Evaluation of community pharmacists' recommendations to standardized patient scenarios.

2.50
Hdl Handle:
http://hdl.handle.net/2436/29476
Title:
Evaluation of community pharmacists' recommendations to standardized patient scenarios.
Authors:
Rutter, Paul M.; Horsley, Emma; Brown, David T.
Abstract:
BACKGROUND: Recent trends in the global nonprescription drug market show a massive increase in medicine availability to the general public. This places greater responsibility on community pharmacists to ensure that patients exercise self-care appropriately. This small study examined pharmacist performance in facilitating patient self-care. OBJECTIVE: To determine whether an appropriate course of action was taken by UK community pharmacists practicing in one geographic area when presented with 1 of 2 case scenarios: headache or abdominal pain. METHODS: A covert researcher, posing as a patient, spoke with the pharmacist on duty at each of 30 pharmacies, asking for advice on one of the scenarios. The pharmacist was interviewed and their responses were examined by an expert panel. RESULTS: Thirty pharmacies were visited resulting in 28 consultations, 14 each for both scenarios. Pharmacists performed better when counseling the "patient" with abdominal pain than headache. The majority of questions asked were categorized as being relevant by the panel (66% for headache, 89% for abdominal pain), although in both scenarios, the expected outcome of referral was observed only in 7 of the consultations for headache and in 8 cases for abdominal pain. Questioning centered on quantification and clarification of the presenting problem and rarely on questions related to history taking. CONCLUSIONS: Performance levels of the community pharmacists varied considerably. For all pharmacists to perform well, greater emphasis should be placed on eliciting information from the patient to ensure that the appropriate course of action is taken.
Citation:
Annals of Pharmacotherapy, 38(6): 1080-1085
Publisher:
Harvey Whitney Books Company
Journal:
Annals of Pharmacotherapy
Issue Date:
2004
URI:
http://hdl.handle.net/2436/29476
DOI:
10.1345/aph.1D519
PubMed ID:
15113984
Additional Links:
http://www.theannals.com/cgi/content/full/38/6/1080
Type:
Article
Language:
en
ISSN:
1060-0280
Appears in Collections:
Pharmacy and Natural Products Research Group

Full metadata record

DC FieldValue Language
dc.contributor.authorRutter, Paul M.-
dc.contributor.authorHorsley, Emma-
dc.contributor.authorBrown, David T.-
dc.date.accessioned2008-06-04T11:24:08Z-
dc.date.available2008-06-04T11:24:08Z-
dc.date.issued2004-
dc.identifier.citationAnnals of Pharmacotherapy, 38(6): 1080-1085en
dc.identifier.issn1060-0280-
dc.identifier.pmid15113984-
dc.identifier.doi10.1345/aph.1D519-
dc.identifier.urihttp://hdl.handle.net/2436/29476-
dc.description.abstractBACKGROUND: Recent trends in the global nonprescription drug market show a massive increase in medicine availability to the general public. This places greater responsibility on community pharmacists to ensure that patients exercise self-care appropriately. This small study examined pharmacist performance in facilitating patient self-care. OBJECTIVE: To determine whether an appropriate course of action was taken by UK community pharmacists practicing in one geographic area when presented with 1 of 2 case scenarios: headache or abdominal pain. METHODS: A covert researcher, posing as a patient, spoke with the pharmacist on duty at each of 30 pharmacies, asking for advice on one of the scenarios. The pharmacist was interviewed and their responses were examined by an expert panel. RESULTS: Thirty pharmacies were visited resulting in 28 consultations, 14 each for both scenarios. Pharmacists performed better when counseling the "patient" with abdominal pain than headache. The majority of questions asked were categorized as being relevant by the panel (66% for headache, 89% for abdominal pain), although in both scenarios, the expected outcome of referral was observed only in 7 of the consultations for headache and in 8 cases for abdominal pain. Questioning centered on quantification and clarification of the presenting problem and rarely on questions related to history taking. CONCLUSIONS: Performance levels of the community pharmacists varied considerably. For all pharmacists to perform well, greater emphasis should be placed on eliciting information from the patient to ensure that the appropriate course of action is taken.en
dc.language.isoenen
dc.publisherHarvey Whitney Books Companyen
dc.relation.urlhttp://www.theannals.com/cgi/content/full/38/6/1080en
dc.subjectNonprescription medicinesen
dc.subjectUKen
dc.subject.meshAbdominal Painen
dc.subject.meshAdulten
dc.subject.meshCommunity Pharmacy Servicesen
dc.subject.meshDirective Counselingen
dc.subject.meshDrugs, Non-Prescriptionen
dc.subject.meshFemaleen
dc.subject.meshGreat Britainen
dc.subject.meshHeadacheen
dc.subject.meshHumansen
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshPharmacistsen
dc.subject.meshProfessional Roleen
dc.subject.meshReferral and Consultationen
dc.subject.meshSelf Medicationen
dc.titleEvaluation of community pharmacists' recommendations to standardized patient scenarios.en
dc.typeArticleen
dc.identifier.journalAnnals of Pharmacotherapyen
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