title: Pilot study to assess the influence of an enhanced medication plan on patient knowledge at hospital discharge.
abstract: OBJECTIVE
  This study assessed the effect of providing an enhanced medication plan (EMP) to patients during patient-physician conversation at hospital discharge and evaluated its immediate impact on patient knowledge on pharmacotherapy.
  
  
  METHODS
  We observed patient-physician conversations at hospital discharge in three internal medicine wards of the University Hospital Heidelberg before and after the EMP was integrated into the discharge process, and documented how and to what extent physicians provided the patients with drug information. After the conversation, the patients' knowledge was evaluated by three standardized questions about their pharmacotherapy.
  
  
  RESULTS
  We observed 90 conversations (50 before EMP-implementation, 40 after). In both phases, the conversation duration was 5.6-6 min (p = 0.56). However, the time spent on drug information increased significantly by 61.7% after EMP-implementation (+63 s, p = 0.02). Before implementation, physicians gave at least one drug administration recommendation for 75.1% of all drugs, compared to 84.6% after implementation (p = 0.02). The EMP provided information for almost all drugs (98.9%; p < 0.01) after implementation. Three times more patients answered all questions correctly after EMP-implementation (p < 0.01).
  
  
  CONCLUSIONS
  The provision of an EMP improves information transfer and therefore increases the patients' knowledge of their individual drug treatment without prolonging the overall discharge process.
authors: Department of Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, 69120, Heidelberg, Germany.
authors: Alexander Francesco Josef
authors: AF
authors: Send
authors: Michael
authors: M
authors: Schwab
authors: Annika
authors: A
authors: Gauss
authors: Gottfried
authors: G
authors: Rudofsky
authors: Walter Emil
authors: WE
authors: Haefeli
authors: Hanna Marita
authors: HM
authors: Seidling
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003142:Communication; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D010353:Patient Education as Topic / Q000379:methods*; D004364:Pharmaceutical Preparations / Q000008:administration & dosage; D010817:Physician-Patient Relations; D010865:Pilot Projects; D011446:Prospective Studies; D013997:Time Factors; D055815:Young Adult
chemical_list: D004364:Pharmaceutical Preparations