I am Tzu-Chun Tsai, Director General of Public Health Department, Taoyuan City Government, has been involved in the field of public health and medicine.
With board-certified pediatrics, immunology, and nephrology, I was good at critical care, acute and chronic diseases and dealt with various patients aged from infants to the elders. I also devoted in research with expertise in epidemiology, clinical medicine, and molecular biology and in education about biomedical science at National Yang-Ming University, National Ilan University, and National Taiwan Ocean University. In the meanwhile medical practice, I also got involved in bench research and won the degree of Master of Science in biotechnology in February2009. I continued to pursue a Ph.D. for clinical medicine. I participated in international fellowship training about medical care of kidney transplantation of children and adolescences in the Children’s Center of Heidelberg University Hospital.
Age-friendly Network Plan Provided from Community Pharmacy
The percentage of population above 65 years old in Taiwan is over 7% in 1993 and becomes the aged society formally. The percentage of population above 65 years old will go up over 20% of hyper-aged society in 2026. The need of elders’ chronic disease treatment and care will increase year-on-year, the importance of medication safety on therapy will also show up.
Department of Public Health, Taoyuan solves the issues of geographical characteristics and urban-rural gap and uses the advantages of Health Insurance pharmacy which are convenient and with geo-relation to recruit and set up age-friendly pharmacy based on the concepts of aging in place. This can provide elders friendly medication environment and integrate the health care system of medical institutions to provide appropriate services and reference and make pharmacists get close to community care stronghold. “A Pharmacist for a Stronghold” propaganda will be promoted to get close to the needs of elders and clarify the questions about medication or services of reference.
122 age-friendly pharmacies are established in Taoyuan in 2015. Through the visitation from pharmacies, we find out that the percentage of cognition of medication error from elders goes down from 58% to 17.87% which shows that the phenomenon of medication error from elders decreases. 59 advocacy activities are held in 2016. Through the tests before and after advocacy activities, we find out that the score of medication knowledge of elders goes up from 75.64 to 96.71. The medication concepts increases for 27.86%. Therefore, we start from age-friendly pharmacy and spread the age-friendly network to community care stronghold. It has positively actual effects toward medication concepts and health promotion of elders.
There is an expansion among 13 districts which means 181 age-friendly pharmacies are set up in 2017. Meanwhile, 151 advocacy activities of “A Pharmacist for a Stronghold” for medication safety are held. Also, we combine the needs of blending in with society from elders and hold a “Medication Safety Propaganda and Knowledge Competition for Elders” activity. Through the brainstorming from propaganda and competition, pharmacist can lead elders to blend in the concepts of medication safety with daily life. Elders can share learned knowledge with more relatives and friends and build a healthy environment with medication safety and a healthy city with elders who have lifestyle of health and sustainability.