Lisa Aditama , Umi Athiyah , Wahyu Utami , Moch. Bagus Qomaruddin

Abstract

The treatment of Type 2 Diabetes in the health care system can undergo a transition among health care facilities which may lead to drug-related problems. Pharmacists have clinical knowledge and skills to conduct pharmacotherapy workup and enable patients to achieve therapeutic goals. This study aims to prove a comprehensive medication management model to be implemented in primary care and to evaluate the effect on patient empowerment and HbA1c. This study used the experimental design on the implementation of a comprehensive medication management model in diabetic patients who were divided into the intervention and control groups with a total of 42 patients at the Surabaya Primary Health Care using the form of patient empowerment assessment. The implementation of a comprehensive medication management model significantly improved all domains of patient empowerment and HbA1c (pre-post study, p<0.050) in the intervention group; and significantly differ in the intervention compared to the control group of patient empowerment of understanding, attitude, and participation (p<0.050). The empowerment of the patient's experience, ability to use medication, and HbA1c did not differ between the intervention compared to the control group (p≥0.050). Comprehensive medication management models can be implemented in primary care to improve patient empowerment and diabetes treatment outcome through pharmacotherapy workup as the foundation of the patient care process. Lack of patient's medication experience can be the cause\q of inappropriate decisions‎.

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