RecruitingNot ApplicableNCT06273761

Evaluation of Medication Management Service

Primary Care Community Pharmacy Project: Evaluation of Medication Management Service


Sponsor

The University of Hong Kong

Enrollment

640 participants

Start Date

Feb 6, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Medication management services (MMS) is a pharmacist-led service of optimizing the medication use and health outcomes, by promoting medication safety and enhancing the ability in self-management of health and diseases of patients and their caregivers. Yet, only limited evidence on the implementation of MMS service in Hong Kong is available. The goal of this clinical trial is to evaluate the cost effectiveness and effects of implementing MMS in community pharmacies owned by 8 non-government organizations (NGOs) in Hong Kong on humanistic and clinical outcomes in patients with hypertension and/or type II diabetes mellitus. The clinical trial aims to look into the following aspects: * To evaluate the perception and satisfaction of patients on MMS service * To investigate whether MMS could improve patients' adherence to their medication regimen, health-related quality of life, health outcomes and health service utilization, as well as their ability to understand and cope with their illness and drug-related problems * To identify and categorize the types of drug-related problems identified during MMS * To evaluate the cost-effectiveness of implementing MMS in community pharmacies MMS services will be rolled out in a total of 8 NGO community pharmacies progressively (2 pharmacies per phase) in 4 successive phases. Participants will complete the questionnaires at the following time points throughout the trial, namely 1) during recruitment, 2) baseline (1 month before MMS), 3) 3 months after MMS begins, 4) 12 months after MMS begins, and 5) 24 months after MMS begins. Researchers will compare the results of questionnaires conducted at different time points to identify the potential changes in the effects of MMS. Furthermore, researchers will link up the electronic health records of the participants and identify the potential changes in the health outcomes and health service utilizations after receiving MMS.


Eligibility

Min Age: 18 Years

Inclusion Criteria8

  • aged 18 years or above
  • diagnosed with Type 2 diabetes mellitus and/or hypertension
  • having regular follow-up on Type 2 diabetes mellitus and/or hypertension at Hospital Authority
  • no A\&E admission/hospitalization in the past 3 months
  • no recent changes in medication regimen in the past 3 months
  • polypharmacy (taking 5 or more chronic medications)
  • using at least 1 high-risk medication (Anticoagulants, Oral hypoglycaemics, Insulins, psychotropic medications or immunosuppressants)
  • able to communicate in Cantonese and/or English

Exclusion Criteria3

  • aged below 18
  • unable to give informed consent
  • unable to communicate in Cantonese and/or English

Interventions

BEHAVIORALMedication Management Service (MMS)

Medication Management Service (MMS) is a service delivered by community pharmacists aiming at helping patients resolve their medication therapy problems (MTPs) by carrying out medication reconciliation, provision of education about their medication regimen, and also providing professional pharmacological advice to patients.


Locations(8)

Aberdeen Kai-Fong Welfare Association A-Lively Community Pharmacy

Hong Kong, Hong Kong

Health In Action Community Pharmacy

Hong Kong, Hong Kong

Hong Kong Sheng Kung Hui Welfare Council Community Pharmacy

Hong Kong, Hong Kong

PHARM+ Haven of Hope Community Pharmacy

Hong Kong, Hong Kong

PHARM+ Pok Oi Hospital Community Pharmacy

Hong Kong, Hong Kong

PHARM+ St. James' Settlement Community Pharmacy

Hong Kong, Hong Kong

PHARM+ The Lok Sin Tong Community Pharmacy

Hong Kong, Hong Kong

PHARM+ YWCA Community Pharmacy

Hong Kong, Hong Kong

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NCT06273761


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