Patients Perceptions of Medication Counselling from Community Pharmacies

Kayyali, Reem; Gomes, Ana Marques; Mason, Thuy; Naik, Minal

doi:10.15406/ppij.2016.04.00071

Cited by 9 publications

(13 citation statements)

References 18 publications

(24 reference statements)

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“…This was echoed by the interview results where interviewees reported the use of the PIL to seek additional medication information, which can be related to the minimal counselling reported by these patients. In previous research, the main reason cited by patients for not reading PILs was the provision of previous effective counselling by HCPs [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Shared decision making and experiences of patients with long-term conditions: has anything changed?

Kayyali

Nabhani‐Gebara

Hesso

et al. 2018

BMC Health Serv Res

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BackgroundMedication problems among patients with long-term conditions (LTCs) are well documented. Measures to support LTC management include: medicine optimisation services by community pharmacists such as the Medicine Use Review (MUR) service in England, implementation of shared decision making (SDM), and the availability of rapid access clinics in primary care. This study aimed to investigate the experience of patients with LTCs about SDM including medication counselling and their awareness of community pharmacy medication review services.MethodsA mixed research method with a purposive sampling strategy to recruit patients was used. The quantitative phase involved two surveys, each requiring a sample size of 319. The first was related to SDM experience and the second to medication counselling at discharge. Patients were recruited from medical wards at St. George’s and Croydon University Hospitals.The qualitative phase involved semi-structured interviews with 18 respiratory patients attending a community rapid access clinic. Interviews were audio-recorded and transcribed verbatim. Thematic analysis using inductive/deductive approaches was employed. Survey results were analysed using descriptive statistics.ResultsThe response rate for surveys 1 and 2 survey was 79% (n = 357/450) and 68.5% (240/350) respectively. Survey 1 showed that although 70% of patients had changes made to their medications, only 40% were consulted about them and two-thirds (62.2%) wanted to be involved in SDM. In survey 2, 37.5% of patients thought that medication counselling could be improved. Most patients (88.8%) were interested in receiving the MUR service; however 83% were not aware of it. The majority (57.9%) were interested in receiving their discharge medications from community pharmacies. The interviews generated three themes; lack of patient-centered care and SDM, minimal medication counselling provided and lack of awareness about the MUR service.ConclusionAlthough patients wanted to take part in SDM, yet SDM and medication counselling are not optimally provided. Patients were interested in the MUR service; however there was lack of awareness and referral for this service. The results propose community pharmacy as a new care pathway for medication supply and counselling post discharge. This promotes a change of health policy whereby community-based services are used to enhance the performance of acute hospitals.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3575-y) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Shared decision making and experiences of patients with long-term conditions: has anything changed?

Kayyali

Nabhani‐Gebara

Hesso

et al. 2018

BMC Health Serv Res

Self Cite

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“…Both the current study and Auyeung et al reported ‘what are the risks of you getting side effects’ and ‘what you should do if you experience unwanted side effects’ achieving the lowest satisfaction among patients (46.7% in the current study vs 58% in Auyeung et al ; 53.3% in the current study vs 60% in Auyeung et al ) 9. A lower result was being reported in the setting of community pharmacy, where only 14% were being informed about the actions to take following a major side effect 10. This dissatisfaction agreed with the findings which reported that patients expressed frustrations about not getting as much information about side effects as they would like 11…”

Section: Discussionmentioning

confidence: 51%

Inpatients’ satisfaction towards information received about medicines

2018

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ObjectivesHealthcare providers (HCP) often overestimate the quality and quantity of information they provide to patients. This study aimed to find out inpatients' satisfaction towards information about medicines provided during the inpatient stay. MethodsThis cross-sectional study was conducted at Lewisham Hospital and Queen Elizabeth Hospital in June 2017. Patients' satisfaction with information about medicines provided during inpatient stay was assessed using a 17-item Satisfaction with Information about Medicines Scale (SIMS). Results71 patients completed the questionnaire. The average percentage of patients being satisfied with the information provided in the 9-items 'action and usage' subscale of SIMS was 74.4%, compared to the 8-items 'potential problems' subscale with an average percentage of 56%.Patients aged 45-64 were more likely to be satisfied with information on 'how the medicines work' than the 65 and above as well as the 18-44 age group (P=0.045). Patients who attended secondary school and below were more likely to be satisfied than those attending college and above towards this information (P=0.002). Patients of white or mixed white and black ethnicity were less satisfied than other ethnic groups for information regarding the impact of medication on sex life (P=0.019). Black or black British were more likely to be satisfied towards information on unwanted medication side effects compared to other ethnic groups (P=0.025). ConclusionsHCP could improve on the provision of information on potential problems that patients might experience with their medicines. Patients' age, education level, ethnicity should be taken into consideration when providing information about medicines.

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“…This disparity in activities and actions creates a perception of the private sector better adhering to PCC than the public sector. This is supported by Kayyali, Marques Gomes, Mason, and Naik ( 2016 ), suggesting the need for improved counselling skills is required to better meet patients’ needs and expectations. Therefore, it can be deduced, improving these skills amongst audiologists may prove to increase patient benefit through shared decision-making, whilst adhering to PCC dimensions.…”

Section: Resultsmentioning

confidence: 84%

Patient’s perceptions of presbycusis and associated tinnitus counselling practices within the KwaZulu-Natal province

Bhojraj

Peter

2022

SAJCD

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Background: Counselling manages the psychosocial effects of presbycusis and associated tinnitus, which is best conducted through patient-centred care (PCC). However, there is a paucity of research on implementing PCC within audiology and on patients’ perceptions of counselling practice, making the focus on patient benefit and satisfaction crucial. Furthermore, PCC has been documented to be suitable in addressing the psychosocial effects of hearing loss and associated tinnitus, as it focuses on the adult patient playing an integral part of the management processes, providing improved patient outcomes.Objectives: This study aimed to explore patients’ perceptions of presbycusis and associated tinnitus counselling practices by audiologists within KwaZulu-Natal (KZN).Method: Qualitative phenomenological semi-structured telephonic interviews were conducted through purposive sampling, consisting of seven patients with presbycusis and associated tinnitus who were recruited from private and public facilities in KZN. Data were analysed through hybrid thematic analysis following Braun and Clark’s steps.Results: Six categories were identified: perceptions on counselling methods, efficacy and tools, audiological rehabilitative training, multicultural sensitivity, patient satisfaction and recommendations on improving counselling practices as PCC adaptation. Themes were then extracted from these categories. The overall outcome of the study found that patients had positive perceptions of methods and tools, and audiologists were viewed as adequately trained. Furthermore, they were satisfied and benefitted from counselling practices and found clinicians to be culturally sensitive in their practice. However, recommendations were made towards linguistic sensitivity and satisfaction evaluations.Conclusion: Therefore, implementing PCC into counselling practice may achieve positive patient perceptions, thus highlighting the need to identify barriers and improve the implementation of PCC into practice, especially in resource-constrained contexts.

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Patients Perceptions of Medication Counselling from Community Pharmacies

Cited by 9 publications

References 18 publications

Shared decision making and experiences of patients with long-term conditions: has anything changed?

Shared decision making and experiences of patients with long-term conditions: has anything changed?

Inpatients’ satisfaction towards information received about medicines

Patient’s perceptions of presbycusis and associated tinnitus counselling practices within the KwaZulu-Natal province

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