Assessing the Effectiveness of Telepharmacy Services in Rural and Underserved Areas
DOI:
https://doi.org/10.29070/czx2ng51Keywords:
Telepharmacy, Rural Healthcare, Medication Adherence, Patient Satisfaction, Medication Errors, Healthcare CostsAbstract
This study evaluates the effectiveness of telepharmacy services in improving healthcare delivery in rural and underserved areas. Utilizing a mixed-methods design, both quantitative and qualitative data were collected over a 12-month period. The study involved 200 patients who used telepharmacy services, providing remote access to pharmacists for medication dispensing, consultations, and patient education. Quantitative data included patient surveys on medication adherence and satisfaction, along with medication records to assess dispensing errors. Qualitative data were obtained through interviews with patients and pharmacists to explore their experiences.
Results indicated a significant increase in medication adherence rates from 60.0% to 85.0% post-telepharmacy implementation. Patient satisfaction scores across various domains improved notably, with mean scores for access to pharmacists, quality of consultations, and overall satisfaction showing significant enhancements (p < 0.001). Additionally, there was a substantial reduction in medication errors, with dispensing errors decreasing from 15.0% to 5.0% (p < 0.01) and prescription errors from 10.0% to 4.0% (p < 0.05). Economic analysis revealed a decrease in healthcare costs per patient from $2000 to $1500, along with a reduction in hospitalizations per 1000 patients from 50 to 30 (p < 0.01).
These findings are consistent with previous studies and underscore the potential of telepharmacy as a cost-effective and efficient solution to healthcare disparities in rural and underserved regions. Despite technological and regulatory challenges, telepharmacy represents a promising approach to enhancing healthcare access, improving clinical outcomes, and achieving significant cost savings in rural healthcare systems.
References
Dunlap, B., & Jankovitz, J. (2014). The Impact of Telepharmacy Services on Medication Adherence in Rural Communities. Journal of Rural Health, 30(3), 289-295.
North Dakota State University. (2020). Telepharmacy in Rural Healthcare. Rural Health Information Hub. Retrieved from [website link].
Poudel, A., Nissen, L., & Sakthong, P. (2017). Telepharmacy: A Pharmacist’s Perspective. Pharmacy Practice, 15(3), 1071-1079.
Clifton, G. D., Byer, H., Heaton, K., Haberman, D., & Gill, H. (2020). Impact of Telepharmacy on Medication Errors in Rural Hospitals. Journal of the American Pharmacists Association, 60(4), 536-541.
North Dakota State University. (2020). Telepharmacy in Rural Healthcare. Rural Health Information Hub. Retrieved from [website link].
Poudel, A., Nissen, L., & Sakthong, P. (2017). Telepharmacy: A Pharmacist’s Perspective. Pharmacy Practice, 15(3), 1071-1079.
Ulrich, J., & Kumaran, S. (2016). Economic Analysis of Telepharmacy in Rural Healthcare. Journal of Rural Health, 32(2), 219-225.
Alexander, E., Butler, C. D., Darr, A., Jenkins, M. T., Long, R., Shipman, C. J., & Woods, T. (2017). ASHP Statement on Telepharmacy. American Journal of Health-System Pharmacy, 74(9), e236-e241. doi:10.2146/ajhp170039
Baldoni, S., Amenta, F., & Ricci, G. (2019). Telepharmacy Services: Present Status and Future Perspectives: A Review. Medicine, 98(8), e15916. doi:10.1097/MD.0000000000015916
Bynum, A., Hopkins, D., Thomas, A., Copeland, N., & Irwin, C. (2011). The Impact of Telepharmacy Services on Rural Hospitals in North Dakota. Telemedicine and e-Health, 17(10), 709-715. doi:10.1089/tmj.2011.0042
Clifford, R. M., Davis, W. A., Batty, K. T., & Davis, T. M. (2005). Effect of a Pharmaceutical Care Program on Vascular Risk Factors in Type 2 Diabetes: The Fremantle Diabetes Study. Diabetes Care, 28(4), 771-776. doi:10.2337/diacare.28.4.771
Haga, S. M., & McPherson, M. L. (2019). The Evolving Role of Telepharmacy and the Potential Impact on Home Infusion Practice. Journal of Infusion Nursing, 42(6), 325-329. doi:10.1097/NAN.0000000000000352
Isetts, B. J., Schondelmeyer, S. W., Artz, M. B., Lenarz, L. A., Heaton, A. H., Wadd, W. B., & Brown, L. M. (2003). Clinical and Economic Outcomes of Medication Therapy Management Services: The Minnesota Experience. Journal of the American Pharmacists Association, 43(2), 133-144. doi:10.1331/108658003321480701
Mohan, A. V., Weir, D. L., Noseworthy, P. A., Fleisher, L. A., Hughes, S. L., Greenberg, C. C., ... & Howell, E. A. (2016). Medication Therapy Management in Patients with Heart Failure: A Systematic Review and Meta-Analysis. Journal of Cardiac Failure, 22(8), 607-619. doi:10.1016/j.cardfail.2016.03.009
Peterson, C. D., Barnett, T. E., & Wilkinson, L. K. (2020). A Comparative Study of Rural and Urban Medication Use Patterns and Medication Therapy Management Services. Journal of Rural Health, 36(1), 77-85. doi:10.1111/jrh.12368
Schafer, J. J., Casey, L. A., & Kiser, J. J. (2017). Integration of Telepharmacy Services into Pharmacy Practice. Journal of the American Pharmacists Association, 57(1), 107-113. doi:10.1016/j.japh.2016.08.007
Smith, M. G., & Song, Z. (2019). Effects of Telepharmacy Services on Access to Care and Medication Adherence. Telemedicine and e-Health, 25(3), 176-182. doi:10.1089/tmj.2018.0029