Pendahuluan Konseling

Program Studi Farmasi

Fakultas Matematika dan Ilmu Pengetahuan Alam
Universitas Tadulako
2017
Drug oriented pharmacy
Konseling sebagai bagian dari
pharmaceutical care
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Results
Some form of oral communication related to a
medication was reported in 68% of encounters.
At least one informational item for either
medication was provided for approximately
42% of encounters. At least one risk
information item was provided in 22% of
encounters. Logistic regression findings
indicated that the strongest predictor of oral
counseling, either providing information or
asking questions, was the pharmacist being
the pharmacy staff member who handed the
medication to the patient, controlling for all
other variables in the models. In addition,
having strict state regulations specifying that
pharmacists must counsel all patients
receiving new prescriptions predicted whether
patients received counseling. A more private
area for prescription pick up also was a
significant predictor.
Conclusion
The importance of the direct encounter
between the pharmacist and patient and strict
state regulations mandating that pharmacists
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In 2002, Medicare and the Agency for Healthcare Research and Quality began work on the
development of the first standardized and nationwide survey to measure patients' hospital
experiences.5
In 2005, a survey was created to measure patients' perspectives on their hospital care: The
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The
HCAHPS is a national standardized survey comprising 27 questions about the patient's
hospital experience.5,6 Results
Over the past three years, the HCAHPS scores
at South Pointe have steadily improved. In
2009, patient surveys reported communications
pertaining to medication in the Progressive
Cardiac Care Unit at only 47%, 11% below the
national target score. In 2010, the HCAHPS
score rose to 52%, still below the target score.
After pharmacy implementation of medication
counseling, the HCAHPS scores continued to
increase to 55% throughout 2011 and soared to
65% in December 2011.
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Abstract
Objectives: This study estimated the cost-effectiveness of pharmacist discharge counseling on
medication-related morbidity in both the high-risk elderly and general US population. Methods: A
cost-effectiveness decision analytic model was developed using a health care system perspective
based on published clinical trials. Costs included direct medical costs, and the effectiveness unit
was patients discharged without suffering a subsequent adverse drug event. A systematic review
of published studies was conducted to estimate variable probabilities in the cost-effectiveness
model. To test the robustness of the results, a second-order probabilistic sensitivity analysis (Monte
Carlo simulation) was used to run 10 000 cases through the model sampling across all distributions
simultaneously. Results: Pharmacist counseling at hospital discharge provided a small, but
statistically significant, clinical improvement at a similar overall cost. Pharmacist counseling was
cost saving in approximately 48% of scenarios and in the remaining scenarios had a low
willingness-to-pay threshold for all scenarios being cost-effective. In addition, discharge counseling
was more cost-effective in the high-risk elderly population compared to the general population.
 Pengalaman pasien saat berobat
Mendaftar
Mengantri
Diperiksa
Diberikan resep
Menebus obat (membayar)
Mendapatkan informasi obat (opsional)
Pulang
Konseling dapat menilai kesalahan
pengobatan (drug related problems)
Pasien merasakan nyeri kepala dan leher selalu terjadi
setiap marah/emosi dan dengan meminum obat hipertensi
dapat menurunkan rasa sakit kepala tersebut
Obat kolesterol sebagai profilaksis sebelum makan coto
makassar
Aturan minum obat seringkali diartikan salah oleh pasien,
sehingga pengobatan tidak maksimal
Penggunaan NSAIDs saat dyspepsia
Diare akibat keracunan diobati dengan loperamid
Keluarga pasien mencari obat hingga lengkap dulu baru
kembali ke UGD RS untuk diberikan ke pasien