Development and content validation of an instrument to support pharmaceutical counselling for dispensing of prescribed medicines

Rocha, Kérilin Stancine Santos; Santos, Sabrina Cerqueira; Boaventura, Thays Carneiro; Júnior, Genival Araújo dos Santos; Araújo, Dyego Carlos Souza Anacleto de; Silvestre, Carina Carvalho; Jesus, Elisdete Maria Santos de; Júnior, Divaldo Pereira de Lyra

doi:10.1111/jep.13102

Cited by 17 publications

(23 citation statements)

References 43 publications

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“…On the other hand, the pharmacists highlighted the patient's feedback by telephone as a facilitator of the implementation of drug dispensing. The literature shows that, as well as the patient returning to the community pharmacy, a telephone call can be a viable alternative for evaluating the results of pharmaceutical interventions performed during drug dispensing, as long as indicators that assess the quality of these results are utilized [18,61,62]. Therefore, the use of instruments that support drug dispensing, and the establishment of performance indicators, can be important for the systematization of the dispensing process and should be used to ensure the reproducibility of the service.…”

Section: Discussionmentioning

confidence: 99%

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Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study

Cerqueira-Santos

Rocha

Araújo

et al. 2020

Preprint

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Background: Implementation of clinical pharmacy services, such as drug dispensing, is a complex process. It is necessary to understand the challenges associated with this practice from the perspective of the actors involved to help ensure optimal service provision. Thus, this study aimed to understand the factors that may influence the implementation of drug dispensing in community pharmacies, according to the perceptions of pharmacists. Methods: This qualitative study was based on semi-structured, face-to-face interviews. The participants were pharmacists who worked in a chain of community pharmacies in Brazil, selected based on their direct participation in the implementation process. The interview recordings were transcribed full verbatim and were independently analyzed using thematic analysis, followed by consensus meetings between researchers. The factors identified by the participants were classified according to the Apoteca framework. This study was approved by the Committee of Ethics in Research and all participants signed an informed consent form. Results: We conducted 18 interviews, with 47 factors that may influence the implementation of drug dispensing in community pharmacies being identified. These factors were allocated to seven categories: support from community pharmacy chain (4), pharmacy infrastructure (11), characteristics of the pharmacy, medicines and other health products (4), pharmacist (16), dispensing work process (2), pharmacy team (2), and patient (8). The classification of factors according to the Apoteca framework allocated most of them to administrative (14) and technical (14) domains, followed by attitudinal (13) and political (5) domains. Conclusions: This study identified several factors that can influence the implementation of drug dispensing and classified them according to the domains of the Apoteca framework, highlighting the multifactorial nature of the implementation process. The results of this study can guide the planning of strategies aimed at providing efficient drug dispensing in community pharmacies.

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Section: Discussionmentioning

confidence: 99%

“…Recently, some studies have identi ed the need to improve drug dispensing with de ned and documented work processes [17,18]. It is therefore necessary to re ect on the processes related to the dispensing practice and its implementation in relation to the actors involved.…”

mentioning

confidence: 99%

Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study

Cerqueira-Santos

Rocha

Araújo

et al. 2020

Preprint

Self Cite

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“…На втором этапе клинические эксперты знакомятся с прогнозами всех остальных участников. Если прогноз какого-то конкретного медицинского эксперта отличается, он поясняет свою позицию для достижения консенсуса [21].…”

Section: материалы и методыunclassified

Comparative Review of Methodologies for Estimating the Cost of Adverse Drug Reactions in the Russian Federation and Brazil

Syraeva

Колбин

Матвеев

et al. 2021

Farm. farmakol. (Pâtigorsk)

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The aim of the review article was to highlight the methodologies for assessing the financial costs of adverse drug reactions exemplified by the Russian Federation and Brazil.Materials and methods: for a comparative analysis, materials from open sources were used. The study of the experience of methods used for assessing the burden of adverse drug reactions, was carried out using the system for calculating payments for medical care by clinical-statistical and clinical-profile groups, the methodology for assessing the severity of adverse events of the US National Cancer Institute, drug-associated problems, and “the decision tree” model.Results. When comparing the costs of ADR management in the Russian Federation and Brazil, the following results have been obtained: in the Russian Federation, the “cost” of reaction can be estimated only for a limited number of nosological groups that are regulated by the classification of diseases by clinical and statistical groups; in Brazil, when predicting the costs of adverse reactions management, the combination of “the decision tree” method and the Delphi method is used. In the Russian Federation, the cost of the 3rd and above severity adverse event (according to CTCAE v. 4.03), varies from 26,849.22 up to 26,196.37 RUB in the North-West region (St. Petersburg). In Brazil, the cost of ADR ranges from 13 USD (the best scenario for the patient) to 574 USD (the worst scenario for the patient), which is about 975 and 43,000 RUB, respectively. The introduction of methods that make it possible to predict the development and potential outcomes of adverse drug reactions, as well as taking into account the experiences of foreign colleagues in their modeling, will reduce economic costs in the Russian Federation at the federal level.Conclusion: for the economic value analysis and further forecasting, an improvement of existing methodologies is required. The models used in the Russian Federation (“the decision tree”, classification of diseases by clinical groups, Markov model) do not take into account the time factor, therefore, when planning the analysis of potential costs for adverse reactions, it is necessary to reinforce the methods with such tools as QALY, YLL, and YLD.

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“…In Brazil, Rocha et al used a mixed method of iterations, meetings, and a Delphi technique in the development and validation of a tool to support pharmaceutical counselling of patients with regard to medications [53]. Iterations, repeated meetings, and Delphi technique rounds were used to develop and validate the tool that can be used to support pharmaceutical counselling of patients with regard to medications.…”

Section: Evidence-based Complementary and Alternative Medicinementioning

confidence: 99%

Quality Indicators of Pharmaceutical Care for Integrative Healthcare: A Scoping Review of Indicators Developed Using the Delphi Technique

Shawahna

2020

Evidence-Based Complementary and Alternative Medicine

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Background. Recently, measuring and benchmarking provision of healthcare services has drawn a considerable attention. This scoping review was conducted to identify, describe, and summarize studies in which the Delphi technique was used to develop quality indicators of pharmaceutical care. The study also aimed to identify activities and services that could be used to capture the impact of pharmacist in integrative medicine. Methods. Databases were searched from inception to February 2020 using key terms that were combined using Boolean operators. Studies were included if they were relevant to development of quality indicators of pharmaceutical care with regard to medications or complementary and alternative medicine (CAM) modalities. Full text of the selected studies was imported into EndNote. Studies were screened and data were extracted into a standard extraction form. Results. Data were extracted from 31 studies. Of those, 24 (77.4%) were related to provision of pharmaceutical services relevant to medications and 7 (22.6%) were related to provision of care using CAM modalities. Most of the studies (67.7%) were published in 2010 and beyond. Almost half of the studies (48.4%) originated from the United States, United Kingdom, and Canada. A total of 42 different activities and services that could be used as quality indicators were identified from the studies included in this review. Activities and services were related to history taking, performing reconciliations, identifying and resolving therapy problems, providing collaborative care, designing care plans, optimal performance, and continuing education. Conclusions. Although there is an increasing interest in improving healthcare delivery, quality indicators of pharmaceutical services and those relevant to CAM provision in healthcare facilities adopting the integrated healthcare paradigm are still limited. Future studies are needed to develop validated quality indicators that could be successfully used in measuring and benchmarking quality of services in integrated healthcare facilities.

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Development and content validation of an instrument to support pharmaceutical counselling for dispensing of prescribed medicines

Cited by 17 publications

References 43 publications

Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study

Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study

Comparative Review of Methodologies for Estimating the Cost of Adverse Drug Reactions in the Russian Federation and Brazil

Quality Indicators of Pharmaceutical Care for Integrative Healthcare: A Scoping Review of Indicators Developed Using the Delphi Technique

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