Pharmacy World and Science

, Volume 26, Issue 5, pp 271–276 | Cite as

Medication management reviews for people from the former Yugoslavia now resident in Australia

  • Jasmina Bajramovic Fejzic
  • Susan E. Tett


Aim: The objective of this prospective study was to conduct medication management reviews (MMR) in people from a non-English speaking background (NESB) (Bosnian/Serbian/ Croatian, from former Yugoslavia, currently residing in Australia) in their native language in order to identify medication-related problems (needs analysis) and implement appropriate therapeutic interventions, in collaboration with their general practitioners (GPs).

Methods: Twenty-five participants entered the study. Each was interviewed and medication-related issues were identified by the health care team.

Results: Various interventions (over 150 for the whole group, an average of 6 per participant), based on actual and potential medication-related problems, were designed to improve the use of medicines. The MMRs introduced effective changes into the participants’ health care. Psychological (e.g., feeling depressed) and sociological factors (e.g., costs of medicines, not understanding labels written in English) were identified as having significant impacts on medication management.

Conclusions: These data confirmed there are avoidable medication-related problems in people from a NESB. GPs and pharmacists working in health care teams with a trained interpreter could greatly improve medication use through regular review and a team approach to problem identification and solving.

Australia Medication management Medication review Multicultural Pharmaceutical needs Quality use of medicines 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Kliewer EV, Butler JRG. Hospital morbidity patterns and costs of immigrants in Australia. Canberra: The National Centre for Epi-demiology and Population Growth, The Australian National Uni-versity, 1995.Google Scholar
  2. 2.
    National Health Strategy. Removing cultural and language bar-riers to health. Canberra: National Health Strategy Issues Paper No. 6, 1993.Google Scholar
  3. 3.
    Australian Pharmaceutical Advisory Council. National Medicines Policy. In: Commonwealth of Australia, Department of Health and Aged Care, 2000.Google Scholar
  4. 4.
    Bajramovic J, Tett S. Problems of pharmacy communication in multicultural Australia. Aust Pharmac 2000; 19: 430–4.Google Scholar
  5. 5.
    Shaw J, Hemming MP, Hobson JD, Nieman P, Naismith NW. Comprehension of therapy by non-English speaking outpa-tients' comprehension of medications. Med J Aust 1977; 2: 423–7.PubMedGoogle Scholar
  6. 6.
    Shaw J, Hemming MP, Hobson JD, Marty J. A comparison of English and non-English speaking outpatients' comprehension of medications. Aust J Hosp Pharm 1977; 7: 116–9.Google Scholar
  7. 7.
    Queensland Health and Ethnic Communities Council of Queens-land. Growing healthy together, health in a multicultural Queensland-a conference. Brisbane: Conference report: issues and recommendations, 1994.Google Scholar
  8. 8.
    Queensland Health. We leave smiling at each other, but I have no idea how effective it has been. Brisbane: Report on the Ethnic Health Policy Consultation Process, 1996.Google Scholar
  9. 9.
    Department of Immigration and Multicultural Affairs. 1997-98 Annual Report. Canberra: AGPS, 1998.Google Scholar
  10. 10.
    Pharmaceutical Society of Australia. Principles and criteria for conduct of medication review. Canberra: PSA, 1999.Google Scholar
  11. 11.
    Roughead EE, Monteith GR, Harvey KJ, Tett SE. Evaluating Aus-tralia's National Medicines Policy using geographical mapping. Intern Med J 2002; 32: 66–71.PubMedGoogle Scholar
  12. 12.
    Translating and Interpreting Service (TIS). TIS Eastern Newslet-ter, No.8, July 2000. Department of Immigration and Multicul-tural Affairs, 2000.Google Scholar
  13. 13.
    Australian Institute of Health and Welfare. Australia's Health 2000. Canberra: Australian Institute of Health and Welfare, 2000. Report No.: AIHW Cat No 19.Google Scholar
  14. 14.
    Kopinak JK. The health of Bosnian refugees in Canada. Ethnic Health 1999; 4: 65–82.CrossRefGoogle Scholar
  15. 15.
    Heuevel WJ. Health status of refugees from former Yugoslavia: descriptive study of the refugees in the Netherlands. Croatian Med J 1998; 39: 356–60.Google Scholar
  16. 16.
    Sundquist J, Behmen-Vincevic A, Johansson SE. Poor quality of life and health in young to middle aged Bosnian female war refugees: a population based study. Public Health 1998; 112: 21–6.PubMedGoogle Scholar
  17. 17.
    Harding G, Nettleton S, Taylor K. Sociology for pharmacists, an introduction. London: The MacMillan Press, 1990.Google Scholar
  18. 18.
    Simons LA, Tett S, Simons J, Lauchlan R, McCallum J, Friedlander Y et al. Multiple medication use in the elderly. Use of prescrip-tion and non-prescription drugs in an Australian community set-ting. Med J Aust 1992; 157: 242–6.PubMedGoogle Scholar

Copyright information

© Kluwer Academic Publishers 2004

Authors and Affiliations

  • Jasmina Bajramovic Fejzic
    • 1
  • Susan E. Tett
    • 1
  1. 1.School of PharmacyThe University of QueenslandBrisbaneAustralia E-mail

Personalised recommendations