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1.
Int J Clin Pharm ; 46(5): 1200-1207, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-38861044

RESUMEN

BACKGROUND: Pharmacy professionals, given their health expertise, can play a role in enhancing health education within their communities and among patients. The potential of the pharmacy workforce to enhance health education among primary school children is underexplored. AIM: This study aimed to investigate the perspectives of pharmacy staff on the provision of education regarding self-care and treatment of minor ailments to primary school-aged children and to identify roles that pharmacists could play in this regard. METHOD: Qualitative semi-structured interviews were conducted online with frontline pharmacy staff in the UK who had patient facing roles with primary school-aged children and parents. Interviews were audio-recorded and transcribed verbatim. Thematic data analysis was applied to the transcripts. RESULTS: A total of 17 participants were recruited. Participants included 12 pharmacists, two pharmacy technicians and three pharmacy dispensers. All participants worked within community, hospital or primary care facilities. Five themes emerged from the data analysis: sources of health knowledge accessed by children and parents; a perceived lack of knowledge regarding self-care and treatments for minor ailments among children and parents; a perceived positive impact of education on self-care; barriers to health education; and the potential role of pharmacy staff in self-care education in schools. CONCLUSION: Pharmacy staff recognise the value of integrating health education into primary school curricula. A collaborative approach with educational institutions could bridge the gap in knowledge regarding self-care and treatment of minor ailments, and could empower children and reduce unnecessary use of healthcare resources.


Asunto(s)
Farmacéuticos , Investigación Cualitativa , Autocuidado , Humanos , Niño , Femenino , Masculino , Autocuidado/métodos , Rol Profesional , Instituciones Académicas , Educación en Salud/métodos , Conocimientos, Actitudes y Práctica en Salud , Adulto , Padres , Actitud del Personal de Salud , Servicios de Salud Escolar
2.
Clinicoecon Outcomes Res ; 16: 233-246, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38716161

RESUMEN

Introduction: As the shortage of primary care providers widens nationwide, access to care utilizing non-physician providers is one strategy to ensure equitable access to care. This study aimed to compare community pharmacist-provided care for minor ailments to care provided at three traditional sites of care: primary care, urgent care, and emergency department, to determine if care provided by pharmacists improved access with comparable quality and reduced financial strain on the healthcare system. Methods: Pharmacy data was provided from 46 pharmacies and 175 pharmacists who participated across five pharmacy corporations over a 3-year period (2016-2019). Data for non-pharmacy sites of care was provided by a large health plan, matching episodes of care for conditions seen in the community pharmacy. Cost-of-care analysis was conducted using superiority study design and revisit data analysis was conducted using noninferiority study design. Results: Median cost-of-care across traditional sites of care was $277.78 higher than care provided at the pharmacies, showing superiority. Noninferiority was demonstrated for revisit care when the initial visit was conducted by a pharmacist compared to traditional sites. Discussion: The authors conclude community pharmacist-provided care for minor ailments improved cost-effective access for patients with comparable quality and reduced financial strains on the healthcare system.

3.
Explor Res Clin Soc Pharm ; 13: 100412, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38322505

RESUMEN

This manuscript offers a glimpse into the Canadian healthcare system, emphasizing the prevalence and management of minor ailments through self-care practices. The first section outlines the strengths and challenges of the healthcare system, including access issues and escalating costs. The second section explores self-care in Canada, outlines the Self-Care Readiness Index, and Canadians' proactive management of common conditions through self-care activities, including the use of over-the-counter (OTC) medicines. Consumer behaviors, preferences, and the thriving OTC market are discussed. It also discusses existing programs and initiatives encouraging self-care. While lacking a coordinated national strategy, various organizations, including Health Canada, have taken steps to regulate and promote self-care products. The role of pharmacies, industry groups, and public health campaigns in fostering self-care is explored, along with public access to OTC medicines, Rx-to-OTC switching, and consumer expectations related to such medicines. Factors influencing self-care and self-medication are explored, focusing on access to medical care, public perceptions of OTC medicines, and the public's ability to engage in appropriate actions. The crucial role of pharmacists in minor ailment care is examined. Insights are provided into Canada's healthcare landscape, emphasizing the significance of self-care in managing minor ailments. The public has access to many resources on how to engage in self-care and deal with minor ailments, but a formal system to promote them is lacking. The findings prompt considerations for future healthcare policies and public health campaigns, highlighting the evolving nature of healthcare practices in the nation.

4.
Pharmacy (Basel) ; 11(5)2023 Aug 22.
Artículo en Inglés | MEDLINE | ID: mdl-37736905

RESUMEN

Community pharmacy staff assist in the management of minor ailments. Agency Theory underpins relationships between health professionals and patients. This study explores pharmacists' and pharmacy technicians' perceived scopes of practice of minor ailment services in community pharmacies. Twelve one-on-one semi-structured interviews used an open-ended interview guide for each cohort of community pharmacists and pharmacy technicians, between June and July 2021. Purposive sampling selected a diversity of pharmacists and pharmacy technicians. Interviews were transcribed verbatim, thematically analysed assisted by NVivo version 20. Agency Theory aided the interpretation. Three main themes emerged: (1) inconsistencies in practice, (2) the lack of understanding of the scopes of practice of pharmacists and pharmacy technicians, and (3) provision of prescription-only medicines for some minor ailments or to fulfil patient requests. Several sub-themes included pharmacy staff involvement, education and training, provision of prescription-only medicines, and weak regulatory enforcement. Agency Theory indicated pharmacy patients (principals) delegated authority to pharmacists and pharmacy technicians (agents), which was confused by partial pharmacist absence. The lack of defined scopes of practice for pharmacists and pharmacy technicians disrupted established professional relationships. The scopes of practice and roles of the pharmacist and pharmacy technicians should be clearly defined, assisted by practice guidelines.

5.
Farm Comunitarios ; 15(3): 3-4, 2023 Jul 15.
Artículo en Español | MEDLINE | ID: mdl-39157700

RESUMEN

Minor Ailments Service is the Community Pharmacy Service provided in the consultation of a specific health problem, for a patient or caregiver who comes to the pharmacy requesting the most appropriate remedy for them. It is one of the most important activities in our profession. The Minor Ailments Service is established when the community pharmacist begins to work in a protocolized manner and following the methodology. The Indica+Pro Study began in 2020 and ends this year. It has more than 20,500 records.An example to follow are some of the experiences of colleagues in the SEFAC Pharmaceutical Minor Ailments work group that we can read about in the article "Factors and strategies in the implementation of the Minor Ailments Service in Community Pharmacy" published in this issue. It is a pharmacy committed to its patients where the entire team works in a coordinated manner and keeps a surprising number of records in the Indica+Pro Study.

6.
Farm Comunitarios ; 15(3): 25-30, 2023 Jul 15.
Artículo en Español | MEDLINE | ID: mdl-39157696

RESUMEN

Minor ailment service (MAS) is a professional pharmacy service assisting patients to manage minor ailments. MAS involves a structured consultation process with protocols which delineate professional practice. INDICA+PRO is a project, started in 2017, which evaluates the impact and subsequently implementation of MAS in Spanish community pharmacies. This paper reports on the experience of implementing the service in a single pharmacy.Implementation factors (barriers and facilitators) were detected and a series of strategies were developed and used as part of the implementation program of MAS through a practice program, INDICA+PRO. The implementation strategies, such as highlighting the advantages of MAS for the pharmacy, incentives for the provision of the service and/or the distribution of tasks within the team were used to overcome barriers. Facilitators included the availability of a consultation room in the pharmacy, good relationships with nearby health centers and the provision of other professional services in the pharmacy.The advantages obtained from MAS, following the inclusion in the software (SEFAC eXPERT®) of the agreed protocols and clinical information, were improved patient follow-up, increased communication within the team and with patients, the pharmacy having a clinical history of the minor ailments and the ability of being able to prepare standardized reports.

7.
Pharmacy (Basel) ; 10(5)2022 Sep 21.
Artículo en Inglés | MEDLINE | ID: mdl-36287438

RESUMEN

BACKGROUND: The NHS Community Pharmacist Consultation Service (CPCS) offers patients requiring urgent care a consultation with a community pharmacist, following referral from general practice or urgent care. The study explored the impact of undertaking a Centre for Pharmacy Postgraduate Education (CPPE) CPCS learning programme, and barriers and enablers to CPCS delivery. METHODS: CPPE distributed an online survey to those who had undertaken their CPCS learning. The survey explored participants' knowledge, confidence and application of taught skills/tools, including clinical history-taking, clinical assessment, record keeping, transfer of care, and Calgary-Cambridge, L(ICE)F and SBARD communication tools. Details on barriers and enablers to CPCS delivery were also included. RESULTS: One-hundred-and-fifty-nine responses were received (response rate 5.6%). Knowledge of, and confidence in, taught skills were high and respondents reported applying skills in CPCS consultations and wider practice. Barriers to CPCS included a lack of general practice referrals, staffing levels, workload, and GP attitudes. Enablers included a clear understanding of what was expected, minimal concerns over indemnity cover and privacy, and positive patient attitudes towards pharmacy. CONCLUSION: This study demonstrates that community pharmacists can extend their practice and contribute to the enhanced provision of urgent care in England. This study identified barriers, both interpersonal and infrastructural, that may hinder service implementation.

8.
BMC Health Serv Res ; 22(1): 920, 2022 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-35841030

RESUMEN

BACKGROUND: Seeking pharmacist advice about minor ailments is a common practice among Iraqi patients because such advice is free and quick. Unfortunately, the assessment and management of minor ailments by Iraqi pharmacists were inappropriate. Therefore, this study aimed to develop a model for a mobile application that can assist community pharmacists in the diagnosis and management of minor ailments. METHODS: The scientific content of the application was based on the information in the symptoms in the pharmacy and British National Formulary books. The design and content of the application were approved by two experts. Thereafter, the application was built for Android mobiles using flutter technology and dart language. A pre-post pilot study was conducted to assess outcomes associated with use of the application, including user acceptance and appropriateness of clinical recommendations. Fifteen students from the College of Pharmacy/University of Baghdad who had an Android mobile participated in this study. Two different scenarios about diarrhea were used during the pilot study, in which the researcher acted as a patient (SP) and the participant student as a pharmacist. RESULTS: After using the application, the number of questions asked by the participated student to the SP was significantly increased to about double. Additionally, providing the SP with appropriate non-pharmacological and pharmacological therapy along with optimum counseling and education were also significantly improved. All study participants agreed on the application's ease of use and ability to reduce diagnosis and medication errors. CONCLUSIONS: The implementation of the newly developed mobile application, diarrhea management step by step, was associated with improvements in assessment and recommended treatments for diarrhea cases with good acceptance by a pilot sample of pharmacy students at Baghdad University.


Asunto(s)
Servicios Comunitarios de Farmacia , Aplicaciones Móviles , Diarrea , Humanos , Farmacéuticos/psicología , Proyectos Piloto
9.
Farm. comunitarios (Internet) ; 14(Supl 1): 1, junio 2022. graf
Artículo en Español | IBECS | ID: ibc-209484

RESUMEN

JUSTIFICACIÓN: un número variable de pacientes acuden al médico de atención primaria (entre el 10-85%, dependiendo del país), o a las urgencias hospitalarias (un 5% en Reino Unido) para el tratamiento de los síntomas menores, lo que supone un gasto extra y una saturación de los centros médicos innecesaria que podría evitarse, mediante la incorporación de la Farmacia Comunitaria (FC) en el circuito de la sanidad.OBJETIVOS: analizar pormenorizadamente del sistema sanitario de Reino Unido que incorpora a la farmacia comunitaria en el circuito de la sanidad y en particular el programa NHS111.MATERIALES Y MÉTODOS: estudio sistemático de las publicaciones obtenidas en Pubmed empleando los términos Farmacia comunitaria y Reino Unido. Se encontraron 743 resultados de los cuales 7 eran artículos relacionados con NHS111. Además, se consultaron las páginas web del Servicio Nacional del Reino Unido (NHS), y del sistema nacional de salud español mediante consultas a la página web del ministerio de sanidad (MSC).RESULTADOS: el programa comenzaba con una llamada telefónica por parte del paciente al número 111. Allí un médico, enfermera, farmacéutico o paramédico que atendía la llamada, obtenía información suficiente para dar al paciente un consejo relacionado con la salud, derivarle a una FC o al médico. En caso de acudir a la FC, esta tenía una sala habilitada con acceso informático, un farmacéutico con habilidades clínicas y se disponía de protocolos de actuación para 64 síntomas menores. Con este servicio, el 71 % de los pacientes recibió una indicación para el síntoma menor en la FC, el 12 % de los casos se derivó al servicio de urgencias y el 17 % se derivó a otro profesional, o MAP no urgente. (AU)


Asunto(s)
Humanos , Atención Primaria de Salud , Pacientes , Urgencias Médicas , Sistemas Nacionales de Salud , Farmacia , 35170
10.
Artículo en Inglés | LILACS | ID: biblio-1420510

RESUMEN

Abstract The announcement by the WHO of the characterization of the new Coronavirus 2019 disease (COVID-19) as a pandemic, entails an adaptation by the community pharmacy in carrying out its care activity in general, with particular emphasis on "Minor Ailments Service" in particular. The measures taken by the different health administrations in which patient telephone care by primary care offices is prioritized have left more consultations on symptoms in the community pharmacist health-related problems as pharmacies are the closest health facilities to the patient. The similarity between the symptomatology caused by the new Coronavirus with that of some Enteroviruses that cause mild respiratory and gastrointestinal tables (dry cough, fever, sore throat, vomiting, diarrhoea, etc.) makes community pharmacies highly capable places for contagion detection and prevention. A model of protocolized intervention is needed to facilitate the pharmacist's work in discriminating during the indication between minor symptoms and symptoms of referral for possible cases of COVID-19 so that in conjunction with the rest of the staff we help control the disease and make better use of primary care consultations.


Asunto(s)
Farmacias/clasificación , COVID-19/prevención & control , Farmacéuticos/clasificación , Servicios Farmacéuticos/ética , Atención Primaria de Salud/clasificación , Coronavirus/patogenicidad
11.
Saudi Pharm J ; 29(9): 992-998, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34588845

RESUMEN

OBJECTIVE: To assess the determinants of community pharmacists' information gathering and counseling practices during the management of minor ailments in Qatar. METHOD: A cross-sectional study of 305 community pharmacists was conducted with a pre-tested 27-item questionnaire. Bivariate logistic regression was used to identify the determinants of information gathering and counseling practices. RESULTS: The response rate was 92.5% (282/305). A majority of the respondents (68.1%) were males, within the age range of 31-40 years (55.3%), work for chains pharmacies (77.3%), and were predominantly of foreign nationalities (94.7%). Patients' identity (91.1%), age (92.2%), symptoms (92.6%) and duration of symptoms (89.3%) were most frequent information gathered, while dose (99%), frequency (97.8%), route of administration (95.7%), and duration of use (92.9%) were the most frequent counseling information. Median information gathering score was significantly higher in females and among community pharmacists in chain pharmacies (p < 0.05), while median counseling practice scores were significantly higher among in chain pharmacies (p < 0.05). Consultation time of 6-10 min (OR = 1.75, 95% CI: 1.02-3.0, p = 0.04) and female gender (OR = 2.10, 95% CI: 1.16-3.79, p = 0.01) were significant determinants of information gathering, while age group (31-40 years) (OR = 1.84, 95% CI: 1.05-3.22, p = 0.03) and consultation time (6-10 min) (OR = 2.24, 95% CI: 1.31-3.86, p = 0.003) were significant determinants of counseling practices. CONCLUSION: The significant determinants of community pharmacists' Information gathering and counseling practices during the management of minor ailments were female gender and consultation time (6-10 min), and age group (31-40 years) and consultation time (6-10 min) respectively.

12.
O.F.I.L ; 31(3): 309-314, July-September 2021. tab
Artículo en Inglés | IBECS | ID: ibc-224576

RESUMEN

Introduction: Minor Ailment Service is a very common pharmaceutical service. The objective was to evaluate the criteria associated with the referral to physician or with dispensing medicines in those consultations in Costa Rica.Method: Observational descriptive cross-sectional multicenter exploratory study of: Minor Ailment Service consultations in 30 community pharmacies, and analyzed the factors associated with to refer to the physician or dispense medicines.Results: There were 1,538 consultations, of which medicines are dispensed in 92.3% of them (n=1,420), referred to the physician in 6.7% (n=103). In relation to the intervention of referring to the physician, the bivariate analysis showed a statistically significant association with them, highlighting the criteria suspected adverse drug reaction, medicines use currently for other health problem and duration of the health problem ≥7 days.Conclusions: The service is complex and shows that the pharmacist follows a series of criteria to make a decision –the referral to physician or dispensing medicines–. There are seven important criteria according to this study. However, the one that stands out is suspected adverse drug reaction, followed by medicines use currently for other health problems, duration of the health problem ≥7 days and pregnancy/lactation. (AU)


Introducción: La indicación farmacéutica es un servicio farmacéutico muy común. El objetivo fue evaluar criterios asociados con derivar al médico o dispensar.Método: Estudio exploratorio multicéntrico, descriptivo de las consultas de indicación farmacéutica en 30 farmacias comunitarias durante 8 semanas. Resultados: Hubo 1.538 consultas, de las cuales se dispensaron medicamentos en el 92,3% de ellas (n=1.420), remitidas al médico en el 6,7% (n=103). En relación con la intervención de referirse al médico, el análisis bivariado mostró una asociación estadísticamente significativa con ellos, destacando los criterios sospecha de reacción adversa a medicamentos, uso de medicamentos actualmente para otro problema de salud y duración del problema de salud ≥7 días.Conclusiones: El servicio es complejo y muestra que el farmacéutico sigue una serie de criterios para la derivación al médico o la dispensación. Hay siete criterios importantes según este estudio. Sin embargo, el que destaca es la sospecha de reacción adversa a medicamentos, seguido del uso de medicamentos actualmente para otros problemas de salud, la duración del problema de salud ≥7 días y el embarazo/lactancia. (AU)


Asunto(s)
Humanos , Servicios Farmacéuticos/provisión & distribución , Servicios Farmacéuticos/tendencias , Estudios Multicéntricos como Asunto , Epidemiología Descriptiva , Farmacias , Costa Rica
13.
Pharmacy (Basel) ; 9(2)2021 Apr 27.
Artículo en Inglés | MEDLINE | ID: mdl-33925675

RESUMEN

To date, eight of ten Canadian provinces have authorized pharmacists to prescribe for minor ailments. Prompted by a request by the Ontario Minister of Health, draft regulations were submitted to enable this pharmacy service in Ontario. Differences exist in how jurisdictions have approached development and delivery of these programs. This paper will summarize key differences and similarities among existing programs while highlighting the multi-pronged approach utilized by Ontario. Such an approach involved broad stakeholder engagement, implementation science, and an evaluations framework to guide an assessment of the impact of this new service. These insights can be leveraged by other jurisdictions planning to initiate or evolve their minor ailment prescribing services.

14.
Int J Clin Pharm ; 43(3): 654-665, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33125624

RESUMEN

Background Minor ailments services are structured pharmacy-based primary health care services that manage minor conditions. Limited training, education and assessment exists to promote the delivery of minor ailments services by pharmacy staff and it is unclear if the existing training and education processes meet professional requirements. Objective To explore the views and experiences of health professional stakeholders such as community pharmacists, intern pharmacists, medicines counter assistants and general medical practitioners with regards to minor ailments services education, training and assessment practices and preferences. Setting This study explored the views and experiences of health professional stakeholders in Australia. Method Semi-structured interviews were conducted, audio recorded, transcribed verbatim and then coded thematically using QSR Nvivo12. Main outcome measure Stakeholders' views and experiences regarding minor ailments services education, training and assessment practices and preferences. Results Twenty-eight interviews were conducted (community pharmacists n = 12; medicines counter assistants n = 4; intern pharmacists n = 9; general medical practitioners n = 3). Thematic analysis generated three themes: (1) pharmacy staff who require minor ailment service training; (2) acceptability and willingness to complete additional training; (3) learning preferences and approaches. Stakeholders reported considerations for the diverse roles in service delivery and fit for purpose tailored training. Conclusion Detailed practice guidelines may facilitate clarity of an individual staff member's role. Education and training in both clinical and non-clinical aspects of the service may be beneficial and may improve minor ailments service uptake and outcomes.


Asunto(s)
Servicios Comunitarios de Farmacia , Médicos Generales , Farmacias , Actitud del Personal de Salud , Humanos , Farmacéuticos , Rol Profesional
15.
Int J Pharm Pract ; 29(1): 29-36, 2021 Feb 10.
Artículo en Inglés | MEDLINE | ID: mdl-32715568

RESUMEN

OBJECTIVES: Self-medication, while potentially beneficial, also brings certain risks such as inappropriate treatment and adverse effects. In this study, we determine the prevalence and perception towards self-medication among adults living in the Klang Valley, Malaysia. METHODS: This study was a cross-sectional study which sampled 562 respondents across the Klang Valley, Malaysia using a stratified quota sampling method and a self-administered questionnaire. The questionnaire consisted of three sections: demographic data, self-medication practices and perception towards self-medication. Perception towards self-medication was measured using 20 statements with a 5-point Likert scale. Descriptive and inferential tests as well as factor analysis were used to analyse the data. KEY FINDINGS: The overall prevalence of self-medication for minor ailments was 63.5%. Self-medication was practised to a similar degree regardless of respondent demographics. Respondents most frequently obtained their medicines for self-medication of minor ailments from pharmacies without consulting the pharmacist (68.6%), followed by using leftover medications at home (44.8%) and obtaining medicines from friends and family (16.0%). Factor analysis revealed that self-medication behaviour is driven by good perception towards self-medication in terms of efficacy, safety and convenience, as well as by previous personal or shared experiences. CONCLUSION: The prevalence of self-medication is high among adults in the Klang Valley, Malaysia. Adults who self-medicate view the consequences of self-medication in a positive light and may be influenced by previous personal or shared experiences. As certain risks with self-medication may be underestimated, efforts to educate the public while promoting a more proactive approach among healthcare professionals should be encouraged.


Asunto(s)
Percepción , Automedicación , Adulto , Estudios Transversales , Humanos , Malasia , Prevalencia
16.
Res Social Adm Pharm ; 17(5): 969-977, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-32912832

RESUMEN

BACKGROUND: A pilot of the first NHS funded Sore Throat Test and Treat (STTT) service in the United Kingdom began in selected community pharmacies in Wales in November 2018. The aim of this research was to explore whether a pharmacist delivering consultation for sore throat that included clinical scoring and point-of-care testing was acceptable to patients and how this might influence future health-seeking behaviour. METHODS: A non-experimental design was employed using a survey research tool including a mix of closed and open questions. The patient experience survey was distributed to all patients who had completed a consultation between November 2018 and May 2019. Data from completed surveys were entered in Jisc Online Surveys® and exported to Excel® for descriptive statistics. Free-text comments were analysed using content and inductive thematic analysis. RESULTS: A total of 510 surveys were received (n = 2,839 total consultations, response rate 18%). Overall, 501 patients (98%) were satisfied with the service. Patients' confidence in managing their condition and service satisfaction was not dependent on having been supplied antibiotics. After the service, 504 patients (99%) stated that they would return to the pharmacy for subsequent sore throat symptoms. Three themes were constructed after inductive analysis of free-text comments (n = 242): convenience and accessibility; professionalism of pharmacy team; and perceived value of the service. CONCLUSIONS: Results confirmed high levels of patient satisfaction with the new service, its delivery and the choice of options offered for sore throat symptom management. Whilst this research can only discuss patients' reported future behaviour, the patient-reported stated intentions signify a potential shift in health-seeking behaviour towards a pharmacist-led service. This has important implications in supporting the long-term plan of the governments in Wales and England to redirect management of uncomplicated conditions from GPs to pharmacies.


Asunto(s)
Servicios Comunitarios de Farmacia , Farmacias , Farmacia , Faringitis , Inglaterra , Humanos , Farmacéuticos , Faringitis/diagnóstico , Faringitis/tratamiento farmacológico , Reino Unido , Gales
17.
BMJ Qual Saf ; 29(11): 921-931, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-32139400

RESUMEN

BACKGROUND: Community pharmacists are well positioned to support patients' minor ailments. The objective was to evaluate the clinical and humanistic impact of a minor ailment service (MAS) in community pharmacy compared with usual pharmacist care (UC). METHODS: A cluster randomised controlled trial was conducted. Intervention patients received MAS, which included a consultation with the pharmacist. MAS pharmacists were trained in clinical pathways and communication systems mutually agreed with general practitioners and received monthly support. Control patients received UC. All patients were followed up by telephone at 14 days. Clinical and humanistic impact were defined by primary (appropriate referral rate and appropriate non-prescription medicine rate) and secondary outcomes (clinical product-based intervention rate, referral adherence, symptom resolution, reconsultation and EuroQol EQ-5D visual analogue scale (VAS)). RESULTS: Patients (n=894) were recruited from 30 pharmacies and 82% (n=732) responded to follow-up. Patients receiving MAS were 1.5 times more likely to receive an appropriate referral (relative rate (RR)=1.51; 95% CI 1.07 to 2.11; p=0.018) and were five times more likely to adhere to referral, compared with UC (RR=5.08; 95%CI 2.02 to 12.79; p=0.001). MAS patients (94%) achieved symptom resolution or relief at follow-up, while this was 88% with UC (RR=1.06; 95% CI 1 to 1.13; p=0.035). MAS pharmacists were 1.2 times more likely to recommend an appropriate medicine (RR 1.20, 95% CI 1.1 to 1.3; p=0.000) and were 2.6 times more likely to perform a clinical product-based intervention (RR=2.62, 95% CI 1.28 to 5.38; p=0.009), compared with UC. MAS patients had a greater mean difference in VAS at follow-up (4.08; 95% CI 1.23 to 6.87; p=0.004). No difference in reconsultation was observed (RR=0.98; 95% CI 0.75 to 1.28; p=0.89). CONCLUSION: The study demonstrates improved clinical and humanistic outcomes with MAS. National implementation is a means to manage minor ailments more effectively in the Australian health system. TRIAL REGISTRATION NUMBER: ACTRN12618000286246.


Asunto(s)
Servicios Comunitarios de Farmacia , Farmacias , Australia , Humanos , Farmacéuticos , Teléfono
18.
Br J Nurs ; 29(1): 44-49, 2020 Jan 09.
Artículo en Inglés | MEDLINE | ID: mdl-31917940

RESUMEN

AIMS AND OBJECTIVES: the purpose of this pilot study was to explore the attitudes and perceptions of members of the UK public towards self-care for minor ailments. BACKGROUND: with an ageing and increasing population, and an NHS under extreme pressure, methods to reduce demand on health services are vital. Increasing the use of self-care for minor ailments is one way in which this pressure could be alleviated. DESIGN AND METHOD: this study used qualitative methods including semi-structured telephone interviews. The data were then evaluated, and key themes drawn out using thematic analysis. FINDINGS: the results showed that the public are aware of the notion of self-care, and some are engaging with it. However, for a number of reasons, patients are still likely to want a face-to-face appointment despite the use of online and telephone advice services. CONCLUSION: the study highlighted that there are multifactorial aspects impacting on a patient's likelihood of engaging in self-care when faced with a minor illness. The results are not generalisable to every member of the public, but interesting questions are raised with regard to the usefulness of current public health messages in various media when there appears to be a lack of desire from the public to use some recommended services.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Autocuidado/psicología , Índice de Severidad de la Enfermedad , Humanos , Proyectos Piloto , Medicina Estatal , Reino Unido
19.
Acta Medica Philippina ; : 517-524, 2020.
Artículo en Inglés | WPRIM (Pacífico Occidental) | ID: wpr-877289

RESUMEN

Background@#Community pharmacists play a central role in the management of minor ailments and their clinical knowledge is vital in improving treatment outcomes of these ailments. The provision of minor ailment service in developed countries has been successful yet the practice in the Philippines has not been documented. @*Objectives@#The aim of this study was to document the involvement of community pharmacists in the management of minor ailments, the practices, and the perceived challenges in the provision of pharmacy service. @* Methods@#This was an exploratory descriptive study. Using qualitative research technique, a guided interview questionnaire was employed for data gathering. The practices employed and perceived challenges encountered by pharmacists were interpreted using conventional content analysis. @* Results@#Colds, cough, skin allergy, diarrhea were the four most common ailments managed by community pharmacists. Pharmacists had underdeveloped roles in consultation. Community pharmacists were knowledgeable on the causes of the minor ailments and the medications dispensed were compliant with approved product indications. The absence of institutional guidelines (66%), lack of ailment-specific training (100%), insufficient clinical skills (76.7%), and a dominant patient self-selection behavior for OTC medicines (73.3%) were perceived as challenges in the provision of minor ailment services.@*Conclusion@#Community pharmacists managed common ailments with non-prescription medicines however consultation roles were found to be underdeveloped.


Asunto(s)
Farmacéuticos , Medicamentos sin Prescripción , Filipinas
20.
J Pharm Policy Pract ; 12: 25, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31548892

RESUMEN

OBJECTIVE: To examine the patterns in utilization of community pharmacies and perceptions of the general public towards community pharmacists' role in health services delivery. METHOD: A cross-sectional household survey was conducted in Ga West district. A total of 497 adults (18 years and above) were chosen using a three-stage cluster random sampling technique. information on respondents' contact with community pharmacies (i.e. 12 months prior to the study), reasons for visiting the pharmacies, factors influencing the choice of a particular pharmacy and perception towards community pharmacists' roles were collected. Data collected were analyzed using stata version 14. KEY FINDINGS: Out of the 497 respondents, 415 indicated that they had used pharmacies within the last 12 months prior to the study, while 82 indicated that they had not used the facilities within the same time frame. majority of the pharmacy users (33.7%) visited community pharmacies once a month. Approximately 84% of the pharmacy users frequently visited community pharmacies to get treatment for minor ailments. most users (about 75%) chose to visit a particular pharmacy as it was close to their home/workplace/hospital/clinic. More than half of the pharmacy users identified the pharmacist as the first point of contact in case of any drug-related problem. Less than half of the respondents (44.9%) perceived community pharmacists as health professionals with a good balance between health and business matters. CONCLUSION: The findings of the study suggest that beside the fact that majority of the respondents believe that community pharmacists are responsive, friendlier and have the capacity to handle minor ailments, they are indeed using community pharmacies for the treatment of minor ailments. It will therefore be important to develop appropriate policy and regulations that enables community pharmacies to adequately participate in the delivery of primary care and thereby improve population health.

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