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CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 HOME MEDICATION REVIEW Ministry of Health Malaysia Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Now The Scenario Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Our Routine Services Dispensing Counseling Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 The Issues • Patients come to doctor’s appointment with progressing complication of the disease. • Patient has repeated admission to hospital due to disease progression • What happened with medication that we dispensed?No respond towards the drug? • Geriatrics with multiple medication. • Most of the patients actually don’t understand how to take their medication correctly as prescribed. Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 The Role of Pharmacists • Pharmacist is in an ideal position to assist with medication-related problems. Beny J, Bero LA, Bond C. Expending role of outpatient pharmacist: effect on health services utilization, cost and patient outcomes (Cochrane Review). In: The Cochrane Library, Issue 3, 2000. Oxford, UK • The positive impact of pharmacist service on outcome for specific diseases has been demonstrated, such as hypertension, heart failure and anticoagulation therapy Beny J, Bero LA, Bond C. Expending role of outpatient pharmacist: effect on health services utilization, cost and patient outcomes (Cochrane Review). In: The Cochrane Library, Issue 3, 2000. Oxford, UK • Home medication review would allow pharmacist to gain greater insight into patients’ methods of managing their drugs Richard Holland, Elizabeth Lenagham, Ian Harvey, Richard Smith. Does home based medication review keep older people out of hospital? The HOMER randomized controlled trial. BMJ 2005. Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Pilot Project Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 States Involved In Early Stage • Kedah Darul Aman (2004) • Selangor Darul Ehsan (2005) • Negeri Sembilan Darul Khusus (2006) • Melaka Bandaraya Bersejarah (2006) Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 HOME MEDICATION REVIEW Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Main Objective To improve the outcome of pharmacotherapy by Home Medication Review conducted by Pharmacist Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Specific Objective • To increase patients’ adherence to medication • To increase patients’ knowledge on medication (dosing frequency, indication & administration (DFIT) • To identify factors affecting non-compliance • To review patient’s method of managing their medication at home • To identify drug related problems • To reduce wastage due to over-stocking of medication • To improve patient’s Quality of Life Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 During Home Visit Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Counseling at Home Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Help From Other Healthcare Provider Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 EARLY Findings HOME MEDICATION REVIEW Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Medication Being Stored At Home Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Unused Medication Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Result From Improper Storage Of Medication At Home Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Traditional Herbs That Being Consumed By Patient Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Other Findings Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Adverse Drug Reaction Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Complication of the Disease Ministry of Health Malaysia, Pharmaceutical Services Division

CPA-MPS CONFERENCE 2007 MEDICATION REVIEW SYMPOSIUM4th August 2007 Program Schedule Ministry of Health Malaysia, Pharmaceutical Services Division

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