Patients’ reasons for accepting a free community pharmacy asthma service

Kaae, Susanne; Sporrong, Sofia Kälvemark

doi:10.1007/s11096-015-0142-z

Cited by 10 publications

(5 citation statements)

References 14 publications

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“…However Kae & Sporrong recently explored the reasons why users join or not to this service, and they found that the vast majority of users do not feel the need for this service and will adhere only if persuaded to do so. 21 Interestingly, the literature reveals that between 50% and 80% or more of patients had at least one error in their inhalation technique 8 - 11 , 18 , which was higher in our study (87%). Further studies should focus on assessing the reasons why patients do not sufficiently value these services and what should pharmacists do to improve their acceptance.…”

Section: Discussioncontrasting

confidence: 53%

Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy

Castel‐Branco¹,

Fontes²,

Figueiredo³

2017

Pharm Pract (Granada)

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Background:A correct selection of drugs prescribed, but also the choice of the appropriate inhaler device, is crucial for the control of respiratory diseases.Objective:To evaluate the inhaler technique and identify potential errors of patients when treated with inhalers by testing a routinary procedure to be implemented in any community pharmacy.Methods:Adults with asthma/COPD and under inhalation therapy were invited to demonstrate how they use their inhalers. After direct observation it was registered whether all the sequential steps included in the summary of product characteristics (SmPC) were performed.Results:The study involved 67 patients from 4 community pharmacies (Portugal central region): 34 (50.7%) males, 65.4 (SD=18.28) years old, 42 (62.7%) with COPD, and 23 (34.3%) using more than one inhaler. The 67 patients used 95 inhalers, comprising: 57 (60.0%) multiple dose DPI (dry powder inhalers), 18 (18.9%) single dose DPI, 16 (16.8%) pMDI (pressurized metered dose inhalers), 2 (2.1%) pMDI+spacer and 2 (2.1%) SMI (soft mist inhalers). No errors were made only by 9 (13.4%) patients. In the 75 DPIs techniques, the most frequent errors were ‘no previous forced expiration’ (46=61.3%) and ‘no 10s apnea after inhalation’ (51=68.0%); in the 16 pMDIs techniques common errors were ‘lack of hand-lung coordination’ (7=43.8 %), ‘no previous forced exhalation’ (8=50.0%) and ‘no apnea after inhalation’ (10=62.5%). After inhaling from 56 devices containing corticosteroids, 34 (60.7%) of the patients did not wash their mouth.Conclusion:The study demonstrated the possibility of performing this procedure routinely in Portuguese community pharmacies and also its utility, since 58 (87%) of patients had at least one error during the inhalers use.

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Section: Discussioncontrasting

confidence: 53%

Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy

Castel‐Branco¹,

Fontes²,

Figueiredo³

2017

Pharm Pract (Granada)

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“…The studies revealed that the implementation of a cognitive service is a highly complex phenomenon involving: alignment of interests between pharmacy owners and employees, the leadership style of the pharmacy owner, emphasis on service when conducting daily tasks, balance between collective/individual training of pharmacy staff, and emphatic communication skills in relation to patients, among other factors [4,5,6,7]. These factors can be directly translated into activities to improve service provision.…”

Section: Examples and Discussionmentioning

confidence: 99%

Social Pharmacy Research in Copenhagen—Maintaining a Broad Approach

et al. 2016

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Social Pharmacy (SP) is a multidisciplinary field to promote the adequate use of medicine. The field of SP is increasingly important due to a numbers of new trends all posing challenges to society. The SP group at the University of Copenhagen has for several years used a broad approach to SP teaching and research, often illustrated by the four levels: individual, group, organizational, and societal. In this paper the relevance of maintaining a broad approach to SP research is argued for and examples of the importance of such type of research is presented.

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“…The patients felt little need for the inhaler counseling service. Patients, however, accepted the service for various reasons of which the feeling how staff showing an interest in helping them seemed especially convincing [25].…”

Section: Proper Way To Use Inhalersmentioning

confidence: 99%

The Pharmaceutical Care in Asthma—Polish and Global Perspective

Świeczkowski

Poniatowski²,

Merks

et al. 2016

Advances in Respiratory Medicine

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The pharmaceutical care is a pharmacist's contribution to the care of individual patients and leads to optimize the use of drugs. The pharmaceutical care may improve adherence, clinical effectiveness of providing therapy and improve the health-related quality of life. The conducted literature review confirmed that pharmaceutical care and advanced pharmaceutical services are clinical effective in asthma. The implementation of pharmaceutical care under Polish conditions is currently insufficient and remains challenging for the future. Herein we should admit, that the polish government has recently put an effort to appoint specially dedicated team establishing a program of reimbursed pharmaceutical care. This move should be considered as a new phase for amendments community pharmacy in Poland. The experience of different health care systems, including for instance United Kingdom, Australia or Canada, might be used in the process of changing Polish perspective. Herein, we have reviewed the literature and highlighted the services creating the program of pharmaceutical care in asthma. This unique work describes the complex nature of optimal pharmaceutical services emphasizing the strong necessity of multidimensional approach in this field.

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Patients’ reasons for accepting a free community pharmacy asthma service

Abstract: The patients felt little need for the inhaler counseling service. Patients however accepted the service for various reasons of which the feeling how staff showing an interest in helping them seemed especially convincing.

Cited by 10 publications

References 14 publications

Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy

Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy

Social Pharmacy Research in Copenhagen—Maintaining a Broad Approach

The Pharmaceutical Care in Asthma—Polish and Global Perspective

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