Programme no. 354-P
Effect of a pilot course developed with the aim of establishing a permanent competence in general practice in systematic handling of medicine.
Thomas Øhlenschlæger*1, Kirstine Mindegaard Gommesen2, Merete Willemoes Nielsen3, Palle Mark Christensen4
1Clinical Pharmacology,University of Southern Denmark, Odense,Odense C,Denmark, 2Region of Southern Denmark,Vejle,Denmark, 3Region of Southern Denmark,Vejle,Denmark, 4Region of Southern Denmark,Vejle,Denmark
* = Presenting author
Objectives: The main objective was to establish a permanent competence in the handling of medicine in selected primary care settings by educating and delegating the tasks to a staff member. The competence should be established through a series of courses.
Background: Projects on medication reviews have proved that there is a significant need to ensure quality in the use of medicine, especially among patients treated with several medical drugs (polypharmacy), elderly patients or patients treated with high risk medicines.
Results: By December 2014, four of the six courses have been conducted. So far the evaluations from the participants as well as the external evaluator were overall positive. The questionnaires filled and reports conducted by the course participants showed improved skills in the handling of medicine. Most participants expressed, that the course had changed the working procedures in some areas in their clinic and also increased attention to the area of handling medicines. The participants were content with having a supervisor in their clinic and some of them would like to have the role of the supervisor enhanced.
Five primary care settings were recruited throughout the Region of Southern Denmark.Each primary care setting was represented by a member of the staff (the course participant) and a general practitioner (GP) (the supervisor). The course participants were educated as GP secretary (2), midwife (1), nurse (1) and pharmaconomist (1).
We planned 6 courses each of 3 hours length to be carried out over approximately 8 months. We focused on the working procedures in the handling of medicine, and the participants were inspired to several methods to systematize the area and support the GP in renewing prescriptions and conducting medical reviews. Between the sessions of the course, the participants worked with small tasks which they had formulated themselves.
Each course was evaluated by the participants by a paper-and-pencil questionnaire with open-ended questions. The pilot course was also undertaken external evaluation by an independent evaluator. Furthermore, we have visited the clinics of the participants and evaluated whether the course has increased the use of systematically methods in handling medicines.
Focused education of the staff in primary care settings is a valuable tool for improving systematic working procedures in handling medicines. So far, the focused education also showed that it is possible to delegate part of the work to other staff groups in the primary care setting.
The full overview, effect and evaluation of the pilot course will be given at the conference.
Points for discussion: Has the quality been improved and how do we assess it?