Evaluation of a medication safety and adherence program within a First Nations community in Saskatchewan, Canada

Abstract

ObjectiveThe objective of this mixed methods report was to describe a pharmacist intervention to support medication adherence of patients living with chronic health conditions in a First Nations community. SettingThe intervention took place in a First Nations community health center. Practice descriptionMultidisciplinary primary care clinic. Practice innovationA pharmacist was integrated into the weekly primary care clinics to regularly monitor patients and address any medication-related issues. EvaluationThe pharmacist intervention was evaluated qualitatively by using focus groups and interviews, and quantitatively by analyzing medication refill claims. ResultsThe entire health care team believed that the support provided by the pharmacist encouraged the patients to take control of their health conditions and was beneficial to increasing patient self-management behaviors, including improved medication adherence. All staff appreciated the team-based model because it optimized appointment times and promoted better patient care. The patients valued having a pharmacist they trusted and with whom they had a relationship to address their concerns. In the 6 months after the date of the initial visit with the pharmacist, the median number of refill claims increased in comparison with the 6 months before. ConclusionA clinical pharmacist contributes to improved satisfaction and medication adherence when integrated into a primary care team providing care in a First Nations community.