Cardiovascular medication reconciliation in hypertensive diabetic outpatients at Chris Hani Baragwanath academic hospital
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Date
2016-02-15
Authors
Laher, Zaheer
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Abstract
Background
Medication reconciliation is the process of creating accurate lists of a patient’s
medication and comparing them to the treating physician’s script, finding factors that
influence adherence.
Objectives
To determine any discordance between actual medication diabetic hypertensive patients
at the specialist endocrine outpatient department at CHBH are taking and those on the
physician’s script, and to determine factors linked to poor adherence.
Results
The mean age of the patients was 60 years, and female majority of 73%. Fifty nine
percent of patients had a maximum of primary school education and 17% had no
schooling.
Majority of drugs were taken incorrectly, attributed to stock issues, patient error and use
of generic medication. Gender, age and whether the doctor routinely tells the patient of
any adjustments showed no association.
Conclusion
Poor adherence was attributed to the patient’s poor knowledge of the medications.
Adherence to the dosage of drugs was shown to be dependent on a patient’s level of
education.
Description
A research report submitted to the Faculty of Health Sciences, University of the
Witwatersrand, Johannesburg. This work is done in fulfilment of the requirements for
the degree Master of Medicine in Internal Medicine
Johannesburg 2015