Assessment of case management of dyspepsia at community pharmacies in two cities of Pakistan

Malik, Madeeha

doi:10.12991/201317385

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…Out of the 1107 papers in the original search and two added due to quoting the 2006 review, 148 papers met the criteria . Extraction of relevant papers from those found by the search strategy was done jointly by two researchers (IB and PN) and independently by a third researcher (AA).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the use of simulated patient methodology in pharmacy practice research from 2006 to 2016

Björnsdóttir

Granås

Bradley

et al. 2019

International Journal of Pharmacy Practice

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Objectives Simulated patient (SP) methodology (mystery shopping) is used increasingly to assess quality of pharmacy services, and evaluate impact of interventions. Our objective was to review papers reporting on the use of SP methodology in pharmacy practice research 2006-2016 in community pharmacies worldwide. Methods We searched EMBASE and MEDLINE for papers reporting on the use of mystery shopping in pharmacy settings, using a wide range of terms for SPs, based on previous review. We removed irrelevant papers, duplicates, papers not written in English, and review papers and reviewed remaining papers. Two reviewers carried out data abstraction, using the same tool as the previous review and inserting data into Excel, focusing on how the SP methodology is used. Key findings A total of 148 papers from 52 countries from all regions of the world were included in the review. A wide range of terms described the method, and simulated patient was the most common (49 papers). Most studies were cross-sectional (124), and most investigated only community pharmacies (115). The most common aim was to evaluate some aspect of pharmacists' or other staff's advice and counselling (94). Number of visits is 2-7785. Many papers did not cover details, such as number of visits planned, and carried out, scenario used, training and background of SPs, and ethical approval for the study. Conclusions The use of SP methodology has increased substantially in the field of pharmacy over the past decade. This is a useful method in a wide range of countries and settings. Greater detail is required in reporting.

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Section: Resultsmentioning

confidence: 99%

A systematic review of the use of simulated patient methodology in pharmacy practice research from 2006 to 2016

Björnsdóttir

Granås

Bradley

et al. 2019

International Journal of Pharmacy Practice

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“…Penelitian-penelitian terpublikasi terkait bagaimana apoteker ataupun staf apotek memberikan rekomendasi dalam menanggapi kasus swamedikasi dispepsia masih sangat minim. Hasil penelusuran literatur mendapatkan dua penelitian terkait pelayanan apoteker/staf apotek pada kasus dispepsia yang hasilnya menunjukkan pelayanan yang sub-optimal baik dalam penggalian informasi dan diagnosis, ketepatan pemberian rekomendasi, dan konseling yang diberikan [22,23]. Di Indonesia, meskipun gejala dispepsia sering ditemui di apotek [24,25], akan tetapi belum ditemukan penelitian terpublikasi mengenai bagaimana kemampuan apoteker di apotek dalam menangani kasus dispesia.…”

Section: Pendahuluanunclassified

“…Showande et.al melaporkan bahwa hanya 2% dari 131 staf apotek yang dapat menduga dengan tepat bahwa gejala pasien terkait penggunaan ibuprofen pada kasus uncomplicated gastric ulcer dengan metode simulasi pasien [23]. Malik et.al juga melaporkan konseling yang diberikan pada pasien simulasi oleh staf apotek tidak adekuat, dimana konseling terkait cara penggunaan obat diberikan kurang dari 50% dari 215 pertemuan dan konseling efek samping tidak diberikan sama sekali [22]. Menimbang ketepatan rekomendasi yang cukup rendah, maka pendidikan berkelanjutan terkait menanggapi gejala penyakit dispepsia kelihatannya cukup diperlukan untuk apoteker pada setting penelitian ini.…”

Section: Tipe Dan Ketepatan Rekomendasi Yang Diberikanunclassified

Profil Tipe dan Ketepatan Rekomendasi Apoteker pada Kasus Vignette Dispesia di Salah Satu Kabupaten di Jawa Timur Indonesia

Primulyanto¹,

Wibowo²,

Setiawan³

et al. 2022

MPI

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Dispepsia merupakan salah satu gejala yang umum dijumpai di apotek, dan oleh karena itu apoteker perlu untuk mampu memberikan rekomendasi yang tepat pada pasien dengan gejala dispepsia. Penelitian ini bertujuan untuk mendeskripsikan tipe dan ketepatan rekomendasi pada dua kasus vignette dispepsia. Penelitian ini menggunakan desain potong lintang dan 42 apoteker berpartisipasi dalam penelitian ini. Instrumen penelitian menggunakan kuesioner yang berisi: (1) karakteristik apoteker dan apotek serta (2) dua kasus vignette: kasus dispepsia tanpa alarm symptoms dan kasus dispepsia karena Na diklofenak. Pengambilan data dilakukan dengan wawancara terstruktur. Analisis data dilakukan dengan inductive content analysis. Ketepatan rekomendasi dinilai berdasarkan literatur dan opini expert panel. Tipe rekomendasi yang paling sering diberikan oleh apoteker pada dua kasus di atas adalah memberikan produk untuk gejala dispepsia. Ketepatan rekomendasi pada kasus dispepsia tanpa alarm symptom dan pada kasus dispepsia karena Na diklofenak secara berturut-turut adalah 83% dan 21% dari 42 apoteker yang berpartisipasi. Dapat disimpulkan bahwa ketepatan rekomendasi bervariasi tergantung kasus. Perlu adanya peningkatan kemampuan apoteker dalam memberikan rekomendasi yang tepat, terutama pada kasus swamedikasi dispepsia yang membutuhkan rujukan ke dokter. Dyspepsia is a symptom commonly seen in community pharmacies, and therefore pharmacists need to be able to provide appropriate recommendations for patients with dyspepsia. This study aims to describe the types and the appropriateness of the recommendation provided by pharmacists when responding to two vignette cases of dyspepsia. This study was a cross sectional study, and 42 community pharmacists participated in the study. A questionnaire consisting of (1) pharmacists and pharmacy characteristics, and (2) two vignette cases of dyspepsia without alarm symptoms and dyspepsia due to Na diclofenac was developed. A structured interview was used for data collection, and an inductive content analysis was used to analyse the cases. The appropriateness of the recommendation was assessed based on the literature and expert panel opinion. The most common type of recommendation provided in the 2 vignette cases was recommending product for dyspepsia. Appropriate recommendation was provided by 83% and 21% of the 42 participating pharmacists in the case of dyspepsia without alarm symptoms and in the case of dyspepia due to Na diclofenac respectively. The appropriateness of the recommendation varied depending on the case. There is a need to improve the capability of pharmacists in providing appropriate recommendation, particularly for a dyspepsia case that needs medical referral.

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A systematic review of community pharmacies' staff diagnostic assessment and performance in patient consultations

Sinopoulou

Gordon

Rutter

2019

Research in Social and Administrative Pharmacy

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Background: Increases in patients seeking advice at pharmacies has led to pharmacy staff engaging in diagnostic behaviours. Approaches to diagnosis include using mnemonics and clinical reasoning. Objectives: The primary aim of this review was to assess the degree to which the criteria authors use to evaluate diagnostic performance in pharmacy consultations, in studies that use simulated patients or vignettes, conform with a clinical reasoning and a mnemonic framework. A secondary aim of the review was to characterise staff performance in the studies, based on the authors' comments of their results. Methods: MEDLINE, EMBASE and Web of Science were searched between October 2016 and April 2017. Only peer-reviewed studies assessing pharmacy staff's diagnostic performance by using simulated patients or vignettes were eligible for inclusion. Data were extracted about how each study's criteria conformed with clinical reasoning and mnemonic frameworks. A scoring system between 0 and 4 was devised to determine the degree to which studies aligned to these two approaches. Risk of bias was assessed using the NHI Study Quality Assessment Tools. The review was registered in PROSPERO with identification number CRD42017054827. Results: Sixty-eight studies (55 cross-sectional, 11 educational interventions and 2 RCTs) with sample sizes between 10 and 2700 were included in the review. Most studies were of poor or fair quality. Performance of pharmacy staff was overwhelmingly reported as poor by study authors. This was the case regardless of geography, scenario used or whichever assessment framework was utilised. Scrutiny on how authors arrived at these conclusions revealed that mnemonic criteria were employed to assess pharmacy staff's diagnostic performance rather than a clinical reasoning approach. Conclusions: Potentially important aspects of the decision-making process, that clinical reasoning accounts for, were left unexplored. The scope of the number and locations of the included studies is a strength of this review, however, the system employed does not represent a validated tool. Submission Files Included in this PDFFile Name [File Type] cover letter.docx [Cover Letter] Response to reviewers.docx [Response to Reviewers (without Author Details)] Abstract.docx [Abstract]

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Assessment of case management of dyspepsia at community pharmacies in two cities of Pakistan

Cited by 3 publications

References 13 publications

A systematic review of the use of simulated patient methodology in pharmacy practice research from 2006 to 2016

A systematic review of the use of simulated patient methodology in pharmacy practice research from 2006 to 2016

Profil Tipe dan Ketepatan Rekomendasi Apoteker pada Kasus Vignette Dispesia di Salah Satu Kabupaten di Jawa Timur Indonesia

A systematic review of community pharmacies' staff diagnostic assessment and performance in patient consultations

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