The efficiency of management the left over medication in diabetic patients in special clinics.

Abstract

Objective : To study the efficiency of management dispensing control left over medication in diabetic patients in special clinics.

Methods : This study was  Action Research which is divided into four phases:

Phase I, analysis of the situation; Phase II, implementation plan; Phase III, carry out experiment the plan and Phase IV, evaluation. The target groups which were 182 patients with diabetes and 32 care givers selected purposive sampling , data collection including medical records review, questionnaires and knowledge test. These were all reviewed by 3 experts.

Result : Phase I, data Analysis of the data. 79.67% were diabetic patients with other diseases and the patients in this study aged from 31 years to 75 years.  It was also found that duration of diabetes, average 5.16 years, and the blood sugar average 161.1 mg. %, value of the left over medication average 112.5 baht per person and a rate of 100 percent of patients have left over medication. Phase II We had meetings, brainstorming and plan for the drug management for the diabetes patients special clinic. Our plan was Re - Check Model. Phase III Carried out the trial plan. Which included  (1) Recheck to verify the correctness of prescriptions every patient (2) Created Networking of 32 Care Givers(3) The pharmacist keeps track of every target by home visited. (4) For every patient - Pharmacists dispensed sufficiently medication, enough per appointment, no drug beyond the next appointment. (5) Pharmacist counselling individual patients who have difficulty taking / using medications. (6) Pharmacist teaching drug awareness to the target study patients while they were waiting to see the doctor. Phase IV Evaluation found that (1) The left over medication reduced from 100% to 67.2%. (2) The average value the left over medication per person reduced from 112.5 baht to 65.5 baht. (3) The average blood sugar 161.1 mg. reduced to 137.1 mg.%

Conclude : The case study will be used as the basis for the proposed services. To set policy and to add new academic knowledge to the management of patient waste in accordance with the current situation.

Keywords : efficiency , medication management , special clinics