Rural patient perceptions of pharmacist-provided chronic condition management in a state with provider status

Frazier, Kyle; McKeirnan, Kimberly C.; Kherghehpoush, Sorosh; Woodard, Lisa J.

doi:10.1016/j.japh.2018.10.019

Cited by 13 publications

(6 citation statements)

References 18 publications

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“…Comparing these results to a study evaluating patient perceptions of community pharmacistprovided long-term therapy condition management, there was a similar theme of valued knowledge. 23 With patients' perceptions of student knowledge aligning with perceptions of pharmacist knowledge previously reported, this supports patients accepting student-led services in the community setting. If implemented correctly, engaging students in patient education can expand patient access to care without impacting quality.…”

Section: Theme Supporting Quotessupporting

confidence: 76%

Patient perceptions of a student‐led remote hypertension education program

Kieck

Ostir

Blair

et al. 2021

J Am Coll Clin Pharm

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Introduction:The COVID-19 pandemic has drastically changed healthcare, promoting a shift to remote services. Managing long-term therapy conditions, like hypertension, became increasingly difficult due to limited access to care. During these unprecedented times, two community pharmacies collaborated with a school of pharmacy to develop a new remote program to encourage patient centered disease state management.Objectives: The primary objective was to describe patient perceptions of participating in a student-led, remote hypertension education program. The secondary objective was to gain insight on perceptions of the program's impact on current lifestyle.Methods: Second-and third-year pharmacy students worked with faculty preceptors to develop and remotely deliver an 8-week curriculum. During each call, students educated on a topic and set S.M.A.R.T. (Specific, Measurable, Achievable, Realistic, and Timely) goals. After completing the program, participants were interviewed regarding their experience.This study was a qualitative design using semi-structured interviews. Participants in the program were interviewed by trained investigators. All interviews were recorded, transcribed, and thematically coded to address study outcomes.Results: A total of 12 participant interviews were conducted with all participants 50 years of age or older and a majority having a diagnosis of hypertension for greater than 20 years. From the interviews, six dominant themes were identified. Themes were: (a) students were knowledgeable, professional, and engaged; (b) participants felt comfortable communicating with the students and developed a positive relationship; (c) participants expressed having a positive impact on the students' education;(d) the program was organized; (e) participants reported positive lifestyle changes or reinforced habits that they plan to continue, and (f) the remote nature of the program was convenient, but face-to-face interaction was missed. Conclusion:Participants had an overwhelmingly positive experience completing the program. Utilizing students for development and implementation allowed the

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Section: Theme Supporting Quotessupporting

confidence: 76%

Patient perceptions of a student‐led remote hypertension education program

Kieck

Ostir

Blair

et al. 2021

J Am Coll Clin Pharm

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“…Pharmacists are the most accessible members of the health-care team, and pharmacies are visited more than any other health-care facility, allowing pharmacists to have a significant impact on their patients as demonstrated by this review. 56,57 The conclusion of this systematic review strongly supports the inclusion of pharmacist interventions in the management of hypertension and, at a minimum, necessitates a further investigation into the effects of additional pharmaceutical care. 58,59 When helping their patients, pharmacists need to prioritize their services and work at the same time to meet both the medication needs and overall health outcomes of the patients.…”

Section: Discussionmentioning

confidence: 59%

Pharmacist Interventions in the Management of Blood Pressure Control and Adherence to Antihypertensive Medications: A Systematic Review of Randomized Controlled Trials

Reeves

Robinson

McClelland

et al. 2020

Journal of Pharmacy Practice

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Objective: Pharmacists are ideally positioned to promote optimal use and assess the adherence of prescription medications in patients with chronic diseases. This systematic review of randomized controlled trials (RCTs) ascertains the effectiveness of pharmacist interventions to improve blood pressure (BP) control and medication adherence in patients with hypertension. Data Sources: Electronic databases were searched for studies in English published between January 1, 1995, and January 31, 2018. Eligibility criteria included patients with a diagnosis of hypertension tested with RCT where pharmacist-led interventions occurred. The primary outcome was BP control and the secondary outcome was adherence to hypertensive medication. Quality of studies was assessed using the Cochrane Risk of Bias Tool. Data Synthesis: Thirty-five studies met the inclusion–exclusion criteria and were included in this study. Major themes included pharmacist-led interventions with medication counseling, patient education, distribution of interventions materials, individualized care plans, and check-in meetings. The vast majority of trials (n = 29) showed statistically significant improvement in BP in the intervention groups at follow-up. Of the 35 studies, most (n = 20) assessed medication adherence; several trials (n = 9) showed statistically significant improvement in medication adherence in patients receiving additional pharmaceutical care services. None of the RCTs was considered to have a high risk of bias. Conclusion: Pharmacist-led interventions improved BP control and medication adherence through education, counseling, or a combination of both. Future research is needed to determine the most effective pharmacists’ interventions in managing hypertension and to assess the cost-effectiveness of these interventions.

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“…In addition to clinic personnel explaining the need for the HPV vaccine, a community pharmacist also discussed the HPV vaccination series with the patients and parents/caretakers. Pharmacists have been recognized as a trusted provider of medication and health information by patients [14], and can serve in a public health role. In addition, most pharmacists have completed training in providing immunizations, which supports their role in discussing HPV vaccinations with patients and/or their parents [15].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of a Coordinated Human Papillomavirus (HPV) Vaccination Program between a Medical Clinic and a Community Pharmacy

Doucette

Kent²,

Seegmiller

et al. 2019

Pharmacy

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Human papillomavirus (HPV) vaccination coverage could be enhanced by community pharmacies working with medical clinics to coordinate completion of the HPV vaccination series. The objective for this study was to assess the feasibility of a coordinated model of HPV vaccine delivery in which a clinic gives the first dose and refers patients to a partnering community pharmacy to receive subsequent doses. A medical clinic-community pharmacy team was established in a Midwestern state to develop and operate a coordinated care model for HPV vaccinations. Under the coordinated model, the clinic identified patients needing HPV vaccination(s), administered the first dose and described the option to complete the vaccination series at the pharmacy. Interested patients then had an information sheet faxed and electronic prescriptions sent to the pharmacy. The pharmacy contacted the patients to schedule administration of 2nd and 3rd doses of the HPV vaccine. Over a 12-month period, 51 patients were referred to the pharmacy by the clinic. Of these, 23 patients received a total of 25 vaccinations. Clinic and pharmacy personnel mostly rated the coordinated program favorably. An initial study of a coordinated HPV vaccination program between a medical clinic and a community pharmacy supported patients getting HPV vaccinations.

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Rural patient perceptions of pharmacist-provided chronic condition management in a state with provider status

Cited by 13 publications

References 18 publications

Patient perceptions of a student‐led remote hypertension education program

Patient perceptions of a student‐led remote hypertension education program

Pharmacist Interventions in the Management of Blood Pressure Control and Adherence to Antihypertensive Medications: A Systematic Review of Randomized Controlled Trials

Feasibility of a Coordinated Human Papillomavirus (HPV) Vaccination Program between a Medical Clinic and a Community Pharmacy

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