Analysis of pharmacist–patient communication using the Calgary-Cambridge guide

Greenhill, Nicola; Anderson, Claire; Avery, Anthony J; Pilnick, Alison

doi:10.1016/j.pec.2011.04.036

Cited by 114 publications

(95 citation statements)

References 37 publications

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“…Consultations that focus on directions for medication use and dose, rather than on side effects and adverse events, were also identified in a review of counselling practices on prescription medicines in community pharmacies 24. However, the extent and type of communication between SPs and pharmacists in our study was similar to other studies of OTC medicines in the UK 11, 25, 26…”

Section: Discussionsupporting

confidence: 90%

It’s not what you do it’s the way that it’s measured: quality assessment of minor ailment management in community pharmacies

Inch

Porteous

Maskrey

et al. 2016

International Journal of Pharmacy Practice

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BackgroundEffective management of minor ailments in community pharmacies could reduce the burden on alternative high‐cost services (general practices, Emergency Departments). Evidence is needed regarding the appropriateness of management of these conditions in community pharmacies.ObjectiveTo explore the appropriateness of minor ailment management in community pharmacies.SettingProspective, observational study of simulated patient (SP) visits to community pharmacies in Grampian (Scotland) and East Anglia (England).MethodEighteen pharmacies (nine per centre) were recruited within a 25‐mile radius of Aberdeen or Norwich. Consultations for four minor ailments were evaluated: back pain; vomiting/diarrhoea; sore throat; and eye discomfort. Each pharmacy received one SP visit per ailment (four visits/pharmacy; 72 visits total). Visits were audio‐recorded and SPs completed a data collection form immediately after each visit.Primary Outcome MeasureEach SP consultation was assessed for appropriateness against product licence, practice guidelines and study‐specific consensus standards developed by a multi‐disciplinary consensus panel.ResultsEvaluable data were available for 68/72 (94.4%) visits. Most (96%) visits resulted in the sale of a product; advice alone was the outcome of three visits. All product sales complied with the product licence, 52 (76%) visits complied with practice guidelines and seven visits achieved a ‘basic’ standard according to the consensus standard.ConclusionAppropriateness of care varied according to the standard used. Pharmacy‐specific quality standards are needed which are realistic and relevant to the pharmacy context and which reflect legal and clinical guidelines to promote the safe and effective management of minor ailments in this setting.

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Section: Discussionsupporting

confidence: 90%

It’s not what you do it’s the way that it’s measured: quality assessment of minor ailment management in community pharmacies

Inch

Porteous

Maskrey

et al. 2016

International Journal of Pharmacy Practice

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“…34 Researchers have found that when pharmacists were empathetic to patients in consultations about their medications that many patients reported feeling as though their contributions to the conversation were important to the pharmacist. 35,36 Examples of understanding and trying to appreciate the hospital experience from the patients' perspective were provided by the focus group pharmacists. David reflected on how foreign and potentially frightening a hospital stay can be for patients and how pharmacists and other healthcare professionals demonstrating kindness can mitigate these concerns.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

“…34,39,40 However, many studies have identified this as a short coming for pharmacists whose communication with patients tended to involve the transfer of large amounts of information without actively listening to, asking open-ended questions or engaging patients in the conversation. 31,32,35,41,42 Perhaps pharmacists experiencing time pressures related to their workload are compelled to purvey medication information in this unidirectional fashion, because they assume it is the most efficient method to communicate with patients. However, this download of information has been criticised by healthcare researchers as meeting provider's agendas rather than being patient-centred in its focus.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Examining hospital pharmacists' goals for medication counseling within the communication accommodation theoretical framework

Chevalier

Watson

Barras

et al. 2016

Research in Social and Administrative Pharmacy

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“…The requirements of this consultation were best suited to the Calgary-Cambridge framework (12) as it allowed consultation tasks to be ordered and arranged under 4 general headings: 1) initiating the consultation, 2) gathering information, 3) explanation and planning, and 4) closing the consultation. The Calgary-Cambridge framework supports the use of an open and closed questioning technique and incorporates the patient-centered approach to both the process and content of patient consultations recommended by NICE (12)(13)(14).…”

Section: Ideas Generation Roundmentioning

confidence: 99%

“…By using open and closed questions, the HCP focuses on the patient's concerns and preferences and tailors advice toward them. The Calgary-Cambridge framework not only helped to structure the consultation, but also helped the consultation to move from open to closed questions accordingly (12,13). Each patient is given the scope to direct the consultation in terms of making it personally relevant to him or her.…”

Section: Finney Et Almentioning

confidence: 99%

Defining the Content of an Opportunistic Osteoarthritis Consultation With Primary Health Care Professionals: A Delphi Consensus Study

Finney

Porcheret

Grime

et al. 2013

Arthritis Care & Research

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Objective. To define the core content for an opportunistic consultation between a health care professional (HCP) and a patient with osteoarthritis (OA) in primary care.Methods. An ideas generation round and a 2-round Delphi postal consensus study allowed participants to rank the importance of tasks for an opportunistic consultation. The study was conducted with a lay group (n ‫؍‬ 18) and 3 groups of HCPs (n ‫؍‬ 30 for general practitioners, n ‫؍‬ 19 for practice nurses, and n ‫؍‬ 37 for allied health professionals). Results. The ideas generation round formulated 35 consultation tasks. There was a 50% response rate to the 2-round postal exercise (n ‫؍‬ 52). Consensus was reached on 12 tasks for an opportunistic OA consultation using a >80% level of agreement across all groups. Three of these consultation tasks were defined at 100%. The 3 tasks were questions asked by the HCP about how things are going with the condition, the type and amount of pain the patient has, and whether the patient is taking regular analgesia. Conclusion. In a Delphi study to define the content of an opportunistic primary care OA consultation, 12 consultation tasks provided the content of a comprehensive consultation. Three of these tasks with 100% agreement could be adopted in any multidisciplinary consultation for OA in primary care. Inquiring about the condition, the type and amount of pain the patient has, and whether analgesia is being taken forms a core set of questions that are considered important by both lay and health professional groups in an opportunistic consultation.

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Analysis of pharmacist–patient communication using the Calgary-Cambridge guide

Cited by 114 publications

References 37 publications

It’s not what you do it’s the way that it’s measured: quality assessment of minor ailment management in community pharmacies

It’s not what you do it’s the way that it’s measured: quality assessment of minor ailment management in community pharmacies

Examining hospital pharmacists' goals for medication counseling within the communication accommodation theoretical framework

Defining the Content of an Opportunistic Osteoarthritis Consultation With Primary Health Care Professionals: A Delphi Consensus Study

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