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The British Columbia Seniors' Brown Bag Clinic Pilot Project: Medication Problems Identified and Participant Assessments*

Published online by Cambridge University Press:  29 November 2010

Timothy P. Stratton  and
Patricia M. Foster
Timothy P. Stratton
Affiliation:
University of British Columbia
Patricia M. Foster
Affiliation:
P. Foster and Associates
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Résumé

Les cliniques « Brown Bag » permettent aux pharmaciens participants de rencontrer les personnes âgées afin d'examiner les médicaments en leur possession et de corriger les situations qui pourraient mener à des réactions toxiques (DRAPEs — drug-related adverse patient events). Cent vingt-trois patients ont été en contact avec 30 pharmaciens lors des cliniques pilotes tenues dans sept communautés de la Colombie-Britannique. En moyenne, chaque patient a apporté plus de neuf médicaments (prescrits ou non-prescrits) et les cliniciens ont identifié 482 problèmes potentiels de médication (les médecins traitants de 39 patients ont été immédiatement contactés). Plus de 80 pour cent des patients ont considéré les cliniques « Brown Bag » comme étant utiles et ont manifesté le désir de participer à nouveau lors de futures cliniques. Les pharmaciens cliniciens, bien qu'en faveur des cliniques, sont cependant réticents à ré-offrir leur services de façon bénévole. Lors des cliniques de rappel conduites de six à 11 mois plus tard, les patients avaient oublié une bonne partie de l'information obtenue lors des premières sessions.

Keywords

Brown BagMedicationsMisusePharmacistScreening« Brown Bag »prescriptionsabuspharmaciendépistage.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 11 , Issue 2 , Summer/été 1992 , pp. 150 - 168
Copyright
Copyright © Canadian Association on Gerontology 1992

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References

Armstrong, C.P., & Blower, A.L. (1987). Non-steroidal anti-inflammatory drugs and life-threatening complications of peptic ulceration. Gut, 28, 527–532.CrossRefGoogle ScholarPubMed
Brooke, A., & Mukherjie, S.K. (1988). Drug treatment in the elderly in South Nottinghamshire. A community audit. British Journal of Clinical Practice, 42, 17–20.Google ScholarPubMed
Ferguson, J.A. (1990). Patient Age as a Factor in Drug Prescribing Practices. Canadian Journal on Aging, 9(3), 278–295.CrossRefGoogle Scholar
German, P.S., Klein, L.E., McPhee, S.J., et al. (1982). Knowledge of and compliance with drug regimens in the elderly. Journal of the American Geriatric Society, 30, 568–571.CrossRefGoogle ScholarPubMed
Gilinsky, N.H. (1990). Peptic ulcer disease in the elderly. Gastroenterology Clinics of North America, 19(2), 255–271.CrossRefGoogle ScholarPubMed
Grymonpre, R.E., Mitenko, P.A., Sitar, D.S., et al. (1988). Drug-associated hospital admissions in older medical patients. Journal of the American Geriatric Society, 36, 1092–1098.CrossRefGoogle ScholarPubMed
Haynes, R.B., Taylor, D.W., & Sackett, D.L. (1979). Compliance in Health Care. Baltimore: Johns Hopkins University Press.Google Scholar
Larrat, E.P., Taubman, A.H., & Willey, C. (1990). Compliance-related problems in the ambulatory population. American Pharmacy, NS30, 82–87.Google ScholarPubMed
Leeds, A.L. (1984). “Rheumatoid Arthritis.” In Herfindal, E.T. & Hirschman, J.L. (Eds.), Clinical Pharmacy and Therapeutics (3rd ed.) (pp. 648–649). Baltimore: Williams and Wilkins.Google Scholar
Lundin, D.V. (1978). Medication-taking behavior of the elderly: A pilot study. Drug Intelligence and Clinical Pharmacy, 12, 519–522.CrossRefGoogle ScholarPubMed
May, F.E., Stewart, R.B., Hale, W.E., & Marks, R.G. (1982). Prescribed and non-prescribed drug use in an ambulatory elderly population. Southern Medical Journal, 75, 522–528.CrossRefGoogle Scholar
National Council on Patient Information and Education. (1987). Priorities and Approaches for Improving Prescription Medication Use in Older Americans. Washington, DC: NCPIE.Google Scholar
Norusis, M.J. (1988). The SPSS Guide to Data Analysis for SPSS/PC+. Chicago: SPSS Inc.Google Scholar
Ostrom, J.R., Hammarlund, E.R., Christensen, D.B., et al. (1985). Medication use in an elderly population. Medical Care, 23, 157–164.CrossRefGoogle Scholar
Rachlis, M., & Kushner, C. (1989). Second Opinion (pp. 39–40). Toronto: Harper and Collins.Google Scholar
Ray, W.A., Griffin, M.R., Schaffner, W., et al. (1987). Psychotropic drug use and the risk of hip fracture. New England Journal of Medicine, 316, 363–369.CrossRefGoogle ScholarPubMed
Seniors Drug Action Program, Province of British Columbia Ministry of Health. (1989). Medication Use and Elderly People: Proceedings of the British Columbia Invitational Workshop. Vancouver: Stevenson Kellog Ernst and Whinney.Google Scholar
Seniors Drug Action Program, Province of British Columbia Ministry of Health. (1990). The British Columbia Brown Bag Clinic Program: Protocol for Medication Review Clinics for the Elderly. Victoria.Google Scholar
Statistics Canada. (1986). Census 1986.Google Scholar
Stoller, E.P. (1988). Prescribed and over-the-counter medicine use by ambulatory elerly. Medical Care, 26, 1149–1157.CrossRefGoogle Scholar
Stratton, T.P. (1992). Long-term impact of the British Columbia Brown Bag Clinics on client awareness of the pharmacist as a provider of consumer drug and health information. Journal of Pharmaceutical Marketing and Management. In press.Google Scholar
Taubman, A.H., Truncellito, M., Mattea, E.J., & Larrat, E.P. (1986). Brown Bag Prescription Evaluation Clinic Practice Manual. Boston: New England Institute for Healthcare Services Research.Google Scholar
Williamson, J., & Chopin, J.M. (1980). Adverse reactions to prescribed drugs in the elderly: A multicentre investigation. Age and Ageing, 9, 73–80.CrossRefGoogle ScholarPubMed