scholarly journals Community Pharmacists’ Perceptions of Patient Care Services within an Enhanced Service Network

Pharmacy ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 172
Author(s):  
Christopher J. Daly ◽  
Bryan Quinn ◽  
Anna Mak ◽  
David M. Jacobs
Keyword(s):  
New York ◽  
Patient Care ◽  
Community Pharmacists ◽  
Service Network ◽  
Ongoing Research ◽  
Social Barriers ◽  
Electronic Survey ◽  
Care Services ◽  
Pharmacy Profession ◽  
Study Participants

Background: Pharmacists are positioned as an accessible source of patient care services (PCS). Despite the adversity community pharmacies continue to face, the expanding opportunity of offering PCS continues to be a pathway forward. Objective: To identify community pharmacists’ perceptions to deliver PCS within an enhanced service network. Methods: One-on-one semi-structured phone interviews were conducted as part of a mixed-methods approach. Interview transcripts were analyzed using a consensus codebook to draft thematic findings. Participants were recruited from an electronic survey targeting community pharmacists from the New York chapters of the Community Pharmacy Enhanced Services Network (CPESN). Results: Twelve pharmacists were interviewed with four main themes identified. The majority of study participants were pharmacy owners (92%) devoting an average of 15 h/week to PCS and 8 h/week addressing social barriers. The main themes identified include: (1) perceptions of pharmacy profession, (2) reimbursement models and sustainability of PCS, (3) provision of patient care services, and (4) how PCS address social determinants of health. Conclusions: Offering PCS opportunities for patients is a direction many community pharmacists have embraced and are working to succeed. Ongoing research is needed focusing on community pharmacists’ self-perceptions of the clinical impact and role they hold in an evolving healthcare system.

scholarly journals Community Pharmacists’ Motivation and Barriers to Providing and Billing Patient Care Services

Pharmacy ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 145
Author(s):  
Liesl D. Reyes ◽  
Jenny Hong ◽  
Christine Lin ◽  
Jeffrey Hamper ◽  
Lisa Kroon
Keyword(s):  
Patient Care ◽  
Community Pharmacists ◽  
Hormonal Contraceptives ◽  
Postexposure Prophylaxis ◽  
Web Based ◽  
Travel Health ◽  
Care Services ◽  
Naloxone Hydrochloride ◽  
Common Barriers ◽  
New Strategies

Recently, California (CA) pharmacists’ scope of practice has expanded to include independently prescribing self-administered hormonal contraceptives, nicotine replacement therapy medications, travel health medications, routine vaccinations, naloxone hydrochloride, and HIV preexposure and postexposure prophylaxis. However, previous reports indicate that practicing within this expanded scope has remained limited. Therefore, a 26-item, web-based survey was emailed to CA community pharmacists to assess pharmacists’ knowledge, intent, and barriers to prescribing and billing for these patient care services. A total of 216 chain, supermarket-based, independent, mass merchant, and health-system outpatient pharmacists were included. The primary services provided and medications prescribed are for vaccinations and naloxone. Most pharmacists agree that engagement in and implementation of new strategies to enhance patients’ access to care is important. Common barriers include patient unawareness of pharmacist-provided services, lack of payment for services, and difficulty incorporating services within pharmacy workflow. Pharmacists are confident in their ability to provide patient care services but are less knowledgeable and confident about billing for them. Enhancing promotion of pharmacist-provided services to patients, developing strategies to efficiently incorporate them into the workflow, and payment models can help overcome barriers to providing these services.

Building the Case: Changing Consumer Perceptions of the Value of Expanded Community Pharmacist Services

2018 ◽  
Vol 32 (6) ◽  
pp. 637-647 ◽  
Author(s):  
Kathryn Steckowych ◽  
Marie Smith ◽  
Susan Spiggle ◽  
Andrew Stevens ◽  
Hao Li
Keyword(s):  
Primary Care ◽  
Patient Care ◽  
Community Pharmacist ◽  
Community Pharmacists ◽  
Primary Care Providers ◽  
Consumer Perceptions ◽  
Care Practice ◽  
Care Services ◽  
Facilitators And Barriers ◽  
Pharmacist Services

Background: The role of the community pharmacist has traditionally been a medication dispenser; however, community pharmacists’ responsibilities must expand to include more direct patient care services in order to transform primary care practice. Objectives: Use case-based scenarios to (1) determine factors that contribute to positive and negative consumer perceptions of expanded community pharmacist patient care roles, (2) identify facilitators and barriers that contribute to consumer perceptions of the value of expanded community pharmacist patient care services, and (3) develop a successful approach and strategies for increasing consumer advocacy for the value of expanded community pharmacist patient care services. Methods: Two consumer focus groups used scenario-based guided discussions and Likert scale questionnaires to elicit consumer reactions, facilitators, and barriers to expanded community pharmacist services. Results: Convenience, timeliness, and accessibility were common positive reactions across all 3 scenarios. Team approach to care and trust were viewed as major facilitators. Participant concerns included uncertainty about pharmacist training and qualifications, privacy, pharmacists’ limited bandwidth to accept new tasks, and potential increased patient costs. Common barriers to service uptake included a lack of insurance payment and physician preference to provide the services. Conclusion: Consumer unfamiliarity with non-traditional community pharmacist services is likely an influencer of consumers’ hesitancy to utilize such services; therefore, an opportunity exists to engage consumers and advocacy organizations in supporting expanded community pharmacist roles. This study can inform consumers, advocates, community pharmacists, primary care providers, and community-based organizations on methods to shape consumer perceptions on the value of community pharmacist expanded services.

scholarly journals Effect of Insecurity on the Provision of Pharmaceutical Care in Akwa Ibom State: The Community Pharmacist’s Perspective

2021 ◽  
Author(s):  
Ekpedeme Ndem ◽  
Edidiong Orok ◽  
Felix Bassey
Keyword(s):  
Pharmaceutical Care ◽  
Community Pharmacists ◽  
Community Pharmacies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Patient Counselling ◽  
Care Services ◽  
Financial Consequences ◽  
Study Participants ◽  
Provision Of Care

Background: Pharmaceutical care is an important aspect of healthcare provided by pharmacists which is associated with good clinical outcomes and improved quality of life. Robberies and insecurities is a common occurrence in community pharmacies and when left unchecked can have economic, financial consequences and also influence the provision of care. The aim of this study was to assess the perceived effect of insecurity on the provision of pharmaceutical care in community pharmacies in Uyo, Akwa Ibom State. Methods: This study was a cross sectional survey among community pharmacists in community pharmacies in Uyo, Akwa Ibom State. All community pharmacies in Uyo metropolis were visited and an informed consent was obtained from the pharmacists before the beginning of the study. A semistructured questionnaire was used in the collection of data in this study. The questionnaire evaluated the perceived effect of the current robberies on pharmaceutical care where the evaluation statements were structured in Likert scale format. Results: A total of 76 pharmacists consented to participate in the study where 56 (73.7%) were males and 20 were females. The mean age of the study participants was 28.25±1.543 years and 82.9% of the participants had 1-10 years’ community pharmacy experience. Majority of the pharmacists agreed that insecurity has hindered history taking (52%), blood pressure checks (84.2%), patient counselling (80.2%) and decreased sales (52.6%). Conclusion: There is a negative perceived effect of recent insecurities on the provision of pharmaceutical care services and sales. This aspect should be explored in further studies and research.

scholarly journals Patient Care Management (Handbook for Hospital and Community Pharmacists)

2020 ◽  
Vol 1 (2) ◽  
pp. 01-14
Author(s):  
Abdul Mohiuddin
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Pharmacy Practice ◽  
Community Pharmacists ◽  
Pharmacy Education ◽  
Care Process ◽  
Education Standards ◽  
Care Community ◽  
Care Services ◽  
Patient Care Process

Most people on the outside of the health care profession are not familiar with this new role of the pharmacist. The general public has created a stereotypical pharmacist's picture as being a person who stands behind a counter, dispenses medicine with some instructions to the respective consumer. Pharmacy practice has changed substantially in recent years. Today’s pharmacists have unique training and expertise in the appropriate use of medications and provide a wide array of patient care services in many different practice settings. As doctors are busy with the diagnosis and treatment of patients, the pharmacist can assist them by selecting the most appropriate drug for a patient. Interventions by the pharmacists have always been considered as a valuable input by the health care community in the patient care process by reducing the medication errors, rationalizing the therapy and reducing the cost of therapy. The development and approval of the Pharmacists’ Patient Care Process by the Joint Commission of Pharmacy Practitioners and incorporation of the Process into the 2016 Accreditation Council for Pharmacy Education Standards has the potential to lead to important changes in the practice of pharmacy, and to the enhanced acknowledgment, acceptance, and reimbursement for pharmacy and pharmacist services. As an author, it is my heartiest believe that the book will adjoin significant apprehension to future pharmacists in patient care as most of the portion created from recently published articles focusing pharmacists in patient care settings.

Generational differences in the placement of clitic se in New York City Spanish

2021 ◽  
pp. 136700692110165
Author(s):  
Kevin Martillo Viner
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Internal Variables ◽  
Chi Square ◽  
Ongoing Research ◽  
External Variables ◽  
Two Generations ◽  
Finite Verb ◽  
Chi Square Tests

Aims and objectives: This study analyzes the proclitic and enclitic positions of Spanish clitic se (e.g., ella se quería ir / ella quería irse ‘she wanted to go’) across two generations of Spanish speakers in New York City. In an effort to contribute to ongoing research aimed at better understanding Spanish in the US, the following questions are addressed. In syntactic environments that permit variation, does placement of Spanish se differ between the two generations? From the internal variables identified for this study (nonfinite verb type, finite verb, tense of finite verb, grammatical person, use of se, grammatical mood of finite verb, negation), which ones have a statistically significant effect on placement? From the external variables identified for this study (national origin, region, areal origins, sex, age, years in US, socioeconomic class, education, English skill, Spanish skill, general Spanish use), which ones have a statistically significant effect on placement? Design and data: This study is carried out within a variationist-sociolinguistic framework and the sample consists of 50 participants, 25 from the first generation (G1) and 25 from the second (G2). Analysis: Bivariate chi-square tests are performed in order to determine what internal and external variables constrain placement of the dependent variable (clitic se placement). Findings: Generation has a statistically significant effect on placement ( p = .016), wherein proclisis is more frequent amongst the G2 participants. These results corroborate previous research showing an overall preference for proclisis in both monolingual and bilingual/heritage speakers. Further, chi-square tests pinpoint five conditioning effects for G1 (nonfinite verb type, use of se, finite verb, years in US, and English skill), but only two for G2 (use of se and English skill). Originality and implications: The present study is the first to discover strong correlations between the proclitic position and the numerous internal and external variables quantitatively assessed. Future research is thus warranted.

The show must go on: impact of the ban on elective surgery in New York City during the coronavirus outbreak on gynecologic oncology patient care

2021 ◽  
Vol 162 ◽  
pp. S305-S306
Author(s):  
Benjamin Margolis ◽  
Sarah Lee ◽  
Danial Ceasar ◽  
Pooja Venkatesh ◽  
Kevin Espino ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Patient Care ◽  
York City ◽  
Elective Surgery ◽  
Gynecologic Oncology ◽  
Oncology Patient

PATIENT CARE SERVICES

2007 ◽  
Vol 15 (5) ◽  
pp. 271-275
Author(s):  
Keyword(s):  
Patient Care ◽  
Care Services

The validity of mobile applications to facilitate patient care provided to cancer patients: opportunities and limitations

2021 ◽  
Vol 16 ◽  
Author(s):  
Haneen Amawi ◽  
Sayer Alazzam ◽  
Tasnim Alzanati ◽  
Neveen Altamimi ◽  
Alaa Hammad ◽  
...  
Keyword(s):  
Health Services ◽  
Patient Care ◽  
Health Care Services ◽  
Rating Scale ◽  
Assessment Tools ◽  
Free Access ◽  
User Engagement ◽  
Care Services ◽  
Health Related ◽  
Detailed Assessment

Background: The use of health-related applications (apps) on smartphones has become widespread. This is especially of value during the ongoing SAR-COV-2 pandemic, where the accessibility for health care services has been greatly limited. Patients with free access to apps can obtain information to improve their understanding and management of health issues. Currently, there are cancer-related apps available on iPhones and androids. However, there are no guidelines to control these apps and ensure their quality. Furthermore, these apps may significantly modify the patients’ perception and knowledge toward drug-related health services. Objective: The aim of this study was to assess the convenience, quality, safety and efficacy of apps for cancer patient care. Methods: The study was conducted by searching all apps related to cancer care on both Google Play Store and Apple iTunes Store. A detailed assessment was then performed using the mobile application rating scale (MARS) and risk assessment tools. Results: The results indicated that on a scale from 1-5, 47% of the apps were rated ≥ 4. The MARS assessment of the apps indicated an overall quality rating of 3.38 ± 0.9 (mean ± SD). The visual appeal of the app was found to have a significant effect on app functionality and user engagement. The potential benefits of these apps come with challenges and limitations. Patents related to smartphone applications targeting patients were also discussed. Conclusion: We recommend a greater emphasis toward producing evidence-based apps. These apps should be rigorously tested, evaluated and updated by experts, particularly clinical pharmacists. Also, these may alter patient attitudes toward services provided by physicians and pharmacists. Finally, these apps should not replace in-person interactive health services.

Sign in / Sign up

Export Citation Format

Share Document