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Learning Objective 1: The learner will be able to know how to improve medication adherence in home care.
Learning Objective 2: The learner will be able to know how our proposed bidirectional medication support system is consisted.
More than 70% of elderly take medication as a treatment in Japan. Poor medication adherence is one of the biggest problems in home care. The factors of poor medication adherence are various but the effective intervention from medical staff may improve them（1: Aliotta, Professional Case Management, 2007）. To improve medication adherence, we proposed a bidirectional medication assistance system since 2009. The system was consisted monitoring medication data and feedback to patients. After 3 months experiments among 7 patients who take home care, their medication adherence were continually improved.
Aims:
The purpose of this study was to reveal who had the role to give feedback to patients and what contents were required in feedback.
Methods and Results:
We conducted questionnaires to medical staff who concerned our system. 9 doctors, 18 pharmacists, 42 nurses and 4 other staff fulfilled our criteria. The ratios of who think feedback are effective, non-effective and don’t-know are 77%, 3% and 21%. In addition, the ratios by occupation who want to give feedback to patients are 40% of doctors, 72% of nurses, 72% of pharmacists and 25% of other staff. These results show that the nurses and the pharmacists had an awareness to assume an important role in feedback. And they require the following 3 contents in feedback: to know medication dosage states in each day, to give a message with a medical decision and to notice that patients saw the message.
Conclusions:
We revealed that the nurse and the pharmacists thought they had the responsibility to intervention in medication adherence. They required the contents in feedback that included daily medication dosage states with a medical decision and the response from patients. Our future plan, we continue to re-develop and operate our system to meet the above requirements.
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