Assessment of counselling for acute diarrhoea in German pharmacies: a simulated patient study†

Autor: Karen Simon, Monique Schwobeda, Tina Burgsthaler, Julia Glawe, Elisa Bull, Bernhard Langer
Rok vydání: 2017
Předmět:
Adult
Counseling
Diarrhea
medicine.medical_specialty
Quality Assurance
Health Care
media_common.quotation_subject
non‐prescription medicines
Pharmaceutical Science
Pharmacy
Community Pharmacy Services
Self Medication
Pharmacists
030226 pharmacology & pharmacy
Simulated patient
counselling behaviour
German
03 medical and health sciences
0302 clinical medicine
Germany
Humans
community pharmacy
Medicine
Quality (business)
030212 general & internal medicine
Adverse effect
Acute diarrhoea
Aged
media_common
Pharmacies
Performance feedback
Community pharmacies
business.industry
Health Policy
Public Health
Environmental and Occupational Health
Research Papers
language.human_language
acute diarrhoea
Patient Simulation
Acute Disease
language
Physical therapy
Female
business
simulated patient
Research Paper
Zdroj: The International Journal of Pharmacy Practice
ISSN: 2042-7174
0961-7671
Popis: Objectives The aim of this study was to assess the quality of counselling provided for acute diarrhoea and to evaluate the role of the patient's approach and different user groups in determining the outcome of counselling. Methods The simulated patient methodology was used in all 21 community pharmacies in a north-eastern German city. Four different scenarios related to self-medication of acute diarrhoea were developed and used in all the pharmacies (a total of 84 visits). The assessment form, completed immediately postvisit by the simulated patient, included 9 objective items scored using dichotomous scales to produce a scale from 0 to 9. After evaluating the data, every pharmacy received individual performance feedback to encourage behavioural changes and improve the quality of the counselling provided. Key findings Overall, the quality of counselling was poor (mean score of 3.3/9 (37%)). The most common information provided was about dosage (87% of interactions), while the least common information given was about side effects (4% of interactions). The main effect was seen when comparing the product and symptom requests (F(1,60) = 24.748, P < 0.001, ωp2 = 0.277). There was no effect resulting from different user groups (F(1,28) = 0.237, P = 0.630, ωp2 = −0.026) and no interaction between the type of request and different user groups (F(1,28) = 3.395, P = 0.076, ωp2 = 0.073). Conclusions This study highlighted the current deficits in appropriate counselling provided by community pharmacies in Germany.
Databáze: OpenAIRE
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