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1.
Artigo em Inglês | MEDLINE | ID: mdl-33652711

RESUMO

Pharmacists in the community and the essential requirement to safeguard their own health have become fundamental since the spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The aims of this paper were (I) to analyze the directives provided to pharmacists in 2020 regarding preventative safety measures to be adopted; (II) to determine the number of pharmacists who came into contact with SARS-CoV-2 in North-West Italy and relate this to the adopted preventative measures. The first aim was pursued by conducting a bibliographic research, consulting the principal regulatory sources. The second one was achieved with an observational study by administering a questionnaire and performing a serological test. The various protection measures imposed by national and regional legislation were analyzed. Two hundred and eighty-six pharmacists (about 8% of the invited ones) responded to the survey. Ten pharmacists reported a positive result to the serological test. Of the subjects who presented a positive result, three declared that they had not used a hand sanitizer, while two stated that they had not scheduled the cleaning and decontamination of surfaces. Two interviewees had not set up a system of quota restrictions on admissions. In four cases, a certified cleaning company had decontaminated the premises. The results of our study show that during the coronavirus disease 2019 (COVID-19) pandemic, the most pressing challenge for community pharmacists has been the protection of staff and clients inside the pharmacy; the challenge to be faced in the near future will probably be the management of new responsibilities.


Assuntos
/diagnóstico , Serviços Comunitários de Farmácia/tendências , Controle de Infecções/normas , Serviços Comunitários de Farmácia/legislação & jurisprudência , Estudos Transversais , Humanos , Itália/epidemiologia , Pandemias , Estudos Soroepidemiológicos
2.
Yakugaku Zasshi ; 140(7): 877-884, 2020.
Artigo em Japonês | MEDLINE | ID: mdl-32612049

RESUMO

In 1994, community pharmacists first started patient-visiting services under health insurance coverage. There are a wide variety of home-care patients for whom pharmacists provide care. They include elderly patients with chronic disease, pediatric home-care patients with or without special needs, patients with dementia, cancer patients receiving palliative care, and others. Pharmacies engaging in home pharmaceutical care should establish an adequate system in terms of the following aspects: 1) number of pharmacists; 2) availability of a sterile dispensing room; 3) stock of medical narcotics; and 4) stock of medical supplies. Nevertheless, it is impossible for every pharmacy to provide home pharmaceutical care in the same fashion, since many factors, such as the vision of the pharmacy proprietor, business size, experience and expertise of pharmacists, and regional characteristics vary. A survey of 149 pharmacies authorized to dispense injection drugs in Tokyo clarified the profile of pharmacies specializing in home pharmaceutical care based on the number of patients served, number of patients receiving at-home end-of-life care, amount of medical narcotics in stock, etc. The results revealed that specialized pharmacies were required by home-care patients who were highly dependent on medical treatment. In the future, as the number of home-care patients with high medical treatment dependence is expected to continue rising, an evaluation of pharmacies meeting the needs of these patients should be undertaken from the viewpoint of advanced pharmaceutical management functions.


Assuntos
Serviços Comunitários de Farmácia , Serviços de Assistência Domiciliar , Farmacêuticos , Farmácia , Serviços Comunitários de Farmácia/tendências , Humanos , Japão , Entorpecentes
3.
PLoS One ; 15(4): e0230863, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32241021

RESUMO

BACKGROUND: The emergence of chronic diseases as major causes of disability and death has necessitated the introduction of new strategies to effectively address the ever-changing nature of public health problems. As a result, the role of community pharmacies in promoting public health is growing in recent years through the provision of extended pharmacy services. This study was conducted with the aim of assessing community's extent of use and approval of extended pharmacy services at community pharmacies in Bonga town, Southwest Ethiopia. MATERIALS AND METHODS: Community based cross-sectional study was conducted in Bonga town, Southwest Ethiopia, on households selected by systematic random sampling. Data was collected using semi-structured questionnaire. Data was collected by personally delivering questionnaires to respondents in selected households. Results of the study were described by frequency, mean and standard deviation (SD). Binary logistic analysis was performed to identify potential associations between dependent and independent variables. RESULTS: Out of 356 individuals included in the study, 58.4% recalled visiting community pharmacy premises during the previous six months. Out of these, 34.6% visited the community pharmacies to get extended pharmacy services. College educated participants were 19.4 times more likely to have used extended pharmacy services as compared to illiterate individuals whereas those who earn monthly income more than 5000 Ethiopian Birr were 3.6 times more likely than those with monthly income of 2000 Ethiopian Birr or less. Of the total participants, 91.3% approved the provision of extended pharmacy services in community pharmacies. CONCLUSION: The extent of community's use of extended pharmacy services at community pharmacies was found to be low. Nevertheless, majority of the study subjects approved the provision of extended pharmacy services at community pharmacies. Efforts to improve the practice of extended pharmacy service provision at community pharmacies should be made by all stake holders.


Assuntos
Serviços Comunitários de Farmácia/tendências , Farmácias/estatística & dados numéricos , Farmácias/tendências , Adulto , Serviços Comunitários de Farmácia/estatística & dados numéricos , Estudos Transversais , Etiópia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Farmacêuticos/estatística & dados numéricos , Papel Profissional , Saúde Pública , Inquéritos e Questionários
4.
Pharm. pract. (Granada, Internet) ; 18(1): 0-0, ene.-mar. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-195717

RESUMO

OBJECTIVE: This study was conducted to assess pharmacists' practices when counseling patients on their prescription medications, and their preferences for training. METHODS: Five focus group discussions of community pharmacists (n=45, with seven to eleven participants in each group) were conducted in a major metropolitan city in the southern United States. Participants were recruited via email using a list of community pharmacists provided by the Texas State Board of Pharmacy. All focus group discussions were structured using a moderator guide consisting of both discrete and open-ended questions. Qualitative analysis software was used to analyze the data with a thematic analysis approach. RESULTS: The participants in this study had a high self-efficacy regarding their ability to counsel on both new and opioid prescriptions. Many pharmacists experienced the same barriers to counseling and agreed on the components o counseling. However, the themes that emerged showed that the participants exhibited only a partial understanding of the components of counseling. The themes that emerged in the thematic analysis were perceived confidence and discordant counseling practices, inadequate infrastructure, lack of comprehensive counseling, inconsistent use of the Prescription Drug Monitoring Program (PDMP), and pharmacists' desired training/assistance. CONCLUSIONS: Community pharmacists are in a unique position to help combat the opioid crisis; however, there has been very little research on the pharmacist-patient interaction in this context. With policy changes, such as the PDMP mandate, going into effect across the country, it is important to capitalize on the potential community pharmacists have in ameliorating the opioid crisis in the United States


No disponible


Assuntos
Humanos , Prescrições de Medicamentos/estatística & dados numéricos , Prescrição Inadequada/tendências , Aconselhamento Diretivo/tendências , Serviços Comunitários de Farmácia/tendências , Transtornos Relacionados ao Uso de Opioides/epidemiologia , Farmacêuticos/estatística & dados numéricos , Competência Profissional , Monitoramento de Medicamentos/tendências , Transtornos Relacionados ao Uso de Opioides/prevenção & controle , Estados Unidos/epidemiologia
5.
J Oncol Pharm Pract ; 26(1): 13-22, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30832554

RESUMO

PURPOSE: To describe the outcomes of a pharmacist-led multi-center, collaborative patient education and proactive adverse event management program in a community-based oncology setting. METHODS: Patients with EGFR mutation-positive (EGFRm+) non-small cell lung cancer, newly prescribed with oral afatinib, and monitored as part of the Florida Cancer Specialists patient management program, were included in a retrospective, observational analysis. During follow-up, data were collected on adverse event frequency, and changes in afatinib dosing. Data analyses were descriptive and exploratory in nature. RESULTS: The mean age of the 123 patients included in the analysis was 69 years, and 78% were female. At the time of the analysis, 3 patients had discontinued before receiving treatment, 89 patients had discontinued afatinib treatment, and 31 patients were continuing to receive afatinib treatment. The most common afatinib-related adverse events were diarrhea (85%), rash/skin reactions (58%), stomatitis/mucositis (19%), and paronychia (16%). Overall, 13% of patients discontinued due to afatinib-related adverse events. The median duration of treatment was 4 months in patients who discontinued due to adverse events, 6 months in those who discontinued for other reasons, and 18 months in those who were continuing to receive therapy. Afatinib dose-reductions were more frequent in patients continuing treatment versus those who discontinued due to adverse events (77% vs. 42%, respectively). CONCLUSIONS: Findings suggest that adverse events in patients with EGFRm + non-small cell lung cancer receiving afatinib can be successfully managed in a community-based, real-world setting with the help of collaborative pharmacist-led patient education, adverse event monitoring, and continuous support.


Assuntos
Afatinib/efeitos adversos , Antineoplásicos/efeitos adversos , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Neoplasias Pulmonares/tratamento farmacológico , Educação de Pacientes como Assunto/tendências , Farmacêuticos/tendências , Adulto , Idoso , Idoso de 80 Anos ou mais , Carcinoma Pulmonar de Células não Pequenas/diagnóstico , Carcinoma Pulmonar de Células não Pequenas/genética , Serviços Comunitários de Farmácia/tendências , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/diagnóstico , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/terapia , Receptores ErbB/genética , Feminino , Humanos , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/genética , Masculino , Pessoa de Meia-Idade , Educação de Pacientes como Assunto/métodos , Relações Profissional-Paciente , Estudos Retrospectivos
6.
Curr Pharm Teach Learn ; 11(9): 902-908, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31570127

RESUMO

INTRODUCTION: In order to increase new pharmacists' preparedness for clinical practice, pharmacy education in the United Kingdom (UK) is moving towards a five-year integrated degree incorporating the pre-registration year into the undergraduate programme. The purpose of this research is to explore masters of pharmacy (MPharm) student attitudes towards experiential learning and assess community pharmacy as a teaching and learning environment. METHODS: MPharm students (n = 857) at one UK pharmacy school were invited to complete an online questionnaire. Responses were statistically analysed while open comments were thematically analysed. RESULTS: Students were positive about placement organisation, with over 80% agreeing the pharmacist and support staff were enthusiastic and well-prepared. However, 62% of respondents felt they were unable to interact with patients on placements and instead spent time completing pre-determined learning tasks. Seventy-seven percent felt these tasks limited real "hands-on" experiences. Although 78% of respondents believed placements provided a valuable learning experience, only 18% thought placements prepared them for post-graduate employment. CONCLUSIONS: Community pharmacy environments are often busy and unpredictable, and experiential learning should be designed to allow better exposure to clinical practice with less pre-defined learning. Placements should allow for more collaborative working between universities and employers and incorporate the use of learning standards. This would represent a move towards a five-year integrated degree and a better understanding of the associated challenges involved.


Assuntos
Serviços Comunitários de Farmácia/normas , Estudantes de Farmácia/psicologia , Adulto , Serviços Comunitários de Farmácia/estatística & dados numéricos , Serviços Comunitários de Farmácia/tendências , Educação em Farmácia/métodos , Educação em Farmácia/normas , Feminino , Humanos , Masculino , Aprendizagem Baseada em Problemas/métodos , Estudantes de Farmácia/estatística & dados numéricos , Inquéritos e Questionários , Reino Unido
7.
Rev Saude Publica ; 53: 94, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31644724

RESUMO

OBJECTIVE: To evaluate trends in the use of generic and non-generic medicines to treat hypertension and diabetes under the Farmácia Popular Program (FP) and its impact on generic medicines sales volume and market share in the Brazilian pharmaceutical market. METHODS: This longitudinal, retrospective study used interrupted time series design to analyze changes in monthly sales volume and proportion of medicines sales (market share) for oral antidiabetic and antihypertensive medicines for generic versus non-generic products. Analyses were conducted in a combined dataset that aggregate monthly sales volumes from the Farmácia Popular program and from the QuintilesIMS™ (IQVIA) national market sales data from January 2007 to December 2012. The Farmácia Popular program phases analyzed included: a) 2009 reductions in medicines reference prices (AFP-II) and b) 2011 implementation of free medicines program for hypertension and diabetes, the Saúde não tem preço (SNTP - Health has no price). RESULTS: Patterns of use for FP-covered antidiabetic and antihypertensive medicines were similar to their use in the market in general. After one year of the decreases in government subsidies in April 2010, market share of antidiabetic and antihypertensive medicines experienced relative declines of -54.5% and -59.9%, respectively. However, when FP-covered medicines were made free to patients, overall market volume for antidiabetic and antihypertensive generics increased dramatically, with 242.6% and 277.0% relative increases by February 2012, as well as non-generics with relative increase of 209.7% and 279% for antidiabetic and antihypertensive medicines, respectively. CONCLUSIONS: Ministry of Health policies on the amount of patient cost sharing and on the choice of medicines on coverage lists have substantial impacts on overall generic sales volume in retail pharmacies.


Assuntos
Anti-Hipertensivos/uso terapêutico , Comércio/tendências , Serviços Comunitários de Farmácia/tendências , Medicamentos Genéricos/uso terapêutico , Hipoglicemiantes/uso terapêutico , Programas Nacionais de Saúde/tendências , Brasil , Comércio/estatística & dados numéricos , Serviços Comunitários de Farmácia/estatística & dados numéricos , Diabetes Mellitus/tratamento farmacológico , Política de Saúde , Humanos , Hipertensão/tratamento farmacológico , Análise de Séries Temporais Interrompida , Estudos Longitudinais , Programas Nacionais de Saúde/estatística & dados numéricos , Farmácias/estatística & dados numéricos , Farmácias/tendências , Avaliação de Programas e Projetos de Saúde , Valores de Referência , Estudos Retrospectivos , Fatores de Tempo
8.
Health Policy ; 123(11): 1108-1115, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31470985

RESUMO

Community pharmacies represent unusual enterprises as their main function is intrinsically related to the provision of healthcare services. Hence, market competition in this sector needs to be regulated, in order to ensure equitable accessibility, efficiency and quality of services. However, recently a general deregulation trend may be observed in Europe. In this paper, we focus on location restrictions, i.e. on demographic and geographic constraints to open new pharmacies, and we evaluate the impact of their relaxation. In particular, we analyze the case of the city of Pamplona (ES), where a striking increase in the number of pharmacies occurred, after the introduction of a new regulatory system in 2000. We evaluate, thanks to an in-depth spatial analysis, the evolution of the system to date and the effects produced on the consumers, in terms of accessibility, and on the competitors, in terms of market shares distribution. By comparing the obtained results with the ones related to the case of a second Spanish city, characterized by more strict restrictions, it emerges that the deregulation risks to produce a limited improvement in terms of accessibility and to exacerbate differences among consumers. Moreover, an increasing number of competitors does not necessarily imply a more equitable distribution of market shares, thus putting at risk the desired effects in terms of cost reduction and service quality improvement.


Assuntos
Comércio , Serviços Comunitários de Farmácia/tendências , Regulamentação Governamental , Farmácias/provisão & distribução , Análise Espacial , Reforma dos Serviços de Saúde , Política de Saúde , Acesso aos Serviços de Saúde , Humanos , Qualidade da Assistência à Saúde , Espanha
10.
Isr J Health Policy Res ; 8(1): 62, 2019 07 12.
Artigo em Inglês | MEDLINE | ID: mdl-31300035

RESUMO

In a recent IJHPR article, Schwartzberg and colleagues report on clinical and other specialty services offered by pharmacists in the community in Israel and in the international arena. The article covers examples of activities recently introduced due to legislative changes which expanded the pharmacist's scope of practice, along with obstacles that are serving to slow broader expansion and availability of these services. This commentary details the success of clinical pharmacy services being provided by the United States Veterans Health Administration, and offers a framework of elements that support clinical pharmacy practice expansion.


Assuntos
Serviços Comunitários de Farmácia/tendências , Humanos , Israel , Sistemas de Medicação , Papel Profissional/psicologia
11.
J Am Pharm Assoc (2003) ; 59(5): 651-659, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31153824

RESUMO

OBJECTIVES: The objectives of this study were (1) to assess pharmacist readiness to provide pharmaceutical care for transgender patients through measuring both pharmacists' knowledge and attitudes towards transgender patients, (2) to assess transgender patients' perception of pharmacist readiness to provide them pharmaceutical care through measuring both pharmacists' knowledge and attitudes toward them, and (3) to compare pharmacist readiness to provide pharmaceutical care for transgender patients and patient perception of this readiness. DESIGN: The study used a descriptive, cross-sectional design. The pharmacist's readiness and the transgender patient's perception of their readiness, defined as a combination of knowledge and attitude, were evaluated. Two separate, validated questionnaires with dichotomous, multiple choice, and open-ended questions were used to measure both constructs among both populations. SETTING: Community-based research. PARTICIPANTS: Pharmacists practicing in Puerto Rico were provided the questionnaire by e-mail or in person. Transgender participants in Puerto Rico were recruited through health clinics and community partners and were surveyed in person. The analysis included responses from 96 pharmacists and 31 transgender participants. RESULTS: The majority of the pharmacists' knowledge scores (90%) were found in the low (0-5) and moderate (6-10) ranges, with a mean score of 7.23 out of a total possible score of 16 (SD ±2.36). For the attitude construct, most of the scores (81%) were found in the high (18-26) range, with a mean score of 19.63 out of a total possible score of 26 (SD ±3.65). For both constructs, transgender patient perceptions echoed the results of the pharmacists, indicating several perceived knowledge deficits in combination with mostly positive attitudes. CONCLUSION: The majority of pharmacists demonstrated positive attitudes toward caring for transgender patients, and transgender patients also perceived these positive attitudes from pharmacists. However, the measured and perceived knowledge deficits observed in this study suggest the need for educational interventions to improve pharmacist readiness to provide care for transgender patients.


Assuntos
Serviços Comunitários de Farmácia/tendências , Educação em Farmácia/tendências , Assistência ao Paciente/tendências , Pessoas Transgênero , Adulto , Idoso , Atitude do Pessoal de Saúde , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Percepção , Farmacêuticos , Competência Profissional , Porto Rico , Inquéritos e Questionários
12.
J Am Pharm Assoc (2003) ; 59(3): 310-318, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30940516

RESUMO

OBJECTIVES: The primary objective of this study was to identify and summarize the perspectives of managers, pharmacists, and pharmacy technicians regarding the implementation of the Optimizing Care Model and corresponding task delegation of final product verification to pharmacy technicians in the community pharmacy. A secondary objective was to better understand successes and concerns in implementing the model. DESIGN: This qualitative research study employed the use of semistructured interviews. The authors served as coders and analyzed the transcripts with the use of inductive and deductive thematic analysis. SETTING AND PARTICIPANTS: Key informants included managers, pharmacists, and pharmacy technicians participating in the Optimizing Care Model in community pharmacies across both chain and independent pharmacy settings in Iowa, Tennessee, and Wisconsin. Interviews were conducted via telephone. RESULTS: The research team interviewed 14 participants. Six themes were identified: The Optimizing Care Model catalyzes patient care service delivery expansion in the community pharmacy setting, effectiveness is driven by "freed-up" pharmacist time compared with the traditional model, the model positively affects roles and job satisfaction of pharmacy personnel, technician engagement and ownership have a strong impact on the success and ramifications of the model, significant changes to pharmacy operations are necessary for successful implementation, and there are several factors ensuring successful implementation and sustaining of the Optimizing Care Model. CONCLUSION: Various participants (pharmacists, managers, technicians) in a technician product verification program known as the Optimizing Care Model agreed that patient care delivery can be enhanced through the task delegation of final product verification to pharmacy technicians. Additional positive impacts on organizational and individual level outcomes were found, which included quality of work life, engagement, and commitment.


Assuntos
Serviços Comunitários de Farmácia/organização & administração , Serviços Comunitários de Farmácia/tendências , Assistência ao Paciente/métodos , Farmácias/organização & administração , Farmácias/tendências , Humanos , Entrevistas como Assunto , Iowa , Motivação , Assistência ao Paciente/tendências , Farmacêuticos/tendências , Técnicos em Farmácia/tendências , Papel Profissional , Pesquisa Qualitativa , Qualidade de Vida , Tennessee , Wisconsin , Engajamento no Trabalho
13.
J Am Pharm Assoc (2003) ; 59(3): 403-409, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30940517

RESUMO

OBJECTIVES: To assess pharmacist-reported practice change as a result of participation in a community pharmacy accreditation program. SETTING: Community pharmacy practice in Wisconsin. PRACTICE INNOVATION: The Wisconsin Pharmacy Quality Collaborative (WPQC) is a network of pharmacies and pharmacists who provide standardized pharmacy services. WPQC is based on a unique set of quality-based best practices designed to improve patient safety in the medication use process. WPQC is supported by the statewide pharmacy organization, the Pharmacy Society of Wisconsin (PSW), which provides resources focused on implementation and engagement to support the success of WPQC-accredited pharmacies. PROGRAM EVALUATION: PSW used a 24-question online survey to evaluate the degree of pharmacist-reported practice change as a result of the WPQC quality-based best practices. RESULTS: Pharmacist-reported frequency and consistency of all quality-based best practices and services increased after WPQC accreditation (P < 0.05), with the exception of robotic dispensing systems, holding regular staff meetings for team communication, and providing incentives for recording quality-related events. In addition, quality-based best practices and WPQC services had a positive impact on pharmacist perceptions of their quality of patient care, patient safety, patient satisfaction, and patient relationships in WPQC-accredited pharmacies. The majority of pharmacies valued WPQC accreditation and shared positive comments about their experiences. CONCLUSION: A community pharmacy accreditation program using standardized quality-based best practices can create and reinforce behavior change in the community pharmacy setting to positively affect patient care and medication safety. Research is needed to determine if there are actual behavior changes as a result of WPQC accreditation compared with pharmacies that have elected not to participate.


Assuntos
Serviços Comunitários de Farmácia/normas , Serviços Comunitários de Farmácia/tendências , Farmacêuticos/estatística & dados numéricos , Avaliação de Programas e Projetos de Saúde/estatística & dados numéricos , Acreditação , Serviços Comunitários de Farmácia/organização & administração , Educação em Farmácia , Humanos , Assistência ao Paciente/normas , Segurança do Paciente/normas , Papel Profissional , Inquéritos e Questionários , Wisconsin
14.
Yakugaku Zasshi ; 139(4): 529-532, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-30930382

RESUMO

The primary pharmacy system and health support pharmacy system were established in 2016. However, local pharmacies need to get closer to the community. To this end, each pharmacy is making efforts to contribute locally. Here, we introduce various initiatives in our region. Akakabe Pharmacy has 66 stores in Osaka Prefecture, mainly in the northeastern part of Osaka, where the elderly population is growing. We are implementing a dominant strategy: cooperation with the city and administration is strong, and we hold many related events directed towards the public. For example, two thousand participants gathered in an event sponsored by the city aimed at the improvement of beauty and health. At such events, participants can easily consult with pharmacists. Dispensing pharmacy stores-pharmacies that combine the features of a convenience store with care consulting services-were established in 2016. Care consultations are potentially highly advantageous to the users. In the consultation space of a pharmacy, a care worker conducts various events every month, such as on dementia prevention, body composition measurement, and more. We believe that this type of combined pharmacy and convenience store has the potential to become a regional comprehensive care center. We intend to share the possibility of a new pharmacy system, centered on this pharmacy/store/consultation model, as a basis to revamp the pharmacy industry.


Assuntos
Comércio , Serviços Comunitários de Farmácia , Assistência Integral à Saúde , Assistência à Saúde/métodos , Farmácia , Encaminhamento e Consulta , Centros Comunitários de Saúde/tendências , Serviços Comunitários de Farmácia/tendências , Assistência Integral à Saúde/métodos , Assistência Integral à Saúde/tendências , Assistência à Saúde/tendências , Fast Foods , Humanos , Japão
15.
Yakugaku Zasshi ; 139(4): 539-543, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-30930384

RESUMO

For becoming a talented pharmacist at a health support pharmacy, the practitioner must obtain ability in two significant skill sets: "Technical skill" and "Non-technical skill". Technical skills are that required for a pharmacist's specialty/expertise, such as a wide variety of specialized knowledge and techniques. Non-technical skills are those required for effective communication and cooperation with patients, as well as with professionals from multiple fields, and also leadership/problem-solving ability within a team. Therefore, technical skill and non-technical skill go hand-in-hand like the two wheels on an axle. In a community-based integrated care system, medical professionals are expected to support a patient's overall health more effectively, even extending into his/her private life. In order to enable pharmacists to expand their scope of activity and fully execute their expertise, Yakugaku Seminar Lifelong Learning Center supports pharmacists from the standpoint of education with various themes, for example: the simulated experience of doctor conducting patient education and formulation on a daily basis, learning a basic way of thinking when clinical decisions are made for a patient nearby, mature decision making by combining vital signs, communication that takes into consideration a patient's background, and improved communication or problem-solving abilities within a broader team.


Assuntos
Competência Clínica , Serviços de Saúde Comunitária/tendências , Serviços Comunitários de Farmácia/tendências , Assistência Integral à Saúde/tendências , Assistência à Saúde/métodos , Assistência à Saúde/tendências , Educação Continuada em Farmácia/métodos , Educação Continuada em Farmácia/tendências , Farmacêuticos/tendências , Competência Profissional , Papel Profissional , Comunicação , Humanos , Comunicação Interdisciplinar , Equipe de Assistência ao Paciente , Relações Profissional-Paciente
16.
J Am Pharm Assoc (2003) ; 59(3): 349-355, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31000435

RESUMO

OBJECTIVES: To examine the characteristics of patient experience in community pharmacies through pattern exploration techniques of the unstructured free-text data from an online review website. DESIGN: Retrospective observational study design using structural topic model (STM) and term frequency-inverse document frequency (tf-idf) to categorize free-text data. Tf-idf scores words in terms of importance, and STM extracts latent themes from free-text data based on the co-occurrence of words in a review. Human labels were assigned to STM output, with each topic's prevalence mapped to each level of the 1- to 5-star review ratings. SETTING AND PARTICIPANTS: Data were obtained from the Yelp Academic data set from April 2006 through December 2017. These data were available for analysis from certain cities in the United States, Canada, and Europe. Included reviews were filtered based on the presence of pharmacy-specific character strings (e.g., "prescri"). MAIN OUTCOME MEASURES: Descriptive statistics of Yelp review characteristics, tf-idf scores, and topics produced from STM were used to characterize the content of Yelp reviews at each star-rating level. RESULTS: The filtered data set contained 4463 reviews from 964 pharmacies in 8 U.S. states. The mean (±SD) review rating was 2.97 ± 0.91. The mean number of words in a review was 135 ± 116. STM revealed 9 topics that influenced patient experiences at community pharmacies, including waiting time, service attitude, and physical store characteristics. Friendly and helpful staff accounted for 28.3% of content in 5-star ratings, whereas waiting time accounted for 19.4% of 1-star ratings. CONCLUSION: Yelp reviews provide a public look into patient experience at community pharmacies, and the reviews likely influence other patients' decisions to use the pharmacy. Pharmacies should focus their efforts on enabling pharmacy staff to provide high-quality care and minimizing unnecessary waiting times for patients.


Assuntos
Serviços Comunitários de Farmácia/tendências , Sistemas On-Line/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Indicadores de Qualidade em Assistência à Saúde/estatística & dados numéricos , Indicadores de Qualidade em Assistência à Saúde/tendências , Canadá , Europa (Continente) , Humanos , Internet , Farmácias , Pesquisa Qualitativa , Qualidade da Assistência à Saúde , Estudos Retrospectivos , Inquéritos e Questionários/estatística & dados numéricos , Estados Unidos
17.
J Am Pharm Assoc (2003) ; 59(3): 319-328, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30819640

RESUMO

OBJECTIVES: The primary objective was to measure the impact of a pharmacist-provided medication therapy management program on 30-day postdischarge readmission rates. The secondary study objectives were to characterize the number and types of pharmacist interventions, to determine the impact of the intervention on primary and secondary medication nonadherence, and to measure patient satisfaction with the intervention. DESIGN: Randomized, clinical trial. SETTING: Six hospitals and a supermarket pharmacy chain with 60 pharmacies. PARTICIPANTS: Four hundred patients discharged from a participating hospital with acute myocardial infarction, pneumonia, congestive heart failure, chronic obstructive pulmonary disease, or diabetes. MAIN OUTCOME MEASURES: Primary outcome measure was 30-day readmission rate. Secondary outcomes were pharmacist interventions, primary and secondary medication nonadherence, and patient satisfaction. RESULTS: Four hundred patients were enrolled. There was not a significant difference in 30-day readmission rates between intervention and control groups (11.3% vs. 10.7%; P = 0.49). A large portion of patients randomized to the intervention did not attend their appointment. In a per protocol (PP) analysis, which included the 62 intervention patients who attended their appointment and the 187 patients in the control group, there was a significant difference in 30-day readmission rates (1.6% vs. 10.7%; P = 0.02). In the PP analysis, controlling for baseline differences, patients in the intervention group were significantly less likely to experience a readmission (odds ratio, 0.126; 95% confidence interval, 0.016-0.968; P = 0.046). In the PP analysis, the percentage of prescriptions not picked up in the intervention group compared with the control group was reduced by 2.5%, (6.4% vs. 8.9%; P = 0.59). Pharmacists identified many interventions, averaging 6 per patient. CONCLUSION: This study successfully implemented a large-scale transition of care program between multiple health systems and community pharmacies that reduced hospital readmissions. Pharmacists identified many interventions for patients. The transmission of patient information from the inpatient setting to the community pharmacy is key to transitioning patients successfully.


Assuntos
Serviços Comunitários de Farmácia/organização & administração , Serviços Comunitários de Farmácia/tendências , Assistência à Saúde/organização & administração , Assistência à Saúde/tendências , Conduta do Tratamento Medicamentoso/organização & administração , Conduta do Tratamento Medicamentoso/tendências , Adulto , Idoso , Idoso de 80 Anos ou mais , Continuidade da Assistência ao Paciente , Feminino , Humanos , Pacientes Internados , Masculino , Pessoa de Meia-Idade , Assistência ao Paciente/tendências , Alta do Paciente , Readmissão do Paciente/tendências , Satisfação do Paciente , Transferência de Pacientes , Farmácias , Farmacêuticos , Serviço de Farmácia Hospitalar , Papel Profissional , Qualidade da Assistência à Saúde
18.
J Oncol Pharm Pract ; 25(1): 140-147, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28942724

RESUMO

Administration of chemotherapy is moving into the community as more and more therapies to treat cancer are being developed as oral medications. Patients taking these oral medications still require support, as many of these agents can be toxic. This support could be simple side effect management, compliance issues or even reassurance with regards to their diagnosis as examples. Community pharmacies are ideally placed within the community to help these patients. The purpose of this review is to determine what support community pharmacies are currently providing for patients taking oral anticancer medication and if there is a model that can be adopted or adapted to be used elsewhere. Searches were undertaken using two databases, Medline and Embase. Other evidence-based articles were discovered from other sources. The different services currently available from community pharmacies were largely varied. There are some key aspects to each which could be used in the development of a new model. Further research is required to determine the views of the patients, carers and community pharmacy staff.


Assuntos
Antineoplásicos/administração & dosagem , Serviços Comunitários de Farmácia , Modelos Teóricos , Farmacêuticos , Relações Profissional-Paciente , Administração Oral , Serviços Comunitários de Farmácia/tendências , Humanos , Neoplasias/diagnóstico , Neoplasias/tratamento farmacológico , Farmacêuticos/tendências
19.
J Pharm Pract ; 32(5): 524-528, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29665720

RESUMO

OBJECTIVE: To determine community pharmacist preferences in transition of care (TOC) communications. METHODS: In this cross-sectional study, data were gathered via electronic survey of community pharmacists regarding their preferences for TOC communications. The survey was distributed via email by the North Carolina Board of Pharmacy. Results were analyzed using descriptive statistics. RESULTS: Survey responses were received from 343 community pharmacists (response rate = 6.1%). Responders most commonly worked in an independent, single store (29.2%, n = 100) or national chain (29.2%, n = 100) pharmacy setting. Preferred method for a TOC communication was via electronic health record (63.0%, n = 184). Preferred TOC communication content are mentioned as follows: active (93.2%, n = 274) and discontinued (86.4%, n = 254) medications and reason for hospitalization (85.0%, n = 250). The top 3 self-identified barriers to utilizing a TOC communication: lack of care coordination with community pharmacy (35.0%, n = 14), lack of support from other health-care providers (22.5%, n = 9), and absence of compensation for providing the service (17.5%, n = 7). When asked if TOC communications were available, 97.5% (n = 278) indicated it would be useful. CONCLUSION: Community pharmacists acknowledged a need for TOC communications and shared their preferences in the content and method of communication. Future research is warranted to implement TOC communications between a health system and community pharmacy.


Assuntos
Comunicação , Serviços Comunitários de Farmácia , Transferência de Pacientes/métodos , Farmacêuticos/psicologia , Relações Profissional-Paciente , Inquéritos e Questionários , Serviços Comunitários de Farmácia/tendências , Estudos Transversais , Humanos , Transferência de Pacientes/tendências , Farmacêuticos/tendências
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