DIRECT OBSERVATION OF COUNSELING ACTIVITIES OF OTC DRUGS IN COMMUNITY PHARMACIES AT HUE CITY&NBSP

2018 ◽  
Vol 8 (4) ◽  
pp. 58-64
Author(s):  
Ha Vo Thi ◽  
Quynh Le Thi
Keyword(s):  
Drug Use ◽  
Community Pharmacy ◽  
Key Words ◽  
Direct Observation ◽  
Community Pharmacies ◽  
Pharmacy Staff ◽  
Disease Symptoms ◽  
Otc Drugs ◽  
Drug Counseling

Background: This study aimed to characterize counseling activities of drug use at community pharmacies at Hue City. Methods: researchers observed directly customers buying OTC drugs during 63 hours in 21 pharmacies. Results: Of 269 interactions between pharmacy staff and customers, 61.0% of cases received counseling. Pharmacists asked question about whom the drugs were bought for (52.4%), disease symptoms (63.4%). Pharmacists counseled on drug indications (51.2%), dosage and duration of drug use (61.0%). In about one-fifth of cases, pharmacists asked questions to confirm patients’ comprehension. About 37.2% cases were counseled by pharmacists with a-2-year degree and 42.1% were advised by college pharmacists with a-3-year degree. Only 0.6% lasted more than 5 minutes. Conclusions: Drug counseling activities in community pharmacies were still limited in term of quantity and quality of interactions between pharmacists and patients. Key words: pharmacists; community pharmacy; counseling; OTC drugs; Hue city

COUNSELLING ACTIVITIES OF DRUG USE IN 58 COMMUNITY PHARMACIES AT HUE CITY

2017 ◽  
pp. 75-80
Author(s):  
Quoc Duong Doan ◽  
Thi Ha Vo
Keyword(s):  
Blood Pressure ◽  
Drug Use ◽  
Community Pharmacy ◽  
Key Words ◽  
Community Pharmacists ◽  
Community Pharmacies ◽  
Cough Headache ◽  
Rational Drug ◽  
Question Survey

Background: Community pharmacists play an important role in counseling of rational drug use for population. The study aimed to characterize counselling activities of drug use and demand of counselling tools at some community pharmacies at Hue City. Materials and method: A 17-question survey were asked to fill pharmacy staffs of a convenient sample of 100 community pharmacies at Hue City from 2/2017 to 7/2017. Results: There were 58 pharmacies (58.0%) answered this survey. Cough, headache, fever, high blood pressure and diabetes were the most popular symptoms/diseases presented in pharmacies. Patients often need counselling about dose (82.8%) and when to take medicine (79.3%). The main bariers for counselling were a lack of time (53.4%), and of skills/medthods for counseling (31.7%). About 96.6% pharmacies demanded counselling tools and favorite formats were book (32.9%) or pocket handbook (29.3%). Conclusion: Most pharmacies demanded counselling tools. Other studies should be conducted to develop supporting tools for counseling and to assess the quality of counseling in pharmacies. Key words: community pharmacy, counseling of drug use, pharmacist, Hue

scholarly journals Australian Community Pharmacy Harm-Minimisation Services: Scope for Service Expansion to Improve Healthcare Access

Pharmacy ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 95
Author(s):  
Sara S. McMillan ◽  
Hidy Chan ◽  
Laetitia H. Hattingh
Keyword(s):  
Community Pharmacy ◽  
Healthcare Access ◽  
Further Education ◽  
Community Pharmacies ◽  
Structured Interviews ◽  
Pharmacy Staff ◽  
Harm Minimisation ◽  
Staff Members ◽  
Education Support

Community pharmacies are well positioned to participate in harm-minimisation services to reduce harms caused by both licit and illicit substances. Considering developments in pharmacist practices and the introduction of new professional pharmacy services, we identified a need to explore the contemporary role of community pharmacy in harm minimisation. Semi-structured interviews were undertaken to explore the opinions of stakeholders, pharmacy staff, and clients about the role of community pharmacy in harm minimisation, including provision of current services, experiences, and expectations. Participants (n = 28) included 5 stakeholders, 9 consumers, and 14 staff members from seven community pharmacies. Three over-arching themes were identified across the three participants groups: (i) scope and provision, (ii) complexity, and (iii) importance of person-centred advice and support in relation to community pharmacy harm minimisation services. Community pharmacies are valuable healthcare destinations for delivery of harm minimisation services, with scope for service expansion. Further education, support, and remuneration are needed, as well as linkage to other sector providers, in order to ensure that pharmacists and pharmacy staff are well equipped to provide a range of harm minimisation services.

scholarly journals A new experimental community pharmacy internship module for undergraduate pharmacy students in western Nepal: overview and reflections

2017 ◽  
Vol 14 ◽  
pp. 18 ◽  
Author(s):  
Sangita Timsina ◽  
Bhuvan K.C. ◽  
Dristi Adhikari ◽  
Alian A. Alrasheedy ◽  
Mohamed Izham Mohamed Ibrahim ◽  
...  
Keyword(s):  
Community Pharmacy ◽  
Adverse Drug Reaction Reporting ◽  
Pharmacy Practice ◽  
Pharmacy Students ◽  
Community Pharmacies ◽  
Case Presentation ◽  
Business Plans ◽  
Inappropriate Use ◽  
Hands On

Community pharmacies in Nepal and other South Asian countries are in a mediocre state due to poor regulation and the fact that many pharmacies are run by people with insufficient training in dispensing. This has led to the inappropriate use of medicines. The problems due to poor regulation and the mediocre state of community pharmacies in South Asia encompass both academia and clinical practice. In this paper, a 2-week community pharmacy internship programme completed by 2 graduating pharmacy students of Pokhara University (a Nepalese public university) at Sankalpa Pharmacy, Pokhara, Nepal is illustrated. During the internship, they were systematically trained on store management, pharmaceutical care, counselling skills, the use of medical devices, pharmaceutical business plans, medicine information sources, and adverse drug reaction reporting. An orientation, observations and hands-on training, case presentation, discussion, and feedback from 2 senior pharmacists were used as the training method. A proper community pharmacy internship format, good pharmacy practice standards, and a better work environment for pharmacists may improve the quality of community pharmacies.

scholarly journals Over-The-Counter Codeine: Can Community Pharmacy Staff Nudge Customers into Its Safe and Appropriate Use?

Pharmacy ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 185
Author(s):  
Sapana Mody ◽  
Charlotte L. Kirkdale ◽  
Tracey Thornley ◽  
Aimi Dickinson ◽  
Anthony J. Avery ◽  
...  
Keyword(s):  
Patient Safety ◽  
Pain Relief ◽  
Community Pharmacy ◽  
Health Concern ◽  
Community Pharmacies ◽  
Public Health Concern ◽  
Appropriate Use ◽  
Pharmacy Staff ◽  
Over The Counter ◽  
Web Based

The misuse of opioids, including codeine which is sold over-the-counter (OTC) in United Kingdom (UK) community pharmacies, is a growing public health concern. An educational Patient Safety Card was developed and piloted to see if it nudged customers into the safe and appropriate use of OTC codeine. Exploratory analysis was conducted by (i) recording quantitative interactions for people requesting OTC codeine in community pharmacies; and (ii) a web-based pharmacy staff survey. Twenty-four pharmacies submitted data on 3993 interactions using the Patient Safety Card. Staff found the majority of interactions (91.3%) to be very or quite easy. Following an interaction using the card, customers known to pharmacy staff as frequent purchasers of OTC codeine were more likely not to purchase a pain relief medicine compared to customers not known to staff (5.5% of known customers did not purchase any pain relief product versus 1.1% for unknown customers (χ2 = 41.73, df = 1, p < 0.001)). These results support both the use of a visual educational intervention to encourage appropriate use of OTC codeine in community pharmacy and the principles behind better self-care.

Current models of support from community pharmacies for patients on oral anticancer medicines

2017 ◽  
Vol 25 (1) ◽  
pp. 140-147 ◽  
Author(s):  
Melanie Dalby
Keyword(s):  
Community Pharmacy ◽  
Side Effect ◽  
Community Pharmacies ◽  
Evidence Based ◽  
Pharmacy Staff ◽  
New Model ◽  
Oral Medications ◽  
Key Aspects ◽  
Oral Anticancer Medication

Administration of chemotherapy is moving into the community as more and more therapies to treat cancer are being developed as oral medications. Patients taking these oral medications still require support, as many of these agents can be toxic. This support could be simple side effect management, compliance issues or even reassurance with regards to their diagnosis as examples. Community pharmacies are ideally placed within the community to help these patients. The purpose of this review is to determine what support community pharmacies are currently providing for patients taking oral anticancer medication and if there is a model that can be adopted or adapted to be used elsewhere. Searches were undertaken using two databases, Medline and Embase. Other evidence-based articles were discovered from other sources. The different services currently available from community pharmacies were largely varied. There are some key aspects to each which could be used in the development of a new model. Further research is required to determine the views of the patients, carers and community pharmacy staff.

Measuring the Assessment and Counseling Provided with the Supply of Nonprescription Asthma Reliever Medication: A Simulated Patient Study

2009 ◽  
Vol 43 (9) ◽  
pp. 1512-1518 ◽  
Author(s):  
Carl R Schneider ◽  
Alan W Everett ◽  
Elizabeth Geelhoed ◽  
Peter A Kendall ◽  
Rhonda M Clifford
Keyword(s):  
Community Pharmacy ◽  
Asthma Control ◽  
Simulated Patient ◽  
Simulated Patients ◽  
Community Pharmacies ◽  
Patient Assessment ◽  
Pharmacy Staff ◽  
Medication Counseling ◽  
Reliever Medication ◽  
Pharmacy Setting

Background: Over one quarter of asthma reliever medications are provided without prescription by community pharmacies in Australia. Evidence that community pharmacies provide these medications with sufficient patient assessment and medication counseling to ensure compliance with the government's Quality Use of Medicines principles is currently tacking. Objective: To assess current practice when asthma reliever medication is provided in the community pharmacy setting and to identify factors that correlate with assessment of asthma control. Methods: Researchers posing as patients visited a sample of Perth metropolitan community pharmacies in May 2007. During the visit, the simulated patient enacted a standardized scenario of someone with moderately controlled asthma who wished to purchase a salbutamol (albuterol) inhaler without prescription. Results of the encounter were recorded immediately after the visit. Regression analysis was performed, with medication use frequency (a marker of asthma control) as the dependent variable. Results: One hundred sixty community pharmacies in the Perth metropolitan area were visited in May 2007. Pharmacists and/or pharmacy assistants provided some form of assessment in 84% of the visits. Counseling was provided to the simulated patients in 24% of the visits. Only 4 pharmacy staff members asked whether the simulated patient knew how to use the inhaler. Significant correlation was found between assessment and/or counseling of reliever use frequency and 3 independent variables: visit length (p < 0.001), number of assessment questions asked (p < 0.001), and the simulated patient who conducted the visit (p < 0.02). Conclusions: Both patient assessment and medication counseling were suboptimal compared with recommended practice when nonprescription asthma reliever medication was supplied in the community pharmacy setting. Pharmacy and pharmacist demographic variables do not appear to affect assessment of asthma control. This research indicates the need for substantial improvements in practice in order to provide reliever medication in line with Quality Use of Medication principles of ensuring safe and effective use of medication.

scholarly journals Elderly consumers’ satisfaction with the quality of community pharmacy services in Ho Chi Minh City, Vietnam: a Q-methodology study

Pharmacia ◽  
2020 ◽  
Vol 67 (4) ◽  
pp. 303-309
Author(s):  
Van De Tran ◽  
Valeria V. Dorofeeva ◽  
Ekaterina E. Loskutova ◽  
Tatyana P. Lagutkina ◽  
Irina V. Kosova ◽  
...  
Keyword(s):  
Community Pharmacy ◽  
Q Methodology ◽  
Medication Use ◽  
Community Pharmacy Services ◽  
Ho Chi Minh City ◽  
Pharmacy Services ◽  
Pharmacy Staff ◽  
Geographic Accessibility ◽  
Elderly Consumers

Introduction: The purpose of this study was to understand elderly consumers’ satisfaction on the community pharmacy services in Ho Chi Minh City, Vietnam. Materials and methods: A sample of 32 consumers, aged over 60, was recruited in four pharmacies in Ho Chi Minh City, Vietnam, from December, 2017 to January, 2018. Q-methodology was used to identify the patterns of consumers’ satisfaction. Results: Two distinct patterns of elderly consumers’ viewpoints toward the community pharmacy services were identified. Elderly consumers in viewpoint 1 were satisfied with the geographic accessibility of community pharmacies. Elderly consumers in viewpoint 2 were satisfied with the affordability of medicines. However, consumers of both viewpoints expressed dissatisfaction with the pharmacy staff counseling on missed doses, storage, side effects, and interactions of medicines. Conclusion: The results from this study suggest that pharmacy staff need to spend more time for consultations on proper medication use with elderly consumers.

scholarly journals Feasibility of a community pharmacy antimicrobial stewardship intervention (PAMSI): an innovative approach to improve patients’ understanding of their antibiotics

2020 ◽  
Vol 2 (4) ◽  
Author(s):  
Rosalie Allison ◽  
Sarah Chapman ◽  
Philip Howard ◽  
Tracey Thornley ◽  
Diane Ashiru-Oredope ◽  
...  
Keyword(s):  
Side Effects ◽  
Community Pharmacy ◽  
Antimicrobial Stewardship ◽  
Self Care ◽  
Community Pharmacies ◽  
Symptom Duration ◽  
Intention To Use ◽  
Pharmacy Staff ◽  
Digital Format ◽  
Consumption Advice

Abstract Background Community pharmacy staff have an opportunity to play a pivotal role in antimicrobial stewardship (AMS) due to their expertise in medicines and accessibility to patients. Objectives To develop and test the feasibility of a pharmacy AMS intervention (PAMSI) to increase community pharmacy staff’s capability, opportunity and motivation to check antibiotic appropriateness and provide self-care and adherence advice when dispensing antibiotics. Methods The PAMSI was centred around an Antibiotic Checklist, completed by patients and pharmacy staff, to facilitate personalized advice to the patient, based on their reported knowledge. An educational webinar for staff and patient-facing materials were also developed. Staff and patients completing Antibiotic Checklists were invited to provide feedback via questionnaires. Results In February 2019, 12 community pharmacies in England trialled the intervention. Forty-three pharmacy staff evaluated the educational webinar and reported increases in their understanding, confidence, commitment and intention to use the tools provided to give adherence and self-care advice. Over 4 weeks, 931 Antibiotic Checklists were completed. Staff reported being more focused on giving advice and able to address patients’ knowledge gaps (mainly: likely symptom duration; alcohol and food consumption advice; possible side effects from antibiotics; returning unused antibiotics to the pharmacy), resulting in increased self-reported effective and meaningful conversations. Conclusions Implementation of a PAMSI is feasible and effectively promotes AMS. Pharmacy staff and commissioners should consider this within their AMS plans. An optional digital format of the Antibiotic Checklist should be explored, for patients who are not collecting their antibiotic prescriptions themselves, and to save printing costs.

scholarly journals Applying a whole systems lens to the general practice crisis: cross-sectional survey looking at usage of community pharmacy services in England by patients with long-term respiratory conditions

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e032310 ◽  
Author(s):  
Ali Mawfek Khaled Hindi ◽  
Ellen Ingrid Schafheutle ◽  
Sally Jacobs
Keyword(s):  
Community Pharmacy ◽  
Interpersonal Skills ◽  
Healthcare Services ◽  
Community Pharmacy Services ◽  
Community Pharmacies ◽  
Pharmacy Services ◽  
Pharmacy Staff ◽  
Cross Sectional ◽  
Physical Evidence

ObjectiveUK policy initiatives aiming to extend community pharmacy services to moderate patient demands and to reduce general practitioners’ (GPs) workload have had limited success. This study used marketing theory to identify factors that could influence patients to make better use of community pharmacies within the primary care pathway.DesignCross-sectional postal survey design applying the ‘7Ps marketing mix’ (‘product’, ‘price’, ‘place’, ‘promotion’, ‘people’, ‘process’ and ‘physical evidence’).SettingGreater Manchester, England.ParticipantsPatients with asthma or chronic obstructive pulmonary disease registered at two GP practices.Primary outcomePatient preference for community pharmacy services.ResultsThe response rate was 29% (289/1003). Most respondents preferred to use GP practices for invasive/diagnostic services (product) while preferring using community pharmacy for medicines supply and minor ailments (place). Stronger preference for using GP practices over community pharmacy was significantly associated with gender (male>female), age group (≥65 years) and healthcare services previously accessed at the pharmacy. Respondents perceived they would be more likely to use community pharmacy services if pharmacists offered them enough time to discuss any concerns (73.3%) (price), if community pharmacies had private/clean consultation rooms (70%–73%) (physical evidence) and if pharmacy staff had strong interpersonal skills (68%–70%) (people). Respondents were divided on likelihood of using community pharmacy services if pharmacists could access their whole medical record but wanted pharmacists to add information about their visit (59.6%) (process). Respondents would be encouraged to use community pharmacy for healthcare services if they were offered services by pharmacy staff or recommended/referred to services by their GP (44%) (promotion).ConclusionsUsing the 7Ps marketing mix highlighted that community pharmacies having staff with strong interpersonal skills, good quality consultation rooms and integrated information systems could positively influence patients to use community pharmacies for management of long-term conditions. There are opportunities for community pharmacies to alleviate GP workload, but a whole system approach will be necessary.

scholarly journals Direct Observation of Drug Counseling Activities in Community Pharmacies in Hue City, Vietnam

2018 ◽  
Vol 21 ◽  
pp. S47
Author(s):  
LT Quynh ◽  
TK Mai ◽  
MN Luong ◽  
TT Ho ◽  
TM Nguyen ◽  
...  
Keyword(s):  
Direct Observation ◽  
Community Pharmacies ◽  
Drug Counseling
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