting blood sugar (FBS), and systolic blood pressure (SBP) by 0.92%, 25.04 mg/dl, and 6.62 mmHg, respectively (p<0.05). The prevalence of DTPs in the pre- and post-intervention of MTM services was found to be 72.9% and 26.2%, respectively (p<0.001). The overall mean score of treatment satisfaction was 90.1(SD, 11.04). Diabetes patients of age below 40 years (92.84 (SD, 9.54)), type-I DM (93.04 (SD, 9.75)) & being on one medication regimen (93.13(SD, 9.17)) had higher satisfaction score (p<0.05). Conclusion Provision of MTM service had a potential to reduce DTPs, improve the clinical parameters, and treatment satisfaction in the post-intervention compared to the pre-intervention phase.

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