Evidence map›Paper›PMID 33618657›Full record

Trial reportBMC family practice2021

Access to chronic medicines: patients' preferences for a last kilometre medicine delivery service in Cape Town, South Africa.

Siraaj Adams, Mwila Mulubwa, Mea van Huyssteen, Angeni Bheekie

Abstract readClinical Trial
In one paragraph

Trial report in BMC family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Desires and Attitudes towards Telepharmacy Medicine Delivery.International journal of environmental research and public health · 2022
    Article
  5. Article
  6. Article
  7. Observational
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Siraaj AdamsIyeza Health, 4 Phatha Close, Harare Business Square, Khayelitsha, Cape Town, South Africa.
Mwila MulubwaSchool of Pharmacy, University of the Western Cape, Private bag X17, Bellville, Cape Town, South Africa.
Mea van HuyssteenSchool of Pharmacy, University of the Western Cape, Private bag X17, Bellville, Cape Town, South Africa. mvanhuyssteen@uwc.ac.za.ORCID 0000-0001-6804-0373
Angeni BheekieSchool of Pharmacy, University of the Western Cape, Private bag X17, Bellville, Cape Town, South Africa.

Funding

National Research Foundation of South Africa CEC 180513328650PATH GAT.2162-01608166-SUB
6 · The paper itself

Abstract

backgroundChronic patients are required to access their chronic medicines on a regular basis, often only to refill their repeat prescriptions. Adherence to chronic medicines is challenging and has stimulated health care providers to devise differentiated service delivery models of care to decentralise chronic medicine distribution to decrease the frequency of medicine collection at health care facilities. One such option includes a last kilometre medicine delivery service. This study investigated chronic patients' preferences for a last kilometre medicine delivery service model.

methodsAn exploratory non-randomised quantitative study was conducted over 4 weeks at four public sector primary health care facilities in Cape Town, South Africa. Data was collected on a structured questionnaire from chronic patients queuing to receive medication at each facility's pharmacy waiting area. Patient demographics were noted to align with preferences for chronic medicine service delivery characteristics including; mobile ordering, fee for service and location for delivery. Chi-square test and frequencies were employed to analyse data using SPSS version 23.

resultsA total of 116 patients participated in this study. Most were interested in a medicine delivery service (80.2%) and were willing to use a mobile application to order their medicines (84.5%). Almost all patients (96.8%) preferred that their medicines be delivered to their home. More than three quarters of participants were willing to pay for the service (77.6%). Chi-square test showed that gender, age group, employment status, distance to the health facility and /or average waiting time at the clinic significantly influenced the preference for certain characteristics of the medicine delivery service (p < 0.05).

conclusionMost participants were interested in a last kilometre medicine delivery service, especially those older than 45 years, waiting for more than 6 h at the facility, and staying within one kilometre radius of the clinic. More studies are needed to establish the influence of patients' employment status and the distance to health facility on interest in the medicine delivery service.

Indexed as

Patient PreferencePharmaciesAmbulatory Care FacilitiesHumansSouth AfricaSurveys and QuestionnairesChronic medicineDifferentiated service delivery modelsLast kilometreMedicine deliveryPatient preference

Identifiers

PMID33618657
PMCPMC7899209

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.