@article {43, title = {Patient Satisfaction of Ambulatory Care Pharmacy Services in Riyadh City, Saudi Arabia}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {8}, year = {2019}, month = {January 2019}, pages = {32-38}, type = {Research Article}, chapter = {32}, abstract = {

Purpose: To explore the patient satisfaction of ambulatory care services at Riyadh, Saudi Arabia. Methods: This is a 4-month cross-sectional survey of patient satisfaction of ambulatory care pharmacy services at Riyadh, Saudi Arabia. The survey consisted of 48 questions divided into two parts: the first part collects demographic information and the second part contains questions on 11 domains: (1) medication availability, (2) patient counseling, (3) pharmacist and patient relationship, (4) medication reconciliation, (5) medication aberrance, (6) pharmacy location, (7) pharmacy waiting area, (8) pharmacy communications, (9) pharmacy waiting time, (10) pharmacy recommends to others and (11) overall patient satisfaction of pharmacy services. The survey was distributed to the three hospitals in Riyadh city, included public, pediatrics and emergency hospitals ambulatory care patient. The survey was in an electronic format and it analyze the results through the Survey Monkey system. Results: A total of 606 patients responded to the survey. There were 338 (55.8\%) female and 268 (44.2\%) male responders. Most of them were in age group of 18{\textendash}44 years (65.3\%) without any statistically significant differences in the age groups among the three hospitals (p\<0.5). The highest level of education was high school (232 (38.4\%)) followed by the Bachelor{\textquoteright}s degree (191 (31.6\%)) and an intermediate school (117 (19.4\%)). Most of the patients visited the ambulatory care pharmacy 3 to 4 times in the past 12 months (239 (41.1\%)), whereas the others (105 (18.1\%)) visited the ambulatory care pharmacy for the first time. The mean ({\textpm}standard deviation (SD)) waiting time to get the medications was 18.36{\textpm}11.32 min and there were statistically significant differences among the three hospitals (p\<0.5). The average scores of domains 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 were 3.35, 3.2, 3.7 and 1.96, 1.8, 3.7, 3.25, 2.14, 3.61, 3.54, respectively. With a total of 381 (62.87\%) responders, general evaluation of pharmacy services was found to be very good to excellent, whereas 369 (60.9\%) responders recommend the pharmacy to their family or friends and 315 (52.5\%) responders prefer to revisit pharmacy. Conclusion: More than half of the patients were satisfied with ambulatory care pharmacy services at Riyadh, Saudi Arabia. Medication reconciliation, medication adherence and pharmacy communication domains were not found to be satisfied. Improving ambulatory care pharmacy services will prevent drug misadventures, avoid additional cost and increase patient satisfaction with pharmacy services.

}, keywords = {Ambulatory care services, Ministry of Health, Patients, Riyadh, Satisfaction, Saudi Arabia}, doi = {10.5530/ijpcs.2019.8.7}, author = {Yousef Ahmed Alomi and Hawazen Abdullah Al-Kammash and Aroub Alhamidi and Walaa Aboziad and Kairat Imad Al-Hennawi and M. Mohanad Imad Al-Hennawi and Malika Alshamari and Nahedh Rashed Alotaibi and Nesreen Al-Shubbar} } @article {130, title = {Impact of Severity of Poly Pharmacy on Medication Adherence in Patients with type II Diabetes Mellitus}, journal = {International Journal of Pharmacology and Clinical Sciences}, volume = {4}, year = {2015}, month = {Dec 2015}, pages = {94-97}, type = {Research Article}, chapter = {94}, abstract = {

Background: Diabetes mellitus is a complex chronic disease and people with diabetes estimated to reach 552 million by 2030 worldwide. World Health Organization stated that only 50\% of patients diagnosed with a chronic illness were fully compliant with their treatment regime. Objectives: To test the hypothesis that adherence decreases with increase in number of medications prescribed in patients with type II diabetes mellitus. Materials and methods: It was a comparative cross sectional study conducted in the department of medicine, medical college, Kozhikode. Patients visiting in the outpatient department of general medicine who satisfy the inclusion criteria were enrolled into the study. Patient medication adherence was measured by medication adherence questionnaire. Results analyzed using student{\textquoteright}s t test. Results: A total of 218 type II diabetic patients enrolled in this 6 months study in which minor poly pharmacy accounts for 18 patients, and the remaining were major poly pharmacy regime. The average number of drugs prescribed was 4.71 {\textpm} 2.12. The mean value of medication adherence score is more in major poly pharmacy group (3.48) when compared with minor poly pharmacy group (1.96). Higher the value of medication adherence score lower is the value of medication adherence of the patient. Conclusion: Polypharmacy continues to be a significant issue and little research has been conducted regarding the relationship between medication adherence and poly pharmacy. Medication adherence is affected by certain factors other than the number of drugs prescribed.

}, keywords = {Compliance, Diabetes Mellitus, Medication Adherence, Patients, Polypharmacy}, doi = {10.5530/ijpcs.4.4.5}, author = {Manju Cheenkallel Sreenivasan and Rinisha Razak and Athira Balakrishnan and Chandni Radhakrishnan} }