Assessing the pharmaceutical care needs of asthmatic patients

Costa, Filipa Alves da; Duggan, Catherine; Mil, J. W. Foppe van

doi:10.1007/s11096-004-9007-6

Cited by 7 publications

(10 citation statements)

References 18 publications

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“…This low rate may also confirm the low interest in participating in pharmacy practices studies found in other recent studies [48, 49]. However, the results from the survey suggest that the potential to develop online services exists.…”

Section: Discussionsupporting

confidence: 83%

Implementing an online pharmaceutical service using design science research

Lapão

Silva

Gregório

2017

BMC Med Inform Decis Mak

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Background: The rising prevalence of chronic diseases is pressing health systems to introduce reforms. Primary healthcare and multidisciplinary models have been suggested as approaches to deal with this challenge, with new roles for nurses and pharmacists being advocated. More recently, implementing healthcare based on information systems and technologies (e.g. eHealth) has been proposed as a way to improve health services. However, implementing online pharmaceutical services, including their adoption by pharmacists and patients, is still an open research question. In this paper we present ePharmacare, a new online pharmaceutical service implemented using Design Science Research. Methods: The Design Science Research Methodology (DSRM) was chosen to implement this online service for chronic diseases management. In the paper, DSRM's different activities are explained, from the definition of the problem to the evaluation of the artifact. During the design and development activities, surveys, observations, focus groups, and eyetracking glasses were used to validate pharmacists' and patients' requirements. During the demonstration and evaluation activities the new service was used with real-world pharmacists and patients. Results: The results show the contribution of DSRM in the implementation of online services for pharmacies. We found that pharmacists spend only 50% of their time interacting with patients, uncovering a clear opportunity to implement online pharmaceutical care services. On the other hand, patients that regularly visit the same pharmacy recognize the value in patient follow-up demanding to use channels such as the Internet for their pharmacy interactions. Limitations were identified regarding the high workload of pharmacists, but particularly their lack of know-how and experience in dealing with information systems (IST) for the provision of pharmaceutical services. Conclusions: This paper summarizes a research project in which an online pharmaceutical service was proposed, designed, developed, demonstrated and evaluated using DSRM. The main barriers for pharmacists' adoption of online pharmaceutical services provision were the lack of time, time management and information systems usage skills, as well as a precise role definition within pharmacies. These problems can be addressed with proper training and services reorganization, two proposals to be investigated in future works.

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Section: Discussionsupporting

confidence: 83%

Implementing an online pharmaceutical service using design science research

Lapão

Silva

Gregório

2017

BMC Med Inform Decis Mak

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“…First, the sample size (2000 patients, 1000 from each district of Amman) is very good compared with previous similar studies conducted in Jordan (n = 1650) [16] and other countries around the world (n = 100 to 600) [17,18]. This large sample size promotes the generalizability of the findings of this study.…”

Section: Discussionmentioning

confidence: 73%

Effect of Divergence in Patients’ Socioeconomic Background on their Perspective of the Role of the Community Pharmacist in Amman, Jordan

Qunaibi¹,

Basheti²,

Hamadi³

et al. 2013

Trop. J. Pharm Res

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“…28 In keeping with studies completed in other countries, only a minority of patients received their initial education from nurses and pharmacists. 29,30 Educational approaches, such as the use of multi media and medication information leaflets, have been investigated. 30,31 These approaches should be used to supplement the education provided by health care staff.…”

Section: Education On Inhaler Techniquementioning

confidence: 99%

Adequacy of inhaler technique used by people with asthma or chronic obstructive pulmonary disease

Bryant¹,

Bang²,

Chew³

et al. 2013

J Prim Health Care

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INTRODUCTION: Asthma and chronic obstructive pulmonary disease (COPD) are ongoing concerns to the health system. Poor inhaler technique results in less than optimal delivery of medicine to the lungs and consequent inadequate symptom control. AIM: This study aimed to assess inhaler technique amongst people with asthma and/or COPD. The secondary aims were to investigate who provided education on inhaler technique and whether age, gender or ethnicity was associated with poor inhaler technique. METHODS: People with asthma or COPD who presented to a community pharmacy with a prescription for a respiratory inhaler were invited to participate in the study. Participants completed a brief questionnaire and had their inhaler technique assessed against a standard checklist. RESULTS: There were 103 participants from 26 pharmacies, 86 with asthma and 17 with COPD. Just over half (52.5%) of the assessments indicated good inhaler technique, with 68% of people using the Turbuhaler having good technique compared to 53% for the pressurised metered dose inhaler (pMDI) with spacer and 47% for the pMDI alone. The majority of people (76%) received their initial inhaler technique instruction from their doctor. Over half of participants did not recall having their inhaler technique rechecked. DISCUSSION: After prescribing appropriate therapy, correct inhaler technique is a cornerstone of achieving adequate therapy. Rechecking inhaler technique is a gap in care that needs to be addressed from an interdisciplinary perspective. KEYWORDS: Asthma; chronic obstructive pulmonary disease; dry powder inhalers; metered dose inhalers; spacer inhalers

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Assessing the pharmaceutical care needs of asthmatic patients

Cited by 7 publications

References 18 publications

Implementing an online pharmaceutical service using design science research

Implementing an online pharmaceutical service using design science research

Effect of Divergence in Patients’ Socioeconomic Background on their Perspective of the Role of the Community Pharmacist in Amman, Jordan

Adequacy of inhaler technique used by people with asthma or chronic obstructive pulmonary disease

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