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Unused medicines in primary care: A postal questionnaire

Unused medicines in primary care: A postal questionnaire. Adam Mackridge Lecturer, Pharmacy Practice Liverpool John Moores University. Aims. Examine the usual methods of disposal used by patients for their unused medicines

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Unused medicines in primary care: A postal questionnaire

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  1. Unused medicines in primary care: A postal questionnaire Adam Mackridge Lecturer, Pharmacy Practice Liverpool John Moores University Liverpool John Moores University Pharmacy Practice Research Group

  2. Aims • Examine the usual methods of disposal used by patients for their unused medicines • Identify those patient factors that influence the generation of unused medicines

  3. Methods • Eastern Birmingham Primary Care Trust • 1000 self-completion questionnaires • Prescribing and supply of medicines • Use and storage of medicines • Unused medicines and their disposal • Opportunity to opt-out • Two follow up mailings at four and eight weeks • Trends identified by unused medicines odds ratio

  4. Results • Response rate 47%; of which 41% were valid • Respondents similar to the PCT population in terms of • sex (58% female) • adult (>18) age distribution • Poor response from ethnic minorities (17% cf. 30%) • 162 (40%) reported recent unused medicines

  5. Results: Reported reasons for unused medicines (Number of respondents = 162) Note: respondents reported all the reasons for unused medicines in their home (responses = 202)

  6. Results: Factors influencing unused medicines - Recent medication review Number of respondents = 219

  7. Results: Factors influencing unused medicines - Concordance

  8. Results: Factors influencing unused medicines – Other factors

  9. Results: Usual method of disposal of unused medicines (n=404)

  10. Results: Awareness of potential environmental harm – Sewerage treatment

  11. Results:Awareness of potential environmental harm (2)

  12. Conclusions • Unused medicines are present in a substantial proportion of patients’ homes • Data suggest that the some unused medicines could be avoided • Unused medicines appear to be inappropriately disposed of in primary care • Advertising of pharmacy disposal service and potential environmental damage could improve appropriate disposal

  13. Acknowledgements • Patients of Eastern Birmingham PCT • Funding • Royal Pharmaceutical Society of Great Britain

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