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    Evaluation of community pharmacists' recommendations to standardized patient scenarios.

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    Authors
    Rutter, Paul M.
    Horsley, Emma
    Brown, David T.
    Issue Date
    2004
    
    Metadata
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    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
    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
    Journal article
    Language
    en
    ISSN
    1060-0280
    ae974a485f413a2113503eed53cd6c53
    10.1345/aph.1D519
    Scopus Count
    Collections
    Research Institute in Healthcare Science

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