Action Research to Develop a Medication Management Model with the Collaboration between Health Care Professionals and Village Health Volunteers for Patients with Uncontrolled Blood Pressure: Case Study of Maelan District, Pattani
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Abstract
Objective: To develop a Medication Therapy Management (MTM) model for patients with uncontrolled blood pressure in the community of Maelan District, Pattani Province, and to evaluate the outcomes of the developed MTM model. Method: This Action research consisted of four phases. Phase 1 was planning based on the information from the interview with health care professionals and focus group discussions among village health volunteers (VHVs) on an MTM service model for caring for hypertensive patients in the community. Phase 2 involved the Implementation of care based on the MTM service model for two months in sixteen patients with uncontrolled blood pressure who received four or more antihypertensive medications. Phase 3 was the evaluation of patient outcomes and evaluation of the MTM model by health care professionals and VHVs. Phase 4 was the reflection after the model implementation by health care professionals and VHVs. Results: The developed MTM model employed VHVs as a link for providing care to patients in collaboration with health care professionals. The design and planning to resolve the problems for patient care in the community led to the MTM service model appropriate for the context and problems of the area. Outcome evaluation of the model implementation revealed that nine out of sixteen patients were able to control their blood pressure. The average blood pressure of the patients decreased significantly. The patients had better health behaviors. The consumption of budu decreased by ten patients. Forgetting to take medicine decreased by five patients. Concerns about developing kidney disease from taking medicines decreased by fifteen patients. The patients were very satisfied with the MTM service with average satisfaction score at 4.58 ± 0.11 (out of five). Conclusions: The implementation of the MTM service model with the participation of VHVs to care for patients with uncontrolled blood pressure resulted in an increase in the number of patients with controlled blood pressure and a decrease in average blood pressure of the patients. It also reduces health behavior problems of patients associated with uncontrolled blood pressure
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ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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