UNIVERSITY OF KUOPIO, Faculty of Pharmacy
Master of Science in Pharmacy program
HUTTUNEN KAISA: Drug use evaluation of home health care patients with help of
LääkekorttiT M-program in Savonlinna III Pharmacy.
Master´s thesis, 72 p., 4 appendices ( 7 p.)
Supervisors: Professor, Ph.D. Hannes Enlund, Docent, Ph.D. Mika Vidgren and M.Sc.
Keywords: elderly, drug utilization review, drug-related problem, co-operation, home
The aim of this study was to evaluate drug use of home health care patients in Savonlin-
na. The evaluation was carried out with the help of LääkekorttiT M-program in Savonlin-
na III Pharmacy. The literature review deals with evaluation of drug use, drug-related
problems and co-operation between general practitioners, home health care and phar-
macists. Indicators for appropriate drug use and problems of elderly drug use are re-
viewed. Furthermore previous studies shows the possibilities to improve drug use by the
help of pharmacist.
The empirical part focuses on the evaluation of drug use among 43 patients of home
health care in Savonlinna. A comparative evaluation was also made in Kuopio, drug
information center (KLIK). Drug related problems was identified and the general practi-
tioners were informed about these. The study also followed up the changes of medica-
tions. The opinions and experiences of the evaluation of the drug use was collected by
the group- interview from home health care workers (two general practitioners and five
The results show that patients of home health care were using a lot of drugs, 43 patients
using 570 drugs during two years. 95 % of patients were using drugs of the cardiovascu-
lar system and 84 % of patients were using drugs of the nervous system. 23 patients had
potential drug-related problem and 36 patients needed to follow- up of their drug use.
The medication of seven patients were changed after the evaluation. The general practi-
tioners and nurses were satisfied with the drug use evaluation. Medication cards should
be given to patients from the pharmacy, when pharmacists notice potential problems in
According to this study the patients of the home health care use a lot of drugs, but they
are under strict surve illance. The pharmacist is able to detect drug related problems and
these problems can be solved. LääkekorttiT M-printout makes drug utilization review
easier at pharmacy.