A review of the medication pathway in rural Queensland, Australia

Tan, Amy; Emmerton, Lynne; Hattingh, Laetitia

doi:10.1111/j.2042-7174.2012.00193.x

Cited by 8 publications

(4 citation statements)

References 25 publications

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“…For example, a review of pharmacy practice in rural Queensland, Australia revealed that extended clinical pharmacy services have been hindered by a shortage of pharmacists [23]. Evidence from this study also demonstrated that appropriate use of pharmacy technicians could free up pharmacists to do clinical work.…”

Section: Discussionmentioning

confidence: 73%

“…Major barriers to the extension of pharmacists' clinical roles in many countries including some developed countries, are pharmacists' shortages and lack of time to take on extended roles [22,23]. For example, a review of pharmacy practice in rural Queensland, Australia revealed that extended clinical pharmacy services have been hindered by a shortage of pharmacists [23].…”

Section: Discussionmentioning

confidence: 99%

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Perceived facilitators to change in hospital pharmacy practice in England

2015

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Perceived facilitators to change in hospital pharmacy practice in England

2015

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“…The topics were informed by a literature review and interviews with key informants external to the study community. 16,18,19 On reaching theme saturation, interview data were manually transcribed and analysed thematically to enhance understanding and contextualise the findings otherwise not identified using electronic applications. The involvement of four researchers (2 data collectors, 2 project directors) added robustness to the interpretation of the themes.…”

Section: Methodsmentioning

confidence: 99%

Medication Information Transfer: An Exploratory Study in a Rural Queensland Community

Tan¹,

Emmerton

Hattingh

et al. 2012

Pharmacy Practice and Res

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Background Inadequate or inaccurate transfer of medication information can challenge optimal medication management. Studies of medication information transfer typically involve the hospital–community interface in urban settings. There is little research on medication information transfer between community health services, between hospitals (rural and metropolitan) and rural community settings. Aim To explore medication information transfer issues faced by rural healthcare providers and their perspectives on initiatives to optimise the process. Method Semi‐structured interviews were conducted with 49 health professionals in 4 towns in rural Queensland on issues surrounding medication supply and management. Interviews were recorded, transcribed verbatim and analysed thematically. Results Some of the issues identified included: discrepancies in medication records, lack of a coordinated system to communicate medication or prescription information between health professionals, and inadequate communication between secondary/tertiary facilities and rural primary care providers. According to the participants, the root causes of these challenges related to workforce issues and inefficiencies in communication and networking systems. Conclusion Key issues were identified relating to medication information transfer between healthcare providers and between healthcare settings, which impacted on optimal medication management for rural patients.

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“…These include shortages of healthcare professionals [4][5][6][7], insufficient health literacy [6,8], socio-cultural dynamics [4,6], geographical remoteness [6][7][8][9], transportation difficulties [4,6,9,10], economic constraints [4,8], and inconsistent doctor-patient rapport [6,11]. The lack of healthcare professionals in rural areas is a major challenge, with a shortage of physicians, pharmacists, and nurse practitioners [12,13].…”

Section: Introductionmentioning

confidence: 99%

Addressing Healthcare Disparities and Improving Osteoporosis Management in Rural Communities: A Randomized Control Trial (Preprint)

Fu,

Lai,

Yen

et al. 2024

Preprint

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BACKGROUND Rural communities face unique challenges including limited healthcare access, financial constraints, and health disparities. These challenges result in shortages of healthcare professionals, insufficient health literacy, socio-cultural dynamics, geographical isolation, transportation difficulties, economic constraints, and inconsistent doctor-patient relationships, collectively contributing to barriers to accessing healthcare in rural areas. However, interventional research focused on overcoming barriers to access healthcare services in rural areas remains limited. OBJECTIVE This study assessed the effectiveness of a multicomponent intervention in increasing the hospital arrival and treatment rate of anti-osteoporosis medication (AOM), and the risk factors leading to the refusal of therapy in a rural community. METHODS Overall, 567 patients were randomly assigned to three groups: multicomponent integrated care (MIC), osteoporosis care only (OC), and usual care (UC). Five interventions were implemented in the MIC and OC groups: medical professionals and specialists, enhancing disease knowledge, overcoming geographic barriers, peer support, and dedicated case managers. However, only medical professionals and specialists, enhancing disease knowledge and a portion of overcoming geographic barriers were included in the UC group. RESULTS In the MIC group, 116 patients were admitted to hospital, with 85 (73.3%) visiting and 68 (58.6%) receiving AOM after interventions. In the OC group, 153 patients were referred to the hospital, of whom 124 (81 %) visited and 106 (69.3%) received AOM after intervention. However, in the UC group, only six (4.1%) visited and received AOM, of the 146 participants recommended for hospital after our screening. Significant differences were found between the MIC and UC groups regarding the proportion of patients who visited the hospital (P<.001) and those who received AOM (P<.001). Significant differences were also observed between the OC and UC groups (P<.001, P<.001, respectively). Multivariable logistic modeling identified risk factors hindering hospital visits, including male sex (odds ratio (OR) 3.54; 95% CI 1.46–8.59; P=.005), low education (OR 2.46; 95% CI 1.14–5.32; P=.02), multiple disabilities (OR 2.18; 95% CI 1.05–4.51; P=.04), and osteopenia diagnosis (OR 2.3; 95% CI 1.15–4.61; P=.02). CONCLUSIONS Our findings underscore the importance of supporting patients in accessing rural healthcare services, in addition to integrating professionals and specialists, and improving disease knowledge. We emphasize the need for multiple interventions to enhance osteoporosis treatment rates in rural communities. CLINICALTRIAL ClinicalTrials.gov NCT05104034

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A review of the medication pathway in rural Queensland, Australia

Cited by 8 publications

References 25 publications

Perceived facilitators to change in hospital pharmacy practice in England

Perceived facilitators to change in hospital pharmacy practice in England

Medication Information Transfer: An Exploratory Study in a Rural Queensland Community

Addressing Healthcare Disparities and Improving Osteoporosis Management in Rural Communities: A Randomized Control Trial (Preprint)

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