AnneMarie TomoskyChildren’s Hospital of Philadelphia Outpatient and Emergency Departments, United States of America
Title: Evaluating Medication Habits in Medical Mission Patients: A Cross-Sectional Study
Background Short-term medical missions (STMMs) are a highly debated and largely understudied form of international volunteer work. STMM care varies in length, frequency, size, location, services offered, and country of origin and destination, making the systematic evaluation of STMMs difficult. Despite intermittent availability, primary care missions offering pharmaceutical supplies have the unique opportunity to provide continued care to the community via free prescription supplies each visit. Given the challenges with measuring long-term outcomes in this population, it is unknown if these donated medications impact patient health outcomes. As medication noncompliance is known to hinder health outcomes, our study evaluated patient medication habits to see if these prescription supplies were being utilized appropriately. To our knowledge, no study has surveyed medical mission patients to explore their access and utilization of medication. A cross-sectional study was conducted using a patient survey to identify risks and factors associated with medication noncompliance in patients visiting the medical mission, Waves of Health (WOH). WOH has organized biannual seven-day trips to the
Dominican Republic for over ten years. Survey items were dichotomized for univariate analysis to identify factors associated with running out of medication. We performed multivariate logistic regression analysis by ENTER method to explore predictors of running out of medicine. Of 127 patients, over half (58.3% ) reported running out of medication. Interventions to improve medication practices should be explored due to the high number of patients who reported improper medication utilization.
AnneMarie Tomosky is a prospective medical student who has completed her Bachelor’s of Science in Kinesiology with a Pre-Health Concentration and Certificate in Genomic Medicine at Temple University. She manages 40 employees across eleven departments in the Outpatient Division and Emergency Departments at Children’s Hospital of Philadelphia (CHOP). She completes charts on patients in Dermatology, Cardiology, Psychiatry, and Adolescent Medicine within CHOP’s Outpatient Division. She has approximately 5,500 hours of clinical experience in Pediatric and Emergency Medicine.