аЯрЁБс>ўџ 13ўџџџ0џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС'`№ПдbjbjыШыШ .‰Ђ‰ЂŽ џџџџџџЄЄЄЄЄЄЄЄИмммм№ И‚ Жууущ ы ы ы ы ы ы $8 h V -Єууууу ЄЄл< c c c уlЄЄщ c ущ c c ЄЄc ќ рЦ)ЗSљЩмO шc щ R 0‚ c і7 "іc іЄq xууc ууууу  Y ууу‚ ууууИИИ$мИИИмИИИЄЄЄЄЄЄџџџџ TITLE Pharmacist's advice could improve the patients medication adherence in chronic diseases AUTHORS Jelena Boakovi1,Josip ulig2, Marcel Leppee2, Danijela Huml3 INSTITUTE 1Pharmacy `imac 2 Institute of Public Health dr. Andrija `tampar 3Croatian Chamber of Pharmacist ABSTRACT BACKGROUND AND OBJECTIVE:Pharmacist's advice to take medication can improve patients adherence to long term therapies . The objektive of this study was to investigate the rate on nonadherence to long term therapies in the city of Zagreb and to identify way how adherence could improved by pharmacist. DESIGN: Cross-sectional study. Patients with diagnosed chronic disease had to fulfill self-reported questionnaire with question containing information about pharmacist's involvement in his therapy and the information about frequency of non taking medication. SETTING:114 community pharmacies in the city of Zagreb, Croatia MAIN OUTCOME MEASURES: Rate of nonadherence to pharmacotherapy and pharmacist's involvement in improving patient's adherence to long term therapies. RESULTS:634 people have fulfilled self-reported questionnaire. 59% of them forget to take their medication as prescribed. There were 8 questions about frequency of pharmacist's involvement in improving patient's adherence. 61% of patients answered that pharmacist always checks do they take their medication for the first time, 42% that pharmacist always checks how often they miss the doses and why, 23% that pharmacist always checks do they understand the instructions on how to take medication. 57% of patients said that they always counseled by pharmacist on how and when they have to take their medication, 46% said that pharmacists always stress the importance of adherence to long term therapies and 44% that they are counseled by pharmacist how to deal with side effects of medication. There weren't statistically significant differences between the answers of adherent and nonadherent patients. CONCLUSION: The adherence to long term therapies in Croatia is low and the level of pharmacist's involvement in improving adherence in not sufficient.We belive that changing present practice of patients counseling and giving more advice on how to take medication properly  КМОЬЮью   & ( F H J L ^ ` b € „ т ф    3 4 > @ G H o p “ ” • ˜ ™ Ђ І Њ ' ( J Q h i ш  M X b Ѓ ! ) љѕюљѕљѕчпчпчдчпчпЬѕљѕпчпчпчљѕљСдчдЖдЖдчСЖЏЈЏЈЏЁЏљЏљЏšЏљСљšљ hТтh_X\ hТтh›[Ў hТтhгI‹ hТтhтEРhТтhтEРmH sH hТтhШ^rmH sH hТтhШ^rH*hТтhNюmH sH hТтhNюH* hТтhNю hТтh6nhТт hТтhШ^r; МОЮJ L ` € т    • J i M  "  =Ћвгдїїїїїїїїььїїїїїїїїїїїїїїї $dha$gdNюdhgdШ^rд§) _ œ  f<ЊЋЖЗКбдљђыђфђнжнфЯШСПСЯU hТтhŽz hТтh˜c" hТтhШ^r hТтhгI‹ hТтhй` hТтh‚2 hТтhL • hТтhЬ hТтhc4Ы and how to deal with side effects of therapy and explaining the importance of adherence in long term therapies we can improve patients adherence to long term therapies and subsequently therapy effectiveness. ,1hА‚. 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