Conceptualizing and measuring pharmacist-patient communication: a review of published studies

Shah, Bupendra; Chewning, Betty

doi:10.1016/j.sapharm.2006.05.001

Cited by 131 publications

(109 citation statements)

References 43 publications

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“…17,[81][82][83][84][85] The authors suggested that pharmacists further develop their patient counselling communication skills to be more effective in their communication with patients and to step into more advanced advisory roles. Pharmacists need to consider ongoing communication training as a one of their essential life-long learning skills required for professional development and licensure.…”

Section: Heavy Pharmacist/pharmacy Technician Workloadmentioning

confidence: 99%

Hospital pharmacists' perceptions of medication counseling: A focus group study

Chevalier

Watson

Barras

et al. 2016

Research in Social and Administrative Pharmacy

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BackgroundMedication counselling sessions are key times for a pharmacist to speak to patients about their medications and the changes made to their therapies during their hospital stay. ObjectivesTo explore hospital pharmacists' perceptions of their roles and goals in patient medication counselling, and perceived barriers and facilitators to achieving their goals. MethodsHospital pharmacist focus groups were held in two tertiary referral hospitals. Eligible pharmacists had provided medication counselling within the previous six months in inpatient and/or outpatient settings. Interested pharmacists attended a focus group designed to elicit their opinions and perceptions of patient medication counselling. Focus groups were audio recorded and transcribed verbatim. Inductive thematic analysis was applied to the data to identify initial patterns (codes) which were then organized into common overarching themes using NVivo ® software. The codes were reviewed for reliability by pharmacists independent of the focus groups. ResultsSix, one-hour focus groups were conducted with a total of 24 pharmacists participating. Saturation of information was determined after four focus groups. Greater than 80% consensus was achieved for reliability of the identified codes. A number of themes emerged from these codes around the goals, roles, and the barriers and facilitators to meeting these goals. Pharmacists' patient-centred goals in medication counselling were to build rapport, to empower patients and to improve patients' experience, health and safety. These goals would be accomplished through specific roles such as being an assessor, educator and problem-solver. Pharmacists frequently cited time pressures caused by systemic (hospital), and pharmacy specific processes as key challenges to achieving their goals. Factors that enabled pharmacists to meet their goals were those related to effective interprofessional collaboration and the quality of professional practice (such as training, expanded roles and advanced planning for discharge). ConclusionsHospital pharmacists emphasised patient-centred goals in medication counselling and outlined the challenges to meet those goals. The findings from this study will be used to develop strategies for effective communication and inform pharmacy practice changes to improve patient care. Key Words Hospital pharmacist Focus group Goal Role Communication M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPTPage 2 of 27 IntroductionDischarge from hospital to community or to other healthcare facilities marks an important transition in care for patients. Discharge and other transitions such as admission to hospital or transfers within a hospital have been identified as particular times when patients may be at risk of experiencing medication errors and adverse events. 1-3 Medication counselling opportunities are key times for pharmacists to speak to patients about their medications and the changes made to their therapies during their hospital stay. 2,[4][5][6][7] Failure by a hospital phar...

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Section: Heavy Pharmacist/pharmacy Technician Workloadmentioning

confidence: 99%

Hospital pharmacists' perceptions of medication counseling: A focus group study

Chevalier

Watson

Barras

et al. 2016

Research in Social and Administrative Pharmacy

View full text Add to dashboard Cite

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“…9 In community pharmacies, pharmaciste patient communication study has shown that it occurs as a one way communication as patients do not participate by querying pharmacist. 10 People may not always identify how pharmacists work or understand the part they play in assuring safe medication use. 11 In the 1990s researchers stated that 40 to 67 percent of patients who obtain prescriptions in pharmacies do not usually communicate with their pharmacist regarding their health related conditions of medications.…”

Section: Introductionmentioning

confidence: 99%

Patients' opinion of pharmacists and their roles in health care system in Pakistan

Khan¹,

Khan²,

Ahmed³

et al. 2013

Journal of Young Pharmacists

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a b s t r a c tBackground: Pharmacistepatient association is a decisive component in improving health care system. To offer patient centred services, the pharmacists need to fully understand patients' perspectives and views to meet their needs and expectations. Purpose: To evaluate patients' perception of pharmacist and pharmacy practice in Pakistan. Methods: A cross sectional study was conducted between July and September 2012 on patients attended out-patient clinic in a teaching hospital of Pakistan. By using raosoft sample size calculator, questionnaires were distributed to a sample of 376 patients. Questionnaire included different section which evaluated the demographic information, frequency and reason of interaction, perception and choice of pharmacy. Statistical analysis was done by using SPSS (v.17). Results: A total of 301, out of 376, surveys returned giving a response rate of 80%. 51.8% (n ¼ 156) participants interacted with pharmacist on regular basis. The major reasons of interaction were drug alternative and drug availability queries (41.5%, n ¼ 125 and 26.2%, n ¼ 79). The finding also showed that 84.1% (n ¼ 253) of participants agreed that pharmacists are important part of health care system. Interestingly, all the patients (n ¼ 301) either agreed or strongly agreed that discount was the major influencing factor on their choice of pharmacy. Conclusion: The patients' perception of pharmacist in Pakistan was generally positive but their understanding is very primitive as majority of the patients are unaware of pharmaceutical care services. However, they are more devoted to witness such services being practiced in Pakistan. This transition in practice could be brought into certainty by proactive involvement of pharmacists in community setup.

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“…This is largely due to the effects of corporatization and accompanying changes in operations have on retail pharmacy. This topic is significant because lower counseling times have been shown in other studies to cause problems such as increased ADRs and incomplete information given to the patient (Shah and Chewning, 2006). "Counseling" refers to the discussion that takes place between the pharmacist and the patient regarding new prescriptions that occurs before the patient leaves the pharmacy.…”

Section: Decrease In Pharmacist-patient Counseling and Relationship Tmentioning

confidence: 99%

“…There has been much research done into the communication between the patient and pharmacist as well as research into changes in filling time, ADR rates and other aspects of the pharmacy. However, there still exists a gap in this research regarding the exact effects of corporatization and changes in structure occurring in the retail pharmacy today (Shah and Chewning, 2006). This change in structure specifically relates to the shift in the way pharmacies are operated to be both more 6 efficient as well as more cost effective to the corporate owners than their privately-owned counterparts.…”

Section: Introductionmentioning

confidence: 99%

The Corporatization of Retail Pharmacy: Changes in Efficacy, Reliability, and Expedience

Bodreau¹

2015

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The retail pharmacy of the present has undergone a large shift in ownership from private to corporate in the form of chain pharmacies. In this literature review, the effects of this shift in ownership, otherwise referred to as "corporatization" are examined in order to determine both the benefits and areas of concern regarding this change. This review suggests that the benefits include: Decreases in filling time and increases in patients of satisfaction. The areas of concern include: Decreasing patient-pharmacist counseling rates, increases in Adverse Drug Reaction rates and decreased pharmacy costs but not patient costs. It is concluded that the areas of concern outweigh the potential benefits. In order to improve on these areas of concern regarding corporatized pharmacies several changes must be made. First, pharmacists must be educated on proper counseling techniques in reduced time-frame to ensure patient understanding of medication. Second, these pharmacies should consider more staffing to ensure that patientpharmacist counseling times don't decrease more. Finally, more research needs to be done into the specific effects of corporatization in order to draw a more robust and complete conclusion on its overall effects on the retail pharmacy.

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Conceptualizing and measuring pharmacist-patient communication: a review of published studies

Cited by 131 publications

References 43 publications

Hospital pharmacists' perceptions of medication counseling: A focus group study

Hospital pharmacists' perceptions of medication counseling: A focus group study

Patients' opinion of pharmacists and their roles in health care system in Pakistan

The Corporatization of Retail Pharmacy: Changes in Efficacy, Reliability, and Expedience

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