How do community pharmacists conceptualise and operationalise self-care support of long-term conditions (LTCs)? An English cross-sectional survey

Ogunbayo, Oladapo; Schafheutle, Ellen; Cutts, Christopher; Noyce, Peter

doi:10.1111/ijpp.12283

Cited by 8 publications

(5 citation statements)

References 39 publications

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“…The barriers identified broadly align with previous literature, which identified that access to GP medical records would improve integration within a primary care pathway for people with long‐term conditions (Hindi et al., 2019; Ogunbayo et al., 2016). Workload was also cited as a key barrier, and a recent community pharmacy workforce survey has identified an increased vacancy rate in all community pharmacy roles, including vacancies of 20% for pharmacy technicians, 16% for pharmacists and 9% for dispensing assistants (NHS Health Education England, 2023).…”

Section: Discussionsupporting

confidence: 71%

Exploring the potential extended role of community pharmacy in the management of osteoarthritis: A multi‐methods study with pharmacy staff and other healthcare professionals

Simkins,

Holden,

Babatunde

et al. 2024

Musculoskeletal Care

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IntroductionOsteoarthritis is the commonest form of chronic joint pain, which patients often self‐manage before seeking healthcare advice. Patients frequently seek advice from community pharmacies, and a recent policy has recommended integrating community pharmacies into long‐term condition pathways. This study explored community pharmacy teams' (CPs) and other healthcare professionals' (HCPs) views on community pharmacies providing an extended role for osteoarthritis management, identifying potential barriers and facilitators to this.MethodsA multi‐methods study comprising surveys of CPs and other HCPs, followed by qualitative interviews. Descriptive statistics were used in an exploratory analysis of the survey data. Qualitative data were analysed using reflexive thematic analysis and the identified barriers and facilitators were mapped to the Theoretical Domains Framework.ResultCPs and other HCPs in the surveys and interviews reported that an extended role for osteoarthritis management could include: a subjective assessment, explaining the joint problem and its treatment, medication management and support for self‐care. There was less consensus on diagnosing the problem as OA and completing an objective assessment. A key facilitator was training to deliver the role, whilst barriers were high workload and lack of access to General Practitioner medical records.DiscussionAcceptable elements of an extended community pharmacy role for osteoarthritis centre around the provision of information, advice on medication and supported self‐management.ConclusionCPs are well placed to contribute towards evidenced‐based osteoarthritis management. Feasibility testing of delivering the extended role is needed and future implementation requires training for CPs and raising public awareness of the extended role.

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Section: Discussionsupporting

confidence: 71%

Exploring the potential extended role of community pharmacy in the management of osteoarthritis: A multi‐methods study with pharmacy staff and other healthcare professionals

Simkins,

Holden,

Babatunde

et al. 2024

Musculoskeletal Care

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“…Lack of access to medical records has been identified as a barrier to community pharmacists’ role expansion here, as in previous studies [61–65]. Having an integrated information system which enables community pharmacists’ read-write access to patient records may enhance communication with GPs and ensure safe provision of extended services.…”

Section: Discussionmentioning

confidence: 79%

Community pharmacy integration within the primary care pathway for people with long-term conditions: a focus group study of patients’, pharmacists’ and GPs’ experiences and expectations

2019

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BackgroundThis study aimed to use marketing theory to examine the views of patients, pharmacists and general practitioners (GPs) on how community pharmacies are currently used and to identify how community pharmacy services may be better integrated within the primary care pathway for people with long-term conditions (LTCs).MethodsA qualitative research design was used. Two focus groups were conducted with respiratory patients (n = 6, 5) and two with type 2 diabetes patients (both n = 5). Two focus groups were held with pharmacists (n = 7, 5) and two with GPs (both n = 5). The “7Ps marketing mix” (“product”, “price”, “place”, “promotion”, “people”, “process”, “physical evidence”) was used to frame data collection and analysis. Data was analysed using thematic analysis.ResultsDue to the access and convenience of community pharmacies (“place”), all stakeholder groups recommended using community pharmacies over GP practices for services such as management of minor ailments, medication reviews and routine check-ups for well managed LTCs (“product”). All stakeholder groups preferred pharmacy services with clear specifications which focused on specific interventions to reduce variability in service delivery and quality (“process”). However, all stressed the importance of having an appropriate system to share relevant information, allowing pharmacists and GPs two-way flow (“process”). Pharmacists and GPs mentioned difficulties in collaborating with each other due to inter-professional tensions arising from funding conflicts, which leads to duplication of services and inefficient workflow within the primary care pathway (“people”). Patients and GPs were sometimes doubtful of community pharmacies’ potential to expand services due to limited space, size and poor quality consultation rooms (“physical evidence”). However, all stakeholder groups recommended promoting community pharmacy services locally and nationally (“promotion”). Patients felt the most effective form of promotion was first-hand experience of high quality pharmacy services and peer word-of-mouth. The added value of using pharmacy services was faster access and convenience for patients, and freeing up GPs’ time to focus on more complex patients (“value”).ConclusionsUsing the 7Ps marketing mix highlighted factors which could influence utilisation and integration of community pharmacy services within the primary care pathway for patients with LTCs. Further research is needed to identify their relative importance.Electronic supplementary materialThe online version of this article (10.1186/s12875-019-0912-0) contains supplementary material, which is available to authorized users.

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“…Community pharmacists have expanded their roles in recent years to include giving health care advice to people with acute and chronic illnesses (Butler et al, 2017). Community pharmacists are in a unique position to help patients managing chronic illnesses in the light of their expertise, their regular interaction with patients and accessibility (Bailey et al, 2016;Ogunbayo et al, 2017). Pharmacists have the duty of providing pharmaceutical care to asthmatic patients and the quality of care depends greatly on their attitudes and knowledge of pathophysiology and pharmacotherapy of the disease (Watkins et al, 2016;Hersberger, Messerli, 2016).…”

Section: Introductionmentioning

confidence: 99%

Barriers to the provision of asthma services and perceived practice towards asthma management among urban community pharmacists in Selangor, Malaysia

Akram

Ijaz²,

Ahmad

et al. 2018

Braz. J. Pharm. Sci.

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This study aims to assess the perceived practice and barriers towards the provision of asthma management services among urban community pharmacists in Selangor, Malaysia. The study also highlights both pharmacist and patient-related barriers in asthma counseling. One hundred fifty urban community pharmacists in Selangor, Malaysia, were randomly selected and recruited for the present cross sectional baseline study. Previous studies have explored pharmacists' perception on their roles in asthma management in different parts of the world. The data was collected through self-explanatory questionnaires (containing 47 items). The extracted data from the completed questionnaires were analyzed descriptively and inferentially using Statistical Package for Social Science (SPSS) version 19. Results showed that pharmacists perceived their roles in asthma management along three major dimensions: 'patient self-management', 'medication use' and 'asthma control', mean (±SD) score of the perception towards asthma management was 99.29 ± 4.58 over a maximum possible score of 110 with 90.26%. There were significant differences between the pharmacy education level and perceived practice of asthma management while there were insignificant differences between age, gender, ethnicity, number of practicing year and perceived practice of asthma management among respondents. Most common barriers towards asthma counselling including lack of time, lack of asthma knowledge, lack of counselling space and cost of asthma drugs. Conclusively, urban community pharmacists in Selangor, Malaysia, demonstrate good perceived practice of better management of asthma with multidimensional dimensional role against in disease care.

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How do community pharmacists conceptualise and operationalise self-care support of long-term conditions (LTCs)? An English cross-sectional survey

Cited by 8 publications

References 39 publications

Exploring the potential extended role of community pharmacy in the management of osteoarthritis: A multi‐methods study with pharmacy staff and other healthcare professionals

Exploring the potential extended role of community pharmacy in the management of osteoarthritis: A multi‐methods study with pharmacy staff and other healthcare professionals

Community pharmacy integration within the primary care pathway for people with long-term conditions: a focus group study of patients’, pharmacists’ and GPs’ experiences and expectations

Barriers to the provision of asthma services and perceived practice towards asthma management among urban community pharmacists in Selangor, Malaysia

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