Integrating traditional Chinese medicines into professional community pharmacy practice in China – Key stakeholder perspectives

Yao, Dongning; Hu, Hao; Harnett, Joanna; Ung, Carolina Oi Lam

doi:10.1016/j.eujim.2020.101063

Cited by 14 publications

(21 citation statements)

References 60 publications

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“…It was validated through two pilot studies which followed the concepts described by Leavy [21]. The first draft of questionnaire was prepared in English and was informed by (1) the research team's previous study findings [22][23][24][25][26][27], (2) other similar studies in the literature on related topics [8,[28][29][30][31][32], (3) consultation with pharmacist and lactation consultant, (4) an online discussion among breastfeeding mothers in the online chat groups, and (5) interviews with two mothers who had used T/CM during breastfeeding. The questionnaire was then translated into Chinese.…”

Section: Development Of Questionnairementioning

confidence: 99%

The prevalence, perceptions and behaviors associated with traditional/complementary medicine use by breastfeeding women living in Macau: a cross-sectional survey study

Zheng

Chen

et al. 2020

BMC Complement Med Ther

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Background: There is a long history of traditional/complementary medicine (T/CM) use by women during lactation. While it is important to evaluate such use within a scientific paradigm to ensure efficacy and safety, knowledge about the prevalence and characteristics of T/CM use during lactation is limited. This study aimed to generate preliminary data on the prevalence, perceptions and behaviors related to T/CM use by women living in Macau during lactation.Methods: Between April to June 2018, women aged 18 years or above who had breastfed within the previous 12 months were invited to complete a questionnaire which asked about their perceptions and behaviors related to the use of T/CM while breastfeeding. Chi-square analysis and logistic regressions were used to conduct data analysis.Results: A total of 500 women completed the survey with 62.6% (95% CI 58.37-66.83) reporting use of at least 1 T/ CM while breastfeeding. Of these 48.9% (95% CI 44.67 to 53.13) believed T/CM were safe to take during lactation and 55.6% (95% CI 51.37 to 59.83) suggested there were inadequate resources to assist making an informed decision. Working status, monthly family income and the presence of a breastfeeding-related health problems were associated with T/CM use (all p < 0.05). The most commonly used T/CM were Tetrapanax papyriferus, lecithin, Vaccaria segetalis, docosahexaenoic acid and Trigonella foenum-graecum commonly referred to as Fenugreek. The most common reasons for using T/CM were "to unblock milk ducts", "to increase milk supply" and "to improve baby development". Women were recommended to use T/CM from multiple sources; 15.0% from health personnel (HP) only, 40.0% received recommendations from non-HP only; and 42.2% from both. (Continued on next page)Conclusions: The use of T/CM by women during lactation is common in Macau. The current support and resources available to women during the breastfeeding period to make informed decisions about T/CM use is not standardized nor integrated. The gaps identified in this study provide an opportunity to develop resources and a more defined role for HPs to ensure the appropriate and safe use of T/CM in this population.

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Section: Development Of Questionnairementioning

confidence: 99%

The prevalence, perceptions and behaviors associated with traditional/complementary medicine use by breastfeeding women living in Macau: a cross-sectional survey study

Zheng

Chen

et al. 2020

BMC Complement Med Ther

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“…Pharmacists in China were particularly concerned about lack of knowledge at the interface between TM/ CMs and conventional medicines given the high degree of integrative medicine in that region [8]. They further questioned the motivation of pharmacists to take on additional responsibilities in the absence of reasonable remuneration for these added roles.…”

Section: Barriers Faced By Pharmacists Are Multifaceted But Coherentmentioning

confidence: 99%

“…A systems thinking approach in the form of strategic models has been developed following studies conducted in the USA, Australia, and China. These models have been proposed for use in order to address the issues identified at the interface between TM/CMs and the pharmacist professional practice [7,8,11]. The elements within each of these models differed according to the local context.…”

Section: How To Apply Systems Thinking and Implementation Sciencementioning

confidence: 99%

“…International and national professional pharmacist organizations also advocate the inclusion of TM/CMs into pharmacists’ scope of practice. In general, pharmacists recognize the relevance of TM/CMs to their daily practice, the needs of consumers, and are keen on stepping up their professional role in the delivery of more responsible pharmaceutical services [ 6 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Involving systems thinking and implementation science in pharmacists’ emerging role to facilitate the safe and appropriate use of traditional and complementary medicines

Harnett

Desselle

et al. 2020

Hum Resour Health

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The use of traditional and complementary medicines (TM/CMs) has become an increasingly popular part of healthcare and self-care practices across the world. While the benefits and risks of many TM/CMs are yet to be fully evaluated, their prevalent use without consistent oversight has not been fully addressed by the public health sector. Pharmacists play an integral role in contributing to public health. Discussion about integrating TM/CMs into the professional practice of the pharmacist began over two decades ago. Nevertheless, TM/CMs are predominantly managed as "retail products" and are not integrated into pharmaceutical care and practice. While some isolated measures towards integration have been proposed, there remains no consensus on how to deliver pharmaceutical care in a coordinated, systematic manner. Systems thinking approaches are needed to formulate and implement strategies that change pharmacists' practice related to TM/CMs. Such approaches will ultimately reduce risk, optimize patient care, and result in better health outcomes.

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“…A pharmacy is a place where certi ied pharmacists perform their professional responsibilities (Verulava et al, 2018;Yao et al, 2020). It is also a place where the public could obtain complete information and guide regarding medical therapy (Sollecito and Johnson, 2012;Basu et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Patients’ Level of Satisfaction from Pharmaceutical Services Provided by Private Pharmacies Using the SERVQUAL Model Analysis

Utami

Ghozali

Hadning

et al. 2020

ijrps

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Customer satisfaction is an essential aspect of quality of service. In healthcare, customer satisfaction, also known as patient satisfaction is an indicator for measuring the quality of service and how happy the patient is with the professional services received in the industry. This parameter is essential for all healthcare organizations, as it is used for improving service delivery and strategic goals. Therefore, this study aimed to examine the patients’ level of satisfaction regarding professional pharmaceutical services provided by certified pharmacists of 14 private pharmacies in the Kasihan Subdistrict, Bantul Regency, Special Region of Yogyakarta, Indonesia. The nonexperimental descriptive design with a cross-sectional method was employed in this study. It involved 308 participants and was conducted from November 2018 to May 2019. The patients’ level of satisfaction was measured using the Service Quality (SERVQUAL) approach involving five dimensions, namely; reliability, responsiveness, assurance, empathy, and tangibles. The results showed that the patients’ level of satisfaction on the average was satisfactory, at 80.2%. Besides, satisfaction based on reliability was 82.5%, responsiveness was 85.5%, assurance was 85.8%, empathy was 76.3%, while the dimension of tangibles was 70.9%. In conclusion, patients were satisfied on an average, regarding the professional services provided by the staff of certified pharmacies in the region.

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Integrating traditional Chinese medicines into professional community pharmacy practice in China – Key stakeholder perspectives

Cited by 14 publications

References 60 publications

The prevalence, perceptions and behaviors associated with traditional/complementary medicine use by breastfeeding women living in Macau: a cross-sectional survey study

The prevalence, perceptions and behaviors associated with traditional/complementary medicine use by breastfeeding women living in Macau: a cross-sectional survey study

Involving systems thinking and implementation science in pharmacists’ emerging role to facilitate the safe and appropriate use of traditional and complementary medicines

Patients’ Level of Satisfaction from Pharmaceutical Services Provided by Private Pharmacies Using the SERVQUAL Model Analysis

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