DEVELOPMENT OF MAIL-ORDER PHARMACY SYSTEM FOR HYPERTENSIVE PATIENTS IN ERA OF CORONAVIRUS DISEASE 2019 PANDEMIC
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ABSTRACT
BACKGROUND: According to pandemic situation of coronavirus disease 2019 (COVID-19), adjusting the healthcare services system to comply with social distancing was important to prevent the spread of the infection. The services of chronic disease clinic were many procedures that cause delay services and overcrowding of patients.
OBJECTIVES: (1) To develop the mail-order pharmacy system for hypertensive patients in the pandemic situation of COVID-19. (2) To study the effectiveness of the mail-order pharmacy system and the level of drug use knowledge, drug use behaviors and patient satisfaction of hypertensive patients in the pandemic situation of COVID-19.
METHODS: This research and development consists of four steps. The first step was, analysis the conditions and assess the needs by collecting data through in-depth interviews and reviewing relevant literature. The second step was developing of the mail-order pharmacy system for hypertensive patients. The third step involved implementation of model. The last step was evaluation and improvement the mail-order pharmacy system for hypertensive patients appropriately model for the next implementation and ready to use.
RESULTS: Development of the mail-order pharmacy system was found that 70.8% of the patients had a high level of knowledge about drug used, 79.3% of the patients had a high level of drug use behaviors, and satisfaction with the mail-order system 96.2%. Blood pressure levels before and after receiving the mail-order system had no statistical difference.
CONCLUSIONS AND DISCUSSIONS: Development of the mail-order pharmacy system at Thawangpha hospital found to be effective, safe and patient satisfaction. In Thailand, the hospital should initiate the implementation of a variety drug refilled system to increase patient access and reduce overcrowding of patients in hospital.
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References
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