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Collab Research Insights 2/11/2021
Pharmaceutical
Literacy
Izzy Rea, Amber Lanese, Josh Leidich
DESIGN 4650 - Collab Dsgn
PHARMACEUTICAL LITERACY / AS DEFINED
An individual’s capacity to obtain, evaluate, calculate, and
comprehend basic information about pharmacotherapy
and pharmacy related services necessary to make
appropriate medication-related decisions.
Source “: Medication Literacy: Why Pharmacists Should Pay Attention.” The Canadian Journal of Hospital Pharmacy.
https:/
/www.ncbi.nlm.nih.gov/pmc/articles/PMC5008434/#:~:text=On%20the%20basis%20of%20feedback,to%20make%20appropriate%20medication%2Drelated
Research Data
MEDICATION ADHERENCE
50%
of medication is not being
taken as directed.
LACK OF PRESCRIPTION
20%
of prescriptions are
not being filled.
HEALTH INSURANCE CONFUSION
33%
of people are able to correctly
define copay, deductible, and
premium.
PHARMACIST
?
Many American’s do not
understand the value that
the pharmacist holds.
What We Know
THE PROBLEM
People are not taking their medications (at all or as directed), or
filling them. There is a lack of understanding surrounding the
pharmacy, prescription medication, and health insurance.
RELATION TO PUBLIC HEALTH
This causes the public to not get the care they need.
Leading to issues related to health.
Research Overview
PATIENTS
PHYSICIANS
HEALTHCARE
SYSTEM
Pharmaceutical Literacy Model
HYPOTHESIS: Pharmaceutical literacy is a 3 part section, and
lack of comprehension within one or more of these 3 sections
can cause medication nonadherence.
Research Overview
PATIENTS
PHYSICIANS
HEALTHCARE
SYSTEM
Pharmaceutical Literacy Model
Medical
Field
HYPOTHESIS: There seems to be a divide between the
patient and medical field that is causing this lack of
understanding.
A lot of time and money is put into understanding meds by
the experts, and creating those meds, but there is a divide
once meds are given to the patient. There’s not much time in
communicating the medication, and a lot is left to chance.
Areas of Focus
PATIENTS
PHYSICIANS HEALTHCARE
SYSTEM
AMBER JOSH IZZY
PATIENTS
PHYSICIANS HEALTHCARE
SYSTEM
PATIENTS
PHYSICIANS HEALTHCARE
SYSTEM
The Pharmacy Experience
focusing on the interaction between the
patient and pharmacist
Medication Taking Behavior
focusing on the daily lifestyle interaction
between the patient and their medication
Health Insurance Literacy
focusing on the the patient and their
understanding of health insurance
Digging Deeper to See the Gaps
PROPOSE
To redesign the pharmacy experience so that pharmacists are
used as a source of knowledge to improve the public’s health and
pharmaceutical literacy, while maintaining and improving the
current medication receiving process.
Slice 1
The Pharmacy Experience
PATIENTS
PHYSICIANS HEALTHCARE
SYSTEM
65%
Of people know that a pharmacist can
assist patients in finding an
over-the-counter solution
13%
Of people know that a pharmacist can
advise patients about general
health topics (diet, stress, etc.)
26%
Of people interact with their pharmacist
beyond giving basic information
(asking questions about
medication, health, etc.)
Slice 1
The Pharmacy Experience
PROBLEM - LACK OF AWARENESS
The general public is not aware of the value that the
pharmacist’s role can play in their overall health.
IDENTIFY & PRESCRIBE
Feels ill/has problem
Slice 1
The Pharmacy Experience
ASSESS
Sees physician/doctor
GET
Goes to the pharmacy
TAKE
Medication at home/in life
The pharmacy experience is seen & designed
as the “GET” phase within a larger experience
of seeking care.
Slice 1
The Pharmacy Experience
Give Information
Once the prescription is ready
and they are in line for the second
time, they give technical
information: name, date of birth,
medication name.
Pay Ask Questions
Wait
They have to drive to the
pharmacy, then wait in line just to
wait in line again.
TAKE PHASE
Frustration & In A Hurry
Frustration over it not being
ready even when you got the text.
A sense of “I know what I need
and I just need to go get it.”
Anxiety
Over remembering everything to
tell them: Rx Number Etc.
Anxiety /Anger/ Frustration
I hope it’s covered! Or that was an
unexpected price!
Uncertainty
I have no idea what the
pharmacist can help me with.
They just give me the meds. If
there is something important they
will just tell me.
GET PHASE
Goes to the pharmacy
Slice 1
The Pharmacy Experience
Wait Info Pay Ask
IDENTIFY & PRESCRIBE
Feels ill/has problem
ASSESS
Sees physician/doctor
GET TAKE
Medication at home/in life
Asses Ask
PROBLEM - EXPERIENCE DESIGN
The current pharmacy process is designed in a way which
focuses on the technical act of giving rather than
understanding what the patient is getting.
AREA OF OPPORTUNITY
The pharmacist has more than just the role of the
medication giver, and they have the potential to be a source
of knowledge in the assess phase, the get phase, and in the
take phase.
PROPOSE
To redesign the experience of medication compliance between
medicines and patients to improve the public’s health and
pharmaceutical literacy, while maintaining and improving the
current medication consumption behavior.
Slice 2
Medication Taking Behavior
PATIENTS
PHYSICIANS HEALTHCARE
SYSTEM
40%
Of people fail to adhere to treatment
recommendations or regimens
from a health care physician
70%
Of people non-adhere to regimens or
preventative treatments if too
complex or require lifestyle
changes
10-15%
Of people who encounter nursing home
admissions or hospital visits result
from patient non-compliance
Slice 2
Medication Taking Behavior
PROBLEM - LACK OF REMEMBRANCE & COMPLIANCE
The general public faces challenges of adhering to medications as
prescribed due to inability to remind and comply.
Medication at home/in life
Goes to the pharmacy
Slice 2
Medication Taking Behavior
IDENTIFY & PRESCRIBE
Feels ill/has problem
ASSESS
Sees physician/doctor
GET TAKE
The medication taking behavior is seen &
designed as the “TAKE” phase within a larger
experience of seeking care.
Slice 2
Medication Taking Behavior
Read & Take
Address the prompted label with
instructions on dosage and time
frame, then take medication
accordingly
Remind Assess
Ask
Once the medication has been
prescribed, they will ask
questions or provide concerns for
further clarification prior to
taking
GET PHASE
Eager & Hesitant
Eager to begin taking a
medication to improve health,
though hesitant as information
provided remains unclear
Concern
On remembering to take
medication as prescribed when
implementing into daily
lifestyle/routine
Anxiety
If medication was taken properly
as prescribed and the effect(s) will
improve health
Questionable
Did I succeed or fail to comply to
the proper consumption
procedure of my prescription
medication?
TAKE PHASE
Goes to the pharmacy
Slice 2
Medication Taking Behavior
IDENTIFY & PRESCRIBE
Feels ill/has problem
ASSESS
Sees physician/doctor
GET
PROBLEM - INTERACTION DESIGN
The current medication taking experience is designed
through means of delivering information associated with a
prescription medication to the intended patient in which
such information is acknowledged and adhered to.
AREA OF OPPORTUNITY
The behavior in which a patient complies to a prescribed
medication reflects the knowledge informed from the get
phase and the take phase. Sources of such knowledge can be
found beyond a bottle or pamphlet.
Medication at home/in life
Ask Take Remind Assess
TAKE
PROPOSE
To redesign the relationship between patients and healthcare
systems to improve the public’s health and health insurance
literacy, while maintaining and improving patient’s control and
understanding of their own health and insurance choices.
Slice 3
Health Insurance Literacy
PATIENTS
PHYSICIANS HEALTHCARE
SYSTEM
50%
Of people correctly calculated
the out-of pocket cost for a
hospital stay involving a
deductible and copay
25%
Of nonelderly low-income citizens
spent 10% or more of their
income on out-of-pocket
expenses
12%
Of people command a level of
health literacy that allows us to
make informed decisions about our
healthcare
Slice 3
Health Insurance Literacy
PROBLEM - LACK OF DIGESTIBLE, ACCESSIBLE INFORMATION
The general public does not have access to comprehendable health
insurance information.
Slice 2
Health Insurance Literacy
Goes to the pharmacy
Pay
IDENTIFY & PRESCRIBE
Feels ill/has problem
ASSESS
Sees physician/doctor
GET TAKE
Medication at home/in life
Asses Not knowing
Creates a barrier
May not seek care
Health insurance literacy is seen & designed
as the “ASSESS” and “GET” phases within a
larger experience of seeking care.
Slice 2
Medication Taking Behavior
Seeking Help
Patients need to be aware of what
medical insurance they have
when going to the doctor
Pay
Symptom Awareness
Patients must be able to assess
their own health and recognize
symptoms
Unfamiliar and Overwhelmed
Unfamiliar because patients may
not know all symptoms.
Overwhelming because of
information overload
Hesitant
If the patient chooses a hospital
or received treatment that is not
covered by their insurance they
will have to pay out of pocket
Confused
What is a deductible and a
co-pay? Will my insurance cover
this? When will I get billed?
ASSESS PHASE IDENTIFY PHASE GET PHASE
Goes to the pharmacy
Slice 2
Medication Taking Behavior
Pay
IDENTIFY & PRESCRIBE
Feels ill/has problem
ASSESS
Sees physician/doctor
GET TAKE
Medication at home/in life
PROBLEM - INFORMATION DESIGN
Choosing the right insurance model for one’s self and
understanding its level of coverage and resources is
complex. It requires a lot of research from the individual
which is made even more difficult with nondigestible
information. A lack of understanding can lead to
exacerbated costs for medical care which in some cases,
may have been avoided.
AREA OF OPPORTUNITY
How may we alleviate some of the research and confusion
an individual experiences when choosing and utilizing an
insurance plan? Can we increase patient health insurance
literacy with little to no additional effort from the
individual?
Symptom
Awareness
Seeking
Help
Medication at home/in life
Ask Take Remind Assess
Relation to Public Health
Each three of these issues ties into the larger journey a person goes through to seek and receive
care. The areas we focused on are confusing or frustrating to a person, which makes it hard to see
the value in starting, seeking or maintaining care.
IDENTIFY & PRESCRIBE
Feels ill/has problem
ASSESS
Sees physician/doctor
TAKE
Goes to the pharmacy
Wait Info Pay Ask
GET
Not knowing
Creates a barrier
May not seek care
With each of us focusing on these topics, we can
improve the design of these processes so that the
level comprehension that a person has about
pharmaceutical related information improves.
Thus improving public health, because more
people are seeking or maintaining the care they
need.
PATIENTS
PHYSICIANS
HEALTHCARE
SYSTEM
AMBER
The Pharmacy Experience
Medication Take Behavior
Health Insurance Literacy
JOSH
IZZY
Relation to Public Health
Thank you.
Sources:
All of our primary and secondary research can be found on:
https://desis.osu.edu/seniorthesis/index.php/team-2/

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Ohio State I.D. Design

  • 1. Collab Research Insights 2/11/2021 Pharmaceutical Literacy Izzy Rea, Amber Lanese, Josh Leidich DESIGN 4650 - Collab Dsgn
  • 2. PHARMACEUTICAL LITERACY / AS DEFINED An individual’s capacity to obtain, evaluate, calculate, and comprehend basic information about pharmacotherapy and pharmacy related services necessary to make appropriate medication-related decisions. Source “: Medication Literacy: Why Pharmacists Should Pay Attention.” The Canadian Journal of Hospital Pharmacy. https:/ /www.ncbi.nlm.nih.gov/pmc/articles/PMC5008434/#:~:text=On%20the%20basis%20of%20feedback,to%20make%20appropriate%20medication%2Drelated
  • 3. Research Data MEDICATION ADHERENCE 50% of medication is not being taken as directed. LACK OF PRESCRIPTION 20% of prescriptions are not being filled. HEALTH INSURANCE CONFUSION 33% of people are able to correctly define copay, deductible, and premium. PHARMACIST ? Many American’s do not understand the value that the pharmacist holds. What We Know
  • 4. THE PROBLEM People are not taking their medications (at all or as directed), or filling them. There is a lack of understanding surrounding the pharmacy, prescription medication, and health insurance. RELATION TO PUBLIC HEALTH This causes the public to not get the care they need. Leading to issues related to health.
  • 5. Research Overview PATIENTS PHYSICIANS HEALTHCARE SYSTEM Pharmaceutical Literacy Model HYPOTHESIS: Pharmaceutical literacy is a 3 part section, and lack of comprehension within one or more of these 3 sections can cause medication nonadherence.
  • 6. Research Overview PATIENTS PHYSICIANS HEALTHCARE SYSTEM Pharmaceutical Literacy Model Medical Field HYPOTHESIS: There seems to be a divide between the patient and medical field that is causing this lack of understanding. A lot of time and money is put into understanding meds by the experts, and creating those meds, but there is a divide once meds are given to the patient. There’s not much time in communicating the medication, and a lot is left to chance.
  • 7. Areas of Focus PATIENTS PHYSICIANS HEALTHCARE SYSTEM AMBER JOSH IZZY PATIENTS PHYSICIANS HEALTHCARE SYSTEM PATIENTS PHYSICIANS HEALTHCARE SYSTEM The Pharmacy Experience focusing on the interaction between the patient and pharmacist Medication Taking Behavior focusing on the daily lifestyle interaction between the patient and their medication Health Insurance Literacy focusing on the the patient and their understanding of health insurance Digging Deeper to See the Gaps
  • 8. PROPOSE To redesign the pharmacy experience so that pharmacists are used as a source of knowledge to improve the public’s health and pharmaceutical literacy, while maintaining and improving the current medication receiving process. Slice 1 The Pharmacy Experience PATIENTS PHYSICIANS HEALTHCARE SYSTEM
  • 9. 65% Of people know that a pharmacist can assist patients in finding an over-the-counter solution 13% Of people know that a pharmacist can advise patients about general health topics (diet, stress, etc.) 26% Of people interact with their pharmacist beyond giving basic information (asking questions about medication, health, etc.) Slice 1 The Pharmacy Experience PROBLEM - LACK OF AWARENESS The general public is not aware of the value that the pharmacist’s role can play in their overall health.
  • 10. IDENTIFY & PRESCRIBE Feels ill/has problem Slice 1 The Pharmacy Experience ASSESS Sees physician/doctor GET Goes to the pharmacy TAKE Medication at home/in life The pharmacy experience is seen & designed as the “GET” phase within a larger experience of seeking care.
  • 11. Slice 1 The Pharmacy Experience Give Information Once the prescription is ready and they are in line for the second time, they give technical information: name, date of birth, medication name. Pay Ask Questions Wait They have to drive to the pharmacy, then wait in line just to wait in line again. TAKE PHASE Frustration & In A Hurry Frustration over it not being ready even when you got the text. A sense of “I know what I need and I just need to go get it.” Anxiety Over remembering everything to tell them: Rx Number Etc. Anxiety /Anger/ Frustration I hope it’s covered! Or that was an unexpected price! Uncertainty I have no idea what the pharmacist can help me with. They just give me the meds. If there is something important they will just tell me. GET PHASE
  • 12. Goes to the pharmacy Slice 1 The Pharmacy Experience Wait Info Pay Ask IDENTIFY & PRESCRIBE Feels ill/has problem ASSESS Sees physician/doctor GET TAKE Medication at home/in life Asses Ask PROBLEM - EXPERIENCE DESIGN The current pharmacy process is designed in a way which focuses on the technical act of giving rather than understanding what the patient is getting. AREA OF OPPORTUNITY The pharmacist has more than just the role of the medication giver, and they have the potential to be a source of knowledge in the assess phase, the get phase, and in the take phase.
  • 13. PROPOSE To redesign the experience of medication compliance between medicines and patients to improve the public’s health and pharmaceutical literacy, while maintaining and improving the current medication consumption behavior. Slice 2 Medication Taking Behavior PATIENTS PHYSICIANS HEALTHCARE SYSTEM
  • 14. 40% Of people fail to adhere to treatment recommendations or regimens from a health care physician 70% Of people non-adhere to regimens or preventative treatments if too complex or require lifestyle changes 10-15% Of people who encounter nursing home admissions or hospital visits result from patient non-compliance Slice 2 Medication Taking Behavior PROBLEM - LACK OF REMEMBRANCE & COMPLIANCE The general public faces challenges of adhering to medications as prescribed due to inability to remind and comply.
  • 15. Medication at home/in life Goes to the pharmacy Slice 2 Medication Taking Behavior IDENTIFY & PRESCRIBE Feels ill/has problem ASSESS Sees physician/doctor GET TAKE The medication taking behavior is seen & designed as the “TAKE” phase within a larger experience of seeking care.
  • 16. Slice 2 Medication Taking Behavior Read & Take Address the prompted label with instructions on dosage and time frame, then take medication accordingly Remind Assess Ask Once the medication has been prescribed, they will ask questions or provide concerns for further clarification prior to taking GET PHASE Eager & Hesitant Eager to begin taking a medication to improve health, though hesitant as information provided remains unclear Concern On remembering to take medication as prescribed when implementing into daily lifestyle/routine Anxiety If medication was taken properly as prescribed and the effect(s) will improve health Questionable Did I succeed or fail to comply to the proper consumption procedure of my prescription medication? TAKE PHASE
  • 17. Goes to the pharmacy Slice 2 Medication Taking Behavior IDENTIFY & PRESCRIBE Feels ill/has problem ASSESS Sees physician/doctor GET PROBLEM - INTERACTION DESIGN The current medication taking experience is designed through means of delivering information associated with a prescription medication to the intended patient in which such information is acknowledged and adhered to. AREA OF OPPORTUNITY The behavior in which a patient complies to a prescribed medication reflects the knowledge informed from the get phase and the take phase. Sources of such knowledge can be found beyond a bottle or pamphlet. Medication at home/in life Ask Take Remind Assess TAKE
  • 18. PROPOSE To redesign the relationship between patients and healthcare systems to improve the public’s health and health insurance literacy, while maintaining and improving patient’s control and understanding of their own health and insurance choices. Slice 3 Health Insurance Literacy PATIENTS PHYSICIANS HEALTHCARE SYSTEM
  • 19. 50% Of people correctly calculated the out-of pocket cost for a hospital stay involving a deductible and copay 25% Of nonelderly low-income citizens spent 10% or more of their income on out-of-pocket expenses 12% Of people command a level of health literacy that allows us to make informed decisions about our healthcare Slice 3 Health Insurance Literacy PROBLEM - LACK OF DIGESTIBLE, ACCESSIBLE INFORMATION The general public does not have access to comprehendable health insurance information.
  • 20. Slice 2 Health Insurance Literacy Goes to the pharmacy Pay IDENTIFY & PRESCRIBE Feels ill/has problem ASSESS Sees physician/doctor GET TAKE Medication at home/in life Asses Not knowing Creates a barrier May not seek care Health insurance literacy is seen & designed as the “ASSESS” and “GET” phases within a larger experience of seeking care.
  • 21. Slice 2 Medication Taking Behavior Seeking Help Patients need to be aware of what medical insurance they have when going to the doctor Pay Symptom Awareness Patients must be able to assess their own health and recognize symptoms Unfamiliar and Overwhelmed Unfamiliar because patients may not know all symptoms. Overwhelming because of information overload Hesitant If the patient chooses a hospital or received treatment that is not covered by their insurance they will have to pay out of pocket Confused What is a deductible and a co-pay? Will my insurance cover this? When will I get billed? ASSESS PHASE IDENTIFY PHASE GET PHASE
  • 22. Goes to the pharmacy Slice 2 Medication Taking Behavior Pay IDENTIFY & PRESCRIBE Feels ill/has problem ASSESS Sees physician/doctor GET TAKE Medication at home/in life PROBLEM - INFORMATION DESIGN Choosing the right insurance model for one’s self and understanding its level of coverage and resources is complex. It requires a lot of research from the individual which is made even more difficult with nondigestible information. A lack of understanding can lead to exacerbated costs for medical care which in some cases, may have been avoided. AREA OF OPPORTUNITY How may we alleviate some of the research and confusion an individual experiences when choosing and utilizing an insurance plan? Can we increase patient health insurance literacy with little to no additional effort from the individual? Symptom Awareness Seeking Help
  • 23. Medication at home/in life Ask Take Remind Assess Relation to Public Health Each three of these issues ties into the larger journey a person goes through to seek and receive care. The areas we focused on are confusing or frustrating to a person, which makes it hard to see the value in starting, seeking or maintaining care. IDENTIFY & PRESCRIBE Feels ill/has problem ASSESS Sees physician/doctor TAKE Goes to the pharmacy Wait Info Pay Ask GET Not knowing Creates a barrier May not seek care
  • 24. With each of us focusing on these topics, we can improve the design of these processes so that the level comprehension that a person has about pharmaceutical related information improves. Thus improving public health, because more people are seeking or maintaining the care they need. PATIENTS PHYSICIANS HEALTHCARE SYSTEM AMBER The Pharmacy Experience Medication Take Behavior Health Insurance Literacy JOSH IZZY Relation to Public Health
  • 25. Thank you. Sources: All of our primary and secondary research can be found on: https://desis.osu.edu/seniorthesis/index.php/team-2/