Clinical Pharmacist Mediated Pharmaceutical Care On Health Outcomes Of Chronic Disease Patients: A Randomized Control Trial

Abstract

Introduction: The study aimed to assess the impact of clinical pharmacist-mediated care on patients managing chronic conditions like hypertension and type 2 diabetes mellitus. Medication non-adherence remains a major challenge, with the World Health Organization indicating that approximately 50% of patients with chronic illnesses do not adhere to their prescribed treatments. Methodology: The study was conducted at Govt. General Hospital Kadapa over a year. It employed a randomized control trial, a robust method for assessing intervention effectiveness. Patients were randomly divided using a simple randomization method, with odd-numbered patients in the pharmaceutical care group and even-numbered patients in the usual care group. Statistical analysis was performed using descriptive statistics and two-way ANOVA to assess health outcomes. Results:  A total of 333 patients participated, with 168 males and 165 females. Significant improvements were observed in the pharmaceutical care group, particularly in reduced blood pressure and blood sugar levels when compared to the usual care group. Conclusion: The study demonstrated that clinical pharmacist intervention positively impacts medication adherence and health outcomes. Personalized medication information, provided directly on packaging, proved effective in improving adherence, emphasizing the importance of clinical pharmacists in managing chronic disease patients' care.