Identifying the important outcomes to measure for pharmacy-led, clinical services within primary care: A nominal group technique approach

Newham, Rosemary; Weir, Natalie; Ferguson, Aimee; Bennie, Marion

doi:10.1016/j.sapharm.2022.11.003

Cited by 2 publications

(3 citation statements)

References 21 publications

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“…Subsequently, a final list of three ranked ideas were agreed upon in each workshop. There are no agreed-upon levels of acceptable consensus for NGTs, and pragmatically, a consensus level of two-thirds (or 66%) was considered appropriate [16,17].…”

Section: Data Analysis (Ngt)mentioning

confidence: 99%

Designing an Alternative, Community Integrated Model of Residential Aged Care for People Living with Dementia: Nominal Group Technique and Thematic Analysis

D’Cunha

Holloway

Gibson

et al. 2023

JAD

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Background: Small-scale models of dementia care are a potential solution to deinstitutionalize residential aged care and have been associated with improved resident outcomes, including quality of life and reduced hospitalizations for people living with dementia. Objective: This study aimed to generate strategies and ideas on how homes for people living with dementia in a village setting within a suburban community, could be designed and function without external boundaries. In particular, how could residents of the village and members of the surrounding community access and engage safely and equitably so that interpersonal connections might be fostered? Methods: Twenty-one participants provided an idea for discussion at three Nominal Group Technique workshops, including people living with dementia, carers or former carers, academics, researchers, and clinicians. Discussion and ranking of ideas were facilitated in each workshop, and qualitative data were analyzed thematically. Results: All three workshops highlighted the importance of a surrounding community invested in the village; education and dementia awareness training for staff, families, services, and the community; and the necessity for adequately and appropriately trained staff. An appropriate mission, vision, and values of the organization providing care were deemed essential to facilitate an inclusive culture that promotes dignity of risk and meaningful activities. Conclusion: These principles can be used to develop an improved model of residential aged care for people living with dementia. In particular, inclusivity, enablement, and dignity of risk are essential principles for residents to live meaningful lives free from stigma in a village without external boundaries.

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Section: Data Analysis (Ngt)mentioning

confidence: 99%

Designing an Alternative, Community Integrated Model of Residential Aged Care for People Living with Dementia: Nominal Group Technique and Thematic Analysis

D’Cunha

Holloway

Gibson

et al. 2023

JAD

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“…Pharmacy services in general practice are more defined and widespread in Scotland, where most practices had some access to the government‐funded Pharmacotherapy Service by June 2022 11 . In Scotland, general practice clinical pharmacists deliver advanced and specialist services (comprehensive medication reviews, high‐risk medication monitoring, specialist clinics), while core tasks (including prescription management, medication recalls, compliance reviews) are mainly delivered by pharmacy technicians and support workers 12,13 …”

Section: Introductionmentioning

confidence: 99%

“…11 In Scotland, general practice clinical pharmacists deliver advanced and specialist services (comprehensive medication reviews, high-risk medication monitoring, specialist clinics), while core tasks (including prescription management, medication recalls, compliance reviews) are mainly delivered by pharmacy technicians and support workers. 12,13 General practice pharmacists in Australia are acceptable to relevant stakeholders, 14,15 recommended by the Consumers Health Forum of Australia, 16 and have demonstrated benefits to patients. [17][18][19] However, a relative lack of consistent clinical outcome data, some resistance within the pharmacy profession, and a lack of sustainable funding are among the key issues that have hindered widespread implementation.…”

Section: Introductionmentioning

confidence: 99%

Pharmacists in Australian general practice: Discussion of the findings of an evaluation from 2016 to 2021

Deeks,

Naunton,

Peterson

et al. 2023

Pharmacy Practice and Res

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Pharmacists embedded in general practice can improve medicines optimisation and patient safety, but Australia has been slower to adopt and fund this model than other comparable countries. Over the last decade there have been various local programs integrating pharmacists in general practice across Australia. This article summarises the results of an evaluation in Canberra from 2016–2021. Pharmacists predominantly conducted clinical activities, including medication reviews and clinical audits. General practitioner (GP) acceptance and implementation of medication review recommendations was high (75%). General practice pharmacists were able to achieve positive clinical outcomes in asthma and smoking cessation. Surveys and interviews identified that the general practice pharmacist role was welcomed by patients, GPs, and other healthcare professionals. Patient satisfaction was very high, with patients supporting the expansion of this pharmacy service. Collaboration between the pharmacists and other healthcare professionals was high. Some pharmacists left employment in general practice after less than a year. Introducing a clear job description could be beneficial in retaining pharmacists, improving trust and working relationships, and enhancing collaboration. The majority of clinical activities conducted by the pharmacists had the potential to improve patient care and decrease healthcare costs. Apart from healthcare savings, benefit–cost ratios of income generated and costs reduced by pharmacists when compared to salaries suggested that pharmacists may be cost‐beneficial in some scenarios. Absence of funding for this model of care remains a barrier to wider adoption in Australia and needs addressing. This study was approved by the University of Canberra Human Research Ethics Committee (Project number: 15–235) and funded under the Primary Health Network Program (Grant number: 25097479).

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Identifying the important outcomes to measure for pharmacy-led, clinical services within primary care: A nominal group technique approach

Cited by 2 publications

References 21 publications

Designing an Alternative, Community Integrated Model of Residential Aged Care for People Living with Dementia: Nominal Group Technique and Thematic Analysis

Designing an Alternative, Community Integrated Model of Residential Aged Care for People Living with Dementia: Nominal Group Technique and Thematic Analysis

Pharmacists in Australian general practice: Discussion of the findings of an evaluation from 2016 to 2021

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