South Asian and Middle Eastern patients’ perspectives on medicine-related problems in the United Kingdom
- 506 Downloads
Background There has been little research which specifically examines medicine use among South Asian (SA) and Middle Eastern (ME) groups, although evidence suggests that medicine-related needs may be poorly met for these groups. Objective To describe medicine-related problems (MRPs) experienced by SA and ME patients from their perspectives and identify possible contributory factors that may be specific to their cultures. Setting The data were collected in seven pharmacies in London, United Kingdom (UK). Method The study was a qualitative study. Patients were from SA and ME origins, aged over 18 and prescribed three or more regular medicines. Patients were identified when presenting with a prescription. The data were collected in 80 face-to-face semi-structured interviews using Gordon’s MRPs tool. Interviews were audiotaped, transcribed verbatim and analysed thematically using Gordon’s coding frame and Nvivo 10 software. Main outcome measure Describing MRPs experienced by SA and ME patients from their perspectives and identifying possible contributory factors that may be specific to their cultures. Results Eighty participants (61 % male) had mean (SD) age 58 (13.4) years and a mean (SD) of 8 (4) medicines. Interviews revealed that several factors contributed to the development of MRPs; some appeared to be specific to SA and ME cultures and others were similar to the general population. The factors that were reported to be specific to SA and ME groups comprised religious practices and beliefs, use of non-prescription medicines, extent of family support, and travelling abroad—to patient’s homeland or to take religious journeys. Illiteracy, language and communication barriers, lack of translated resources, perceptions of healthcare providers, and difficulty consulting a doctor of the same gender may also contribute to the problems. Many of these factors could be expected to influence patient’s safety, adherence, and informed decision-making. Conclusion This study demonstrated that SA and ME patients have their own problems and needs regarding both medicine use and service access. By uncovering particular problems experienced by these groups, the study can inform healthcare professionals to support SA and ME patients in the use of their medicines.
KeywordsDrug-related problems Ethnic minorities Ethnicity Medication errors Medication-related problems Medicine use Patient perspective Primary care United Kingdom
The authors wish to acknowledge the participation of the pharmacies and patients involved in this study.
No specific funding was received for this study.
Conflicts of interest
The authors have no conflicts of interest to declare.
- 2.Office for National Statistics [internet]. 2011 Census: key statistics and quick statistics for local authorities in the UK. London: Office for National Statistics; 2013 [cited 11 Oct 2013]. http://www.ons.gov.uk/ons/rel/census/2011-census/key-statistics-and-quick-statistics-for-local-authorities-in-the-united-kingdom—part-1/stb-key-statistics-for-local-authorities-in-the-uk.html.
- 4.Health and Social Care Information Centre [internet]. Health Survey for England 2004: The Health of Minority Ethnic Groups—headline tables. London: National Statistics; 2006 [cited 21 Apr 2006]. http://www.hscic.gov.uk/pubs/hse04ethnic.
- 7.Sidi A, Oppal S, Malik M, Kostrzewski A, Dhillon S. Medicine related problems in chronic disease: implications for reducing health inequalities. Int J Pharm Pract. 2009;17(Suppl 2):29B–30B.Google Scholar
- 8.Opara N, Billkhu N, Malik M, Rashid T, Siddiq O, Butter S, et al. Medicine related problems in South Asian patients living in the UK with chronic illness. Int J Pharm Pract. 2010;18(Suppl. 2):92–3.Google Scholar
- 13.The King’s Fund [internet]. Ethnic health issues for primary care. London: The King’s Fund; 2011 [cited 1 Aug 2011]. http://www.kingsfund.org.uk/sites/files/kf/BMEprimarycare%202011.pdf.
- 16.Brent Pharmaceutical Needs Assessment [internet]. Brent Pharmaceutical Needs Assessment. London: NHS Brent; 2011 [cited 14 Jan 2011]. http://brent.gov.uk/media/9515173/PNA%20-%20Brent.pdf.
- 17.Camden Pharmaceutical Needs Assessment [internet]. Camden Pharmaceutical Needs Assessment. London: NHS Camden; 2011 [cited 1 Feb 2011]. http://www.camdendata.info/AddDocuments1/Camden%20PNA%202011.pdf.
- 18.Harrow Pharmaceutical Needs Assessment [internet]. Harrow Pharmaceutical Needs Assessment. London: NHS Harrow; 2011 [cited 1 Feb 2011]. http://www.northwestlondon.nhs.uk/publications/?category=3209-Pharmaceutical+Needs+Assesments-d.
- 19.Westminster Pharmaceutical Needs Assessment [internet]. Westminster Pharmaceutical Needs Assessment. London: NHS Westminster; 2011 [cited 1 Jan 2011]. http://www.jsna.info/sites/default/files/Westminster%20Pharmaceutical%20Needs%20Assessment%202011.pdf.
- 20.Behling O, Law K. Translating questionnaires and other research instruments: problems and solutions. London: Sage Publication; 2000. ISBN 9780761918240.Google Scholar