Comment to: What are the problems, information needs and objectives of community pharmacists? A mixed method approach
| Autor: | Ché M. Harris, Elsen Jacob, Catherine Kiruthi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
030109 nutrition & dietetics Knowledge management mesh:Interprofessional Relations Computer science business.industry lcsh:RM1-950 lcsh:RS1-441 Pharmaceutical Science Information needs mesh:Patient Safety Pharmacy mesh:Needs Assessment lcsh:Pharmacy and materia medica mesh:Community Pharmacy Services 03 medical and health sciences lcsh:Therapeutics. Pharmacology 0302 clinical medicine mesh:Switzerland mesh:Continuity of Patient Care mesh:Pharmacists 030212 general & internal medicine mesh:Patient Discharge business Original Research |
| Zdroj: | Pharmacy Practice (Granada), Volume: 15, Issue: 4, Article number: 1133, Published: DEC 2017 Pharmacy Practice (Granada) v.15 n.4 2017 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname Pharmacy Practice Pharmacy Practice, Vol 15, Iss 4, Pp 1133-1133 (2017) |
| Popis: | Background: After hospital discharge, community pharmacists are often the first health care professionals the discharged patient encounters. They reconcile and dispense prescribed medicines and provide pharmaceutical care. Compared to the roles of general practitioners, the pharmacists’ needs to perform these tasks are not well known. Objective: This study aims to a) Identify community pharmacists’ current problems and roles at hospital discharge, b) Assess their information needs, specifically the availability and usefulness of information, and c) Gain insight into pharmacists’ objectives and ideas for discharge optimisation. Methods: A focus group was conducted with a sample of six community pharmacists from different Swiss regions. Based on these qualitative results, a nationwide online-questionnaire was sent to 1348 Swiss pharmacies. Results: The focus group participants were concerned about their extensive workload with discharge prescriptions and about gaps in therapy. They emphasised the importance of more extensive information transfer. This applied especially to medication changes, unclear prescriptions, and information about a patient’s care. Participants identified treatment continuity as a main objective when it comes to discharge optimisation. There were 194 questionnaires returned (response rate 14.4%). The majority of respondents reported to fulfil their role as defined by the Joint-FIP/WHO Guideline on Good Pharmacy Practice (rather) badly. They reported many unavailable but useful information items, like therapy changes, allergies, specifications for “off-label” medication use or contact information. Information should be delivered in a structured way, but no clear preference for one particular transfer method was found. Pharmacists requested this information in order to improve treatment continuity and patient safety, and to be able to provide better pharmaceutical care services. Conclusion: Surveyed Swiss community pharmacists rarely receive sufficient information along with discharge prescriptions, although it would be needed for medication reconciliation. According to the pharmacist’s opinions, appropriate pharmaceutical care is therefore impeded. |
| Databáze: | OpenAIRE |
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