Alhomoud, F; (2014) Medication use and medicine-related problems (MRPs) experienced by South Asian (SA) and Middle Eastern (ME) patients with chronic diseases in primary care in the UK. Doctoral thesis , UCL (University College London).

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Abstract

Aim To identify type(s) and possible cause(s) of medicine-related problems (MRPs) from the SA and ME patients' perspectives. Setting and Method The study was a cross-sectional study. Patients were from SA and ME origins, aged over 18 and prescribed three or more regular medicines. Patients were identified through previous medicine use reports (MUR), patient medication records (PMR) or when presenting with a prescription. The data were collected in 80 face-to-face semi-structured interviews in seven pharmacies in London using MRPs tool, 8-item MMAS and EuroQol questionnaire (EQ-5D-3L). Interviews were audiotaped, transcribed verbatim and analysed thematically using Gordon’s coding frame and Nvivo 10 software. The SPSS 21.0 software was used for analysis of descriptive data obtained quantitatively. Results Participants (61% male) had mean (SD) age 58 (13.4) years and on a mean (SD) of 8 (4) medicines. Final analysis showed the following types of MRPs: adverse drug reactions and drug interactions; intentional non-compliance; cognitive, physical and sensory problems and issues with concurrent use of herbal and alternative therapies. Problems with drug prescribing; lack of information; monitoring and review; repeat prescriptions; GP surgery and pharmacy service were also identified. Interviews revealed that several factors contribute to the development of MRPs; some appeared to be specific to SA and ME cultures and others were similar to the general population.Many of these factors could be expected to influence patient’s safety, adherence, and informed decision-making. Conclusion This study demonstrated that SA and ME patients have their own problems and needs with both medicine use and service access. By uncovering particular problems experienced by these groups the study can inform healthcare professionals to support SA and ME patients in the use of their medicines.

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