Emerging role of pharmacists in managing patients with chronic obstructive pulmonary disease

Hudd, Timothy R

doi:10.1093/ajhp/zxaa216

Cited by 18 publications

(15 citation statements)

References 61 publications

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“…It has been established that errors in inhaler technique are associated with poorer disease control and that pharmacists can offer proper interventions and counseling to improve adherence. 50 This education is well within the scope of pharmacists and spirometry results could help to measure the impact of proper inhaler use or identify patients who may need additional medication counseling.…”

Section: Resultsmentioning

confidence: 99%

Pharmacist Provided Spirometry Services: A Scoping Review

Valentino¹,

Eddy²,

Woods³

et al. 2021

IPRP

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Purpose Despite international guidelines’ recommendations, spirometry is underutilized in the diagnosis and management of asthma and COPD. Spirometry may be an opportunity for trained pharmacists to meet the needs of patients with suspected or diagnosed lung conditions. The aim of this scoping review is to describe the literature including pharmacist provided spirometry services, specifically to identify: 1) the models of pharmacist provided spirometry services, and additional services commonly offered alongside spirometry, 2) pharmacist training and capability to obtain quality results, and (3) pharmacist, physician, and patient perspectives. Methods In September 2020, a comprehensive literature search in PubMed and EMBASE was conducted to identify all relevant literature on the topic of pharmacist provided spirometry services using the search term: “pharmacist or pharmacy” and “spirometry or pulmonary function test or lung function test.” Literature was screened using inclusion/exclusion criteria and selected articles were charted and analyzed using the themes above. Results A total of 27 records were included. The scoping review found that pharmacist provided spirometry has been conducted around the world in community pharmacies and clinic settings. Community pharmacists may increase access to spirometry screening; the lack of communication with primary care providers and remuneration are barriers that need to be overcome to optimize the utility of the service. Clinic-based services are interprofessional and collaborative, allowing a patient to receive the test, results, diagnosis, and medication changes in one visit. Following comprehensive training, pharmacists felt confident in their ability to perform spirometry and met quality standards at acceptable rates. Conclusion Spirometry is an opportunity for pharmacists to improve evidence-based practice for screening and diagnosing lung conditions along with providing comprehensive services to complement testing. Data around provider and patient perspectives is limited and should be further investigated to determine if providers and patients would value and collaborate with pharmacists providing spirometry services.

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Section: Resultsmentioning

confidence: 99%

Pharmacist Provided Spirometry Services: A Scoping Review

Valentino¹,

Eddy²,

Woods³

et al. 2021

IPRP

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“…A Cochrane systematic review spanning several chronic diseases identified the following factors as having a positive influence on adherence: using simpler dosing regimens, having pharmacist involvement in care, provision of reminders/ cues, education delivered with self-management training, and to a lesser degree, financial incentives [42]. The benefits of a systematic approach to improving overall lung health and medicines adherence by HCPs in general have been described elsewhere [43,44], as have the data to support specific pharmacist-delivered interventions in asthma [45][46][47] and those emerging in COPD [48][49][50][51]. The studies described below focus on evaluating the interventions themselves rather than who provided them.…”

Section: Interventions Tested For Impact On Adherencementioning

confidence: 99%

Improving adherence in chronic airways disease: are we doing it wrongly?

d’Ancona

Weinman

2021

Breathe

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Non-adherence to medicines is a significant clinical and financial burden, but successful strategies to improve it, and thus bring about significant improvements in clinical outcome, remain elusive. Many barriers exist, including a lack of awareness amongst some healthcare professionals as to the extent and impact of non-adherence and a dearth of skills to address it successfully. Patients may not appreciate that they are non-adherent, feel they cannot disclose it or underestimate its impact on their health in the short and longer term. In describing the evidence-based frameworks that identify the causal factors behind medicines taking (or not taking) behaviours, we can start to personalise interventions to enable individuals to make informed decisions about their treatments and thus overcome real and perceived barriers to adherence.Educational aimsTo understand the underlying principles of why a patient may or may not take medicines as agreed.To choose targeted interventions to support better adherence.

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“…Consequently, this traditional relationship between physicians and pharmacists needs reassessing to enhance the effectiveness, safety, and adherence to medicines prescribed and dispensed. In view of this, increasingly interdisciplinary teamwork is necessary to address diverse and dynamic drug and disease-related issues, in which pharmacists can play an increasing role in making a pivotal contribution to the treatment of patients (Albassam et al, 2020;Hudd, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Significant changes have been noted in the roles and responsibilities of pharmacists due to advancements in pharmaceutical services, and they are keen to adopt a critical role in managing the medication of patients, including key issues such as medication taking and adherence (Hudd, 2020;Norton et al, 2020). However, this adaptation to patient-centered pharmaceutical care can still be challenging in LMICs.…”

Section: Introductionmentioning

confidence: 99%

Perceptions, Expectations, and Experience of Physicians About Pharmacists and Pharmaceutical Care Services in Pakistan: Findings and Implications

et al. 2021

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Background: Optimal collaboration between pharmacists and other healthcare professionals such as physicians is integral in implementing pharmaceutical care. However, there are concerns regarding the role of pharmacists, especially among low- and middle-income countries. This study explored the perceptions, expectations, and experience of physicians working in various hospital settings of Punjab, Pakistan, about pharmacists and their roles.Methods: A self-administered questionnaire consisting of four sections was administered from October to December 2020. Descriptive and inferential statistics such as Kruskal-Wallis and Mann-Whitney tests were used for data analysis using SPSS.Results: Six hundred and seventy-eight physicians participated in this study with a response rate of 77.9%. Most of the physicians reported minimal to no interaction with pharmacists (n = 521, 76.8%). However, more than three-quarters of physicians (n = 660, 97.3%) accepted pharmacists as evidence-based sources of drug information. In addition, many physicians (n = 574, 84.7%) strongly agreed that pharmacists should attend patient care rounds to respond promptly to questions related to patient medication. A limited number of physicians (n = 124, 18.3%) assumed that pharmacists were advising their patients regarding the judicial use of their drugs. Median expectation and experience score had a significant association with age, experience, and education of physicians (P < 0.05).Conclusions: The perception of physicians was positive toward certain roles of pharmacists, coupled with high expectations. However, their experience was low, with most of the activities of pharmacists due to inadequate interprofessional coordination.

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Emerging role of pharmacists in managing patients with chronic obstructive pulmonary disease

Cited by 18 publications

References 61 publications

Pharmacist Provided Spirometry Services: A Scoping Review

Pharmacist Provided Spirometry Services: A Scoping Review

Improving adherence in chronic airways disease: are we doing it wrongly?

Perceptions, Expectations, and Experience of Physicians About Pharmacists and Pharmaceutical Care Services in Pakistan: Findings and Implications

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