Review Article Open Access
Objectives: (1) Determine evidenced-based medication utilization pattern relative to the most prevalent medical conditions, (2) Develop a drug formulary based on the disease prevalence in study population (3) Assess the perceptions of the health care team towards interdisciplinary practice in a global primary care setting. Methods: A retrospective cohort study of data from 430 patients that were treated during a mission trip to Hinche, Haiti between March 15th and 22nd, 2014. To be included in the study the patient must have been diagnosed with a disease using the International Classification of Diseases-10 codes, received drug therapy, or referred to a local hospital/ clinic. 246 patients met the inclusion criteria. Each patient chart was manually reviewed to obtain demographic information; medical diagnosis and drugs prescribed. A survey was conducted to assess the perceptions of the health team on the mission trip. The data was analyzed using descriptive statistics with Microsoft excel 2010. Results: The average age of the subjects was 20.13 years old of which 53.44 % (n = 129) were females. The leading medical conditions were intestinal parasite infestations (22.86%), Gastroesophageal reflux disease (8.55%), and abrasions secondary to trauma (7.48%). The most commonly utilized drugs were Albendazole (42.40%), Ranitidine (24.26%), and Acetaminophen (15.41%). Ninety-eight percent (n = 39) of the team members completed the survey on their perception of the mission trip. All the respondents stated that the interdisciplinary experience was positive and it will impact their future practice. Conclusion: The most prevalent medical conditions in the Hinche, Haiti pateint group were intestinal parasite infestations, gastroesophageal reflux disease, and abrasions secondary to injury. The drug utilization pattern was positively correlated with the most prevalent diseases. This information will be helpful in creating an appropriate drug formulary for the target population. All the respondents stated that the interdisciplinary experience was positive and it will impact their future practice.
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Author(s): Ombengi David N*, Babineau Terri W, Stradford Tiffany C, Marquis Naomi, Howell Brittany D
Medication utilization, Drug formulary, Interdisciplinary practice, Primary care setting, Pharmacy Practice, Clinical Pharmacy, Patient care