Purpose: The Action Plan for Medication Safety by the German Federal Ministry
of Health introduced a standardized medication plan (MP), a printable document
for the patient. The practical handling needs to be tested before the
nationwide implementation in Germany. Therefore, the aims of our study were 1)
to develop an instrument to evaluate the usage of the standardized MP, 2) to
assess if patients can locate, and 3) understand important information.
Moreover, we explored patients’ opinion and suggestions regarding the
standardized MP template. Patients and methods: We conducted a cross-sectional
study to evaluate the practical handling of the standardized MP. We
interviewed 40 adult patients in seven community pharmacies in Germany, who
took at least five medicines regularly and gave their written informed
consent. The interview consisted of questions regarding finding and
understanding information provided on a mock-up MP, patients’ opinion and the
execution of the information on the MP by filling pill boxes. We eventually
developed a new evaluation method to quantify the practical handling of the MP
by rating the pill boxes filled by the patients. Results: Overall, the
participants rated the MP positively. Thirty-nine (98%) participants found
important information on a mock-up standardized MP. Patients were questioned
to identify if they understood information on medical intake as it relates to
meals. In particular, they were questioned about medicine intake “1 hour
before a meal”, which 98% (n=39) interpreted correctly, and “during a meal”,
which 100% (n=40) interpreted correctly. The less precise advice of “before a
meal” was interpreted correctly by 73% (n=29), and only 15% (n=6) correctly
interpreted the term “after the meal”. The evaluation of the filled pill boxes
resulted in the “Evaluation Tool to test the handling of the Medication Plan”
(ET-MP) – a weighted scoring system. Conclusion: The standardized MP is
clearly arranged, and patients are able to find important information. The
findings of this study resulted in minor but important revisions of the
standardized MP template. The developed evaluation tool ET-MP may serve as an
objective instrument to assess patients’ ability to transfer written
information on the MP into practical handling of medicines