New York City Pharmacists and OBRA '90: One Year Later

Rumore, Martha M.; Feifer, Stanley; Rumore, Joseph S.

doi:10.1016/s0160-3450(15)30208-7

Cited by 12 publications

(5 citation statements)

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“…We were unable to find any previous studies in which physicians and pharmacists reported barriers to providing medication education for inpatients. A study of community pharmacists found that lack of time was reported to be the most common barrier to providing outpatient counseling 31 . In our study, most health professionals reported providing relatively little formal medication education, and despite this, almost one half of physicians and one fifth of pharmacists claimed that there were no barriers to providing medication education.…”

Section: Discussioncontrasting

confidence: 46%

“…A study of community pharmacists found that lack of time was reported to be the most common barrier to providing outpatient counseling. 31 In our study, most health professionals reported providing relatively little formal medication education, and despite this, almost one half of physicians and one fifth of pharmacists claimed that there were no barriers to providing medication education. Health professionals may be underestimating the importance of providing drug information to patients.…”

Section: Discussionmentioning

confidence: 54%

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Medication education of acutely hospitalized older patients

1999

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Section: Discussioncontrasting

confidence: 46%

Section: Discussionmentioning

confidence: 54%

Medication education of acutely hospitalized older patients

1999

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“…This result is similar to that of another study that found about 71% of the patients were counselled in less than 5 min. 26 Other authors have also reported similar consultation time. 1,27 This indicates that time constraint is not a barrier in most cases, but perhaps pharmacists had put their administrative work as priority, or they perceived counselling as unnecessary.…”

Section: Discussionmentioning

confidence: 62%

Response of community pharmacists to the presentation of back pain: a simulated patient study

Chua

Paraidathathu

2006

International Journal of Pharmacy Practice

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Objective To assess the response of community pharmacists to the presentation of back pain. Method The researcher posed as a customer to obtain medication for back pain for her grandfather, and the consultations were recorded in a pretested data collection form. Setting The study was conducted in 100 randomly selected community pharmacies located within the Klang Valley in Malaysia. This includes Kuala Lumpur, the capital city of Malaysia and its surrounding suburban areas. Key findings In 85% of the consultations, pharmacists asked at least one question before recommending a treatment. The patient's medical history was the most frequently asked question by the pharmacists (60%). In general, a median of only five counselling elements were addressed by the pharmacists out of 13 recommended. The most common element of counselling addressed was the route of administration (98%), followed by the frequency and dose to be taken (92% and 88%, respectively). None of the pharmacists asked the ‘customer’ whether she required any further information. The number of counselling elements addressed was significantly associated with the age of the pharmacist, duration of consultation and the types of medication recommended (P < 0.05). Most of the pharmacists (88%) recommended at least an oral non‐steroidal anti‐inflammatory drug or a selective cyclooxygenase‐2 inhibitor for the treatment of acute back pain. Diclofenac was the most commonly recommended medication for back pain (55% of consultations), followed by meloxicam (15%). The cost of treatment for back pain ranged from RM2.00 to RM38.00 with a median of RM10.00. Conclusion This study demonstrates that the extent of information gathering and counselling varied among community pharmacists in Malaysia and that in general, this appeared to be suboptimal. Professional bodies such as the Malaysian Pharmaceutical Society should create awareness among pharmacists regarding their responsibility to counsel patients or their caregivers.

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“…It is difficult to determine whether the knowledge was gained as a result of physician, nurse or pharmacist counselling or the receipt of a written data sheet (or both). In terms of age distribution, the largest group was that over 60 years of age (33.3%) followed by the [18][19][20][21][22][23][24][25][26][27][28][29][30] group (22-2%), 41-50 (21-3%), 31-40 (13.0%) and 51-60 (9.3%).…”

Section: Resultsmentioning

confidence: 99%

“…A third survey, by Rumore et al assessed the impact of the OBRA law on pharmacists and pharmacy interns (19). When asked to quantify how often they covered selected topics of information with patients, at least 60% of respondents stated that they either 'rarely' or 'never' discussed the following topics: techniques for self-monitoring (60%); and actions for a missed dose (63%).…”

Section: 0mentioning

confidence: 99%

An analysis of drug information desired by the patient. (Are patients being told everything they wish to know under OBRA ‘90?)*

Lyons

Rumore

Merola

1996

Journal of Clinical Pharmacy and Therapeutics

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SUMMARYThe need for patient package inserts (PPI) has been a controversial issue for many years. In August 1995, the FDA proposed RledGuide', a mandatory PPI programme. Recent efforts to educate patients about drug therapy include the OBRA '90 (Omnibus Budget Reconciliation Act of 1990) requirement for pharmacists to offer counselling to all patients receiving prescription drugs. In order to assess if patient information needs are being met, an 18-item survey was distributed to 873 patients at eight randomly selected New Jersey pharmacies until 100 patients had anonymously responded. Seventy-five per cent or more of respondents indicated that they received the following information from a health professional: medication name, reason prescribed, how often to take and duration of therapy. Less than 50% of respondents received information concerning: storage conditions, over-the-counter (OTC) or prescription only (Rx) interactions, what happens to the body if a dose is missed and how to avoid side-effects. Using a five item scale, every item was rated as important by at least 60% Qf respondents. Although information was reaching the majority of patients who responded, there were still some gaps between that which they considered to be important and information actually received. Some additional intervention might be beneficial to help to bridge these informational gaps-'This paper was based on the MS Thesis in Drug Regulatory

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New York City Pharmacists and OBRA '90: One Year Later

Cited by 12 publications

References 1 publication

Medication education of acutely hospitalized older patients

Medication education of acutely hospitalized older patients

Response of community pharmacists to the presentation of back pain: a simulated patient study

An analysis of drug information desired by the patient. (Are patients being told everything they wish to know under OBRA ‘90?)*

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