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Title: Older persons’ perception of pharmacy services
Authors: Dodic, Nemanja
Keywords: Older people -- Malta
Older people -- Malta -- Attitudes
Geriatrics -- Malta
Pharmaceutical services -- Malta
Issue Date: 2019
Citation: Dodic, N. (2019). Older persons’ perception of pharmacy services (Master's dissertation).
Abstract: Pharmacist involvement in the care of geriatric patients contributes to the optimisation of chronic disease management, polypharmacy use, medication adherence and quality-of-life. The aim of this study was to assess the perception of older persons about their care and of services received from the pharmacist. The setting for the study was the Day Hospital and Medical Outpatients at Karin Grech Hospital (KGH). Approval for the research was granted from the Research Committee and Data Protection Officer at KGH. A questionnaire developed and validated by Zammit (2018) in English and Maltese language was administered to patients 60 years or older as a semi structured interview. The questionnaire collected information on living situation, medicines taken, perception of pharmacist-patient relationship and pharmacist services. Descriptive statistics were performed. Of the 200 patients interviewed, 64% (n=127) were 75 years or older, 67% (n=133) were female and 77% (n=153) had both primary and secondary level education. Forty-six patients lived alone and of the 154 patients who declared that they do not live alone, 40% (n=79) lived with their partner and 25% (n=50) lived with relatives. The patients interviewed suffered from a mean of 2 comorbidities (range 0 to 8). The most common comorbidities were hypertension 55% (n=109) and hypercholesterolemia 48% (n=96). Sixty-nine percent (n=138) of the patients have been collecting their medicines via the Pharmacy of Your Choice (POYC) service for 5 years or more. Polypharmacy was evident, with 24% (n=48) of the patients taking between 6 and 9 medications daily. Seventy-nine percent (n=157) of the patients did not find it difficult to collect or buy their medications. One hundred and twenty-three patients (n=123) were hospitalised more than once in the past year. Sixty-seven percent (n=133) of patients stated that they call their pharmacist when they have any queries, 84% (n=167) stated that their pharmacist advises them on the way to take their medications and 26% (n=52) stated that they find it difficult to follow or remember what their pharmacist says. Ninety-four percent (n=189) of the patients feel confident that they are taking their medications correctly and 87% (n=174) are aware of the indications of their medications. As regards, having a medicine use review performed by pharmacists, 31% (n=61) of patients said ‘Yes’ and 76% (n=151) would feel comfortable to attend a pharmacist-led medication review. Patients in this study sought pharmacist advice. Patients were in favour of pharmacist-led medicine use review, which has the potential to individualise pharmaceutical provision and to improve patient safety and quality of life in chronic disease management.
Description: M.PHARM.
Appears in Collections:Dissertations - FacM&S - 2019
Dissertations - FacM&SPha - 2019

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