Why medications are killing and why MTM is the only solution?
Medications save and improves lives, but prescribed, dispensed and taken incorrectly or with no patient education and an understanding they can actually kill patients.
With thousands of prescription and OTC drugs on the Kenyan and African market, increasingly powerful pharmaceutical cartels and an array of less-regulated herbs and supplements(Miti ya shamba), most often no one healthcare institution or prescriber or even manufacturer knows the basic structure of each consumer( patient).
Most often the community retail pharmacy is the like place to spot a problem and identify a solution. If you happen to walk down town CBD a long Accra road, the practice is evedence of a particular pattern; The patient presents a OTC complain or submits a prescription order (handwritten, computer printed or own generated prescription) across a counter and picks up a paper bag at the other end. This is after pharmacy technologist checks for product accuracy, insurance copayment pricing and completes the sale. Patient’s understanding of her disease condition, the pharmaceutics of the drugs and drugs related pathology whether voluntarily or initiated by the pharmacist, all other conditions, dangerous or unintended medical results are avoided at all cost.( May be because the environment for doing so is not conducive).
Not to forget while this practice takes tap root, the Institute of Medicine’s 2004 report on health literacy says 90 million people have difficulty understanding, using, and acting on health information.
The report further state that the problem compounded by the fact that most patients hide their confusion from their doctors because they are too ashamed and intimidated to ask for help and if they do so they may not get adequate drug information from prescribers.
Remedy: MTM, DUR or PHARMACOTHERAPY
To intervene and resolve the more at-risk patients, MTM PHARMACISTS have to learn, admire and implement Medication Therapy Management (MTM) or DUR.MTM is used when a patient is taking different classes of drugs. It is typically delivered as a face-to-face visit between the MTM pharmacist and patient. This should be consultation and reimbursed professional service for the pharmacist.
MTM session focus on 7 categories of patient education and counseling;
5. Risk management ( pathological)
Medication Therapy Management encounter and outcome must holistically produce the intended ( all) outcomes.
Dr. Joseph Murithi Kathare
Medication Therapy Management Practitioner