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Evaluation of Medication Management Service

About this study

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.

Condition
Medication Adherence, Medication Safety, Diabetes Mellitus, Type 2, Hypertension, Polypharmacy, High Risk Medications
Tested
Medication Management Service (MMS)
Sponsor
The University of Hong Kong

Who can join

Age
18 years and older
Sex
All sexes
Healthy volunteers
Not accepted

Inclusion 10

  • Minimum age: 18 years
  • Study condition: Medication Adherence, Medication Safety, Diabetes Mellitus, Type 2, Hypertension, Polypharmacy, High Risk Medications
  • 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 3

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

Where

8 sites, 8 recruiting

Aberdeen Kai-Fong Welfare Association A-Lively Community Pharmacy

Hong Kong, Hong Kong

Recruiting

Health In Action Community Pharmacy

Hong Kong, Hong Kong

Recruiting

Hong Kong Sheng Kung Hui Welfare Council Community Pharmacy

Hong Kong, Hong Kong

Recruiting

PHARM+ Haven of Hope Community Pharmacy

Hong Kong, Hong Kong

Recruiting

PHARM+ Pok Oi Hospital Community Pharmacy

Hong Kong, Hong Kong

Recruiting

PHARM+ St. James' Settlement Community Pharmacy

Hong Kong, Hong Kong

Recruiting

and 2 more sites on ClinicalTrials.gov

Contact

Potential match only. Final eligibility is determined by the study team.