Identifying and Assisting Low-Literacy Patients with Medication Use: A Survey of Community Pharmacies

Annals of Pharmacotherapy - Tập 39 Số 9 - Trang 1441-1445 - 2005
Jessica L Praska1, Sunil Kripalani2, Antoinette L Seright3, Terry A. Jacobson4
1Jessica L Praska PharmD, Clinical Pharmacy Specialist, Department of Veterans Affairs, Denver, CO
2Sunil Kripalani MD MSc, Assistant Professor, Department of Internal Medicine, Emory University School of Medicine, Atlanta, GA
3Antoinette L Seright MA MPH, Research Assistant, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta
4Terry A Jacobson MD, Professor, Department of Internal Medicine, Emory University School of Medicine

Tóm tắt

BACKGROUND: Nearly one-half of adult Americans have limited functional literacy skills. Low patient literacy is associated with poor medication adherence and health outcomes. However, little is known about how pharmacies address literacy-related needs among patrons. OBJECTIVE: To determine the frequency with which pharmacies identify and provide appropriate assistance to patients with limited literacy skills and provide specific recommendations to help improve pharmacists' recognition of low health literacy, as well as strategies to improve adherence in this population. METHODS: Through a telephone-based survey of Atlanta-area pharmacies, we obtained information on (1%) whether the pharmacy attempted to identify patients with limited literacy skills, (2%) what measures were taken by the pharmacy to optimize the health care of low-literacy patients, especially with regard to medication adherence, and (3%) what services the pharmacy offered to improve adherence in general. RESULTS: The response rate among eligible pharmacies was 96.8% (N = 30%). Only 2 (7%) pharmacies reported attempting to identify literacy-related needs among their patrons. One of these facilities provided additional verbal counseling to assist low-literacy patients, and the other pharmacy involved family members, provided verbal counseling, and had patients repeat instructions to confirm comprehension. Most pharmacies reported availability of adherence aids that could help low-literacy patients if such patients were identified and targeted to receive additional assistance. These included verbal and written counseling (offered at 73% of pharmacies), packaging or organizing aids (27%), refill services (17%), and graphic or multimedia aids (13%). CONCLUSIONS: Pharmacies infrequently attempt to identify and assist patients with limited literacy skills.

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Tài liệu tham khảo

Kirsh I, 1993, Adult literacy in America: a first look at the findings of the National Adult Literacy Survey

Institute of Medicine, 2004, A prescription to end confusion

10.1016/S0738-3991(98)00116-5

10.1345/aph.1D070

10.1001/jama.281.6.545

10.1046/j.1525-1497.1998.00242.x

Gokal KA, 2003, J Am Geriatr Soc, 51, S205

10.1046/j.1525-1497.1999.00334.x

10.3122/jabfm.17.1.44

10.1001/jama.1982.03320370021023

10.1056/NEJM198010303031804

10.1016/0738-3991(95)00787-3

10.1592/phco.22.5.282.33191

10.1001/jama.1995.03530210031026

10.1001/jama.281.6.552

10.1056/NEJM199707243370411

Williams MV, 2002, Fam Med, 34, 383

10.1001/jama.288.22.2868

10.1111/j.1553-2712.1996.tb03431.x

10.1016/S0738-3991(98)00065-2

Kripalani S, 2004, Prev Med, 39, S39

Schillinger D, 2003, J Gen Intern Med, 18, 187

10.1001/jama.292.14.1711

Doak CC, 1998, Teaching patients with low literacy skills, 2

Mayeaux EJ, 1996, Am Fam Physician, 53, 205

National Work Group on Literacy and Health, 1998, J Fam Pract, 46, 168

Plimpton S, 1994, Public Health Rep, 109, 86

10.1001/archinte.163.1.83

Thông tin
Thông tin xuất bản

Annals of Pharmacotherapy

Tập 39 Số 9

1441-1445

Thông tin tác giả