1. ESCP 2017 Workshop, Leiden, the Netherlands, June 15-16 2017
MEDICINES OPTIMISATION FOR HIV AMBULATORY PATIENTS
D. Gennimata* 1, S. Siaveli1, M. Malliarou2, F. Marini1, N. Mangafas2, M. Chini2, M. K. Lazanas2
1Pharmacy, 23rd Dept of Internal Medicine-Infectious Diseases Unit,
"Korgialenio-Benakio" Red Cross General Hospital, Athens, Greece
Background and Objective
Setting and Method
Conclusions
HIV-infected ambulatory patients are monitored in the Infectious Diseases Units (IDUs) of tertiary hospitals, in Greece.
Antiretroviral treatment (ART) is prescribed by IDU specialists and is dispensed at the Hospital Pharmacy (HP).
The impact of collaboration among physicians, pharmacists and patients on medicines optimisation and integrated care services has been assessed for the years 2015 and 2016.
All patients, monitored in the IDU, receiving their monthly ART from the HP, participated in the study.
Prescription data and medicines optimisation interventions were collected from registries in both departments.
Patient satisfaction data were collected by direct interviews with the patients.
All data were analyzed by EXCEL® and SPSS®
Main outcome measures
IDU
OUTPATIENTS
No of patients
ART
DISPENSING AT THE HP
DISPENSING BY MAIL
TREATMENT MODIFICATION
ADRs & COMORBIDITIES
2015
700
495 (70%)
421 (85%)
74 (15% )
98 (20%)
63 (13%)
2016
770
580 (75%)
493 (85%)
91 (15%)
63 (11%)
44 (8%)
IDU = Infectious Diseases Unit, ART = AntiRetroviral Treatment, HP = Hospital Pharmacy, ADRs = Adverse Drug Reactions
Results
 Management of medicines shortages, ADRs and emerging comorbidities served as indicators for the assessment of medicines optimisation and integrated care services to these outpatients.  
Medicines optimisation for patients with chronic diseases, such as HIV infection, demands the appropriate and prompt administration of treatment through quality procedures, regardless of the lack of personnel, infrastructure and budget allocations in the health care system.
Collaboration between hospital departments and good cooperation with the outpatients improved the quality of health care services, to the benefit of both healthcare personnel and HIV-infected patients.