Untitled

Bell, Heather; McElnay, James; Hughes, Carmel

doi:10.1023/a:1008760306052

Cited by 28 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 40 , 48 – 50 However, surveys on pharmacists’ activities revealed that pharmacists were mainly occupied with traditional product-centered activities, such as business management, logistics, and product assembly, than with patient-centered activities, like counseling. 18 – 21 In our study, we observed that pharmacists had fewer patient contacts in relation to their presence compared with the rest of the staff. Consequently, the problem could be designated as time mismanagement, and reconsiderations of staffing and of assignment of responsibilities might be a solution.…”

Section: Discussionmentioning

confidence: 49%

“…In a pan-Europe comparison in 2009, the mean total score of pharmaceutical care provision, expressed as a percentage of the total score achievable, ranged from 31.6% to 52.2%. 17 Patient counseling was reported to be only a minor task in every day practice in the community pharmacy, 18 – 21 and communication was predominantly nonmedical or product-centered, instead of patient-centered. 22 – 24 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adherence counseling during patient contacts in Swiss community pharmacies

Boeni¹,

Arnet²,

Hersberger³

2015

PPA

View full text Add to dashboard Cite

PurposeNumerous studies showed the effectiveness of pharmaceutical care in improving medication adherence in primary care patients. However, in daily pharmacy practice, the provision of pharmaceutical care appears to be limited. We aimed at quantifying the content of counseling by community pharmacy staff during patient contacts, especially adherence counseling, and at investigating pharmacist views about their practice of adherence counseling.Patients and methodsA Master’s student in Pharmacy observed patient contacts at selected community pharmacies in the region of Basel, Switzerland. Content of counseling was manually ticked on a checklist with predefined themes (administration, dose, effect, and adherence). Pharmacists working in the pharmacy were interviewed on triggers, topics, and barriers in adherence counseling.ResultsIn 20 community pharmacies and during a total of 148.1 hours, 1,866 patient contacts were observed. During the 1,476 patient contacts including the dispensing of one or more medications, counseling was provided to 799 (54.1%) patients; with 735 (49.8%) patients counseled about administration, 362 (24.5%) about dose, 267 (18.1%) about effect, and 99 (6.7%) about adherence. Significantly more patients received counseling when they obtained prescribed versus over-the-counter medication (P=0.002), a new prescription versus a repeat prescription (P<0.001), or when they were served by a pharmacist versus by another staff member (P<0.001). Of the 33 interviewed pharmacists, all except one reported actively approaching patients for adherence counseling. Triggers included medication-related and patient-related factors. The pharmacists named predominantly product-centered topics of adherence counseling. The most cited barriers were rejection of counseling by the patient and lack of time.ConclusionHalf of the patients receiving one or more medications were counseled, and only 6.7% of all contacts included adherence counseling. Future studies should clarify how barriers to adherence counseling at the community pharmacy can be overcome.

show abstract

Section: Discussionmentioning

confidence: 49%

Section: Introductionmentioning

confidence: 99%

Adherence counseling during patient contacts in Swiss community pharmacies

Boeni¹,

Arnet²,

Hersberger³

2015

PPA

View full text Add to dashboard Cite

show abstract

“…Recent research has shown that community pharmacists in the Netherlands have a diverse set of daily recurring activities that are all competing over the available time of the pharmacist [11]. These daily recurring activities are often essential to manage the pharmacy, but may hamper the community pharmacist in the amount of time he/she can dedicate to CPS [4, 12–18].…”

Section: Introductionmentioning

confidence: 99%

Balancing traditional activities and cognitive pharmaceutical services by community pharmacists: a work sampling study

et al. 2019

View full text Add to dashboard Cite

Background Community pharmacy is undergoing a transition, shifting focus from traditional roles to the provision of cognitive pharmaceutical services. However, traditional activities performed by community pharmacists reduce the amount of available time for implementing and providing such services. Therefore, hampering the community pharmacist in the transition. Objective The aim of this study was to identify characteristics of community pharmacists that spend a higher proportion of their time on cognitive pharmacy services and to identify activities that compete with time spent on such activities by community pharmacists. Setting Daily community pharmacy practice. Method Self-reporting work sampling using smartphone technology was used to register the activities of community pharmacists. Participating pharmacists recorded their current activity five times per working day for 6 weeks and also completed an online survey about baseline characteristics. Main outcome measure Time utilization. Results Ninety-one Dutch community pharmacists provided work-sampling data. The results showed that Dutch community pharmacists are predominantly spending less time on managerial activities when spending more time on cognitive services (from 25.7% to 14.5%, p = 0.016). Pharmacists who are spending more time on such services, want to spend even more time on direct patient contact compared to pharmacists who spend less time on it ( p = 0.030). Conclusion This study shows that community pharmacists that spend more time on cognitive pharmacy services are devoting less time on managerial activities, logistics and other activities. Pharmacists spending more time on cognitive pharmaceutical services are mostly locum pharmacists or work at a pharmacy located in a residential area with largely older inhabitants.

show abstract

“…Several reports suggest that over the last decade there has been few changes to the pharmacists' work pattern with almost half of their time spent on performing these professional activities of checking prescription appropriateness and accuracy of the final product. Nearly one-third of their time involves assembling and labelling prescription products 9,10. Pharmacists' integral involvement in the dispensing process raises questions as to how they are managing to accommodate the delivery of extended pharmacy services and the effect of such services on the workflow of other staff.…”

Section: Introductionmentioning

confidence: 99%

“…Nearly one-third of their time involves assembling and labelling prescription products. 9 , 10 Pharmacists' integral involvement in the dispensing process raises questions as to how they are managing to accommodate the delivery of extended pharmacy services and the effect of such services on the workflow of other staff.…”

Section: Introductionmentioning

confidence: 99%