Factors related to missing and rescheduling pharmaceutical care appointments by aged outpatients in a Brazilian public health setting

Authors

  • Thiago Vinícius Vinícius Nadaleto Didone Pharmacy Department. UBS Ponte Rasa - Basic Health Unit. São Paulo
  • Maristela Ferreira Catão Carvalho Pharmacy Department. Paulista Institute of Geriatrics and Gerontology. São Paulo
  • Graziela Luppi Pharmacy Department. Paulista Institute of Geriatrics and Gerontology. São Paulo
  • Daniela Oliveira de Melo Department of Biological Sciences of the Institute of Environmental, Chemical and Pharmaceutical Sciences. Federal University of São Paulo. São Paulo
  • Eliane Ribeiro Department of Pharmacy of the Faculty of Pharmaceutical Sciences. University of São Paulo. São Paulo

Keywords:

Health Services for the Aged, Appointments and Schedules, Pharmaceutical Services, Professional-Patient Relations

Abstract

Objectives. To uncover reasons why patients missed pharmaceutical care (PC) appointments, identify predictive factors to miss at least one appointment and to reschedule after a miss, and compare the rescheduling behavior of patients receiving different types of PC.

Methods. All elderly patients who had at least one scheduled appointment in the PC service of a health setting of São Paulo city, Brazil, from January to December/2011 were included. Chi-square analysis compared categorical data between groups; multivariate logistic regression models predicted attendance and rescheduling behavior.

Results. We identified 421 patients, being 221 (52.5%) non-attenders. Forgetting the appointment was the most common patient-related reason (56.3%). Illiteracy was a risk factor to be a non-attender [OR(95%CI)=2.27(1.17:4.40), p=0.015]. Patients having previous knowledge of the pharmacist presented more chance to rescheduled an appointment after the first miss compared to those who had not [OR(95%CI)=3.57(1.90:6.71), p<0.001]. Further, non-attenders who had knowledge of the pharmacist and received Medication Review with Follow-up rescheduled more than the ones receiving other types of PC (p=0.035).

Conclusion. Illiteracy predicted non-attendance in PC to aged outpatients and forgetfulness was the main reason for that. The previous acquaintance of the pharmacist and the provision of pharmaceotherapeutic follow-up explained the rescheduling behavior, which indicates the establishment of a patient-centered patient-pharmacist relationship plays a pivotal role in the continuity of the PC.

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References

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Published

2015-12-20

How to Cite

1.
Nadaleto Didone TVV, Ferreira Catão Carvalho M, Luppi G, Oliveira de Melo D, Ribeiro E. Factors related to missing and rescheduling pharmaceutical care appointments by aged outpatients in a Brazilian public health setting. Ars Pharm [Internet]. 2015 Dec. 20 [cited 2024 Jul. 22];56(4):209-16. Available from: https://revistaseug.ugr.es/index.php/ars/article/view/3870

Issue

Vol. 56 No. 4 (2015)

Section

Original Articles

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