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Adherence counseling during patient contacts in swiss community pharmacies

PURPOSE: Numerous studies showed the effectiveness of pharmaceutical care in improving medication adherence in primary care patients. However, in daily pharmacy practice, the provision of pharmaceutical care appears to be limited. We aimed at quantifying the content of counseling by community pharma...

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Autores principales: Boeni, Fabienne, Arnet, Isabelle, Hersberger, Kurt E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4423509/
https://www.ncbi.nlm.nih.gov/pubmed/25960642
http://dx.doi.org/10.2147/PPA.S76027
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author Boeni, Fabienne
Arnet, Isabelle
Hersberger, Kurt E
author_facet Boeni, Fabienne
Arnet, Isabelle
Hersberger, Kurt E
author_sort Boeni, Fabienne
collection PubMed
description PURPOSE: Numerous studies showed the effectiveness of pharmaceutical care in improving medication adherence in primary care patients. However, in daily pharmacy practice, the provision of pharmaceutical care appears to be limited. We aimed at quantifying the content of counseling by community pharmacy staff during patient contacts, especially adherence counseling, and at investigating pharmacist views about their practice of adherence counseling. PATIENTS AND METHODS: A Master’s student in Pharmacy observed patient contacts at selected community pharmacies in the region of Basel, Switzerland. Content of counseling was manually ticked on a checklist with predefined themes (administration, dose, effect, and adherence). Pharmacists working in the pharmacy were interviewed on triggers, topics, and barriers in adherence counseling. RESULTS: In 20 community pharmacies and during a total of 148.1 hours, 1,866 patient contacts were observed. During the 1,476 patient contacts including the dispensing of one or more medications, counseling was provided to 799 (54.1%) patients; with 735 (49.8%) patients counseled about administration, 362 (24.5%) about dose, 267 (18.1%) about effect, and 99 (6.7%) about adherence. Significantly more patients received counseling when they obtained prescribed versus over-the-counter medication (P=0.002), a new prescription versus a repeat prescription (P<0.001), or when they were served by a pharmacist versus by another staff member (P<0.001). Of the 33 interviewed pharmacists, all except one reported actively approaching patients for adherence counseling. Triggers included medication-related and patient-related factors. The pharmacists named predominantly product-centered topics of adherence counseling. The most cited barriers were rejection of counseling by the patient and lack of time. CONCLUSION: Half of the patients receiving one or more medications were counseled, and only 6.7% of all contacts included adherence counseling. Future studies should clarify how barriers to adherence counseling at the community pharmacy can be overcome.
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spelling pubmed-44235092015-05-08 Adherence counseling during patient contacts in swiss community pharmacies Boeni, Fabienne Arnet, Isabelle Hersberger, Kurt E Patient Prefer Adherence Original Research PURPOSE: Numerous studies showed the effectiveness of pharmaceutical care in improving medication adherence in primary care patients. However, in daily pharmacy practice, the provision of pharmaceutical care appears to be limited. We aimed at quantifying the content of counseling by community pharmacy staff during patient contacts, especially adherence counseling, and at investigating pharmacist views about their practice of adherence counseling. PATIENTS AND METHODS: A Master’s student in Pharmacy observed patient contacts at selected community pharmacies in the region of Basel, Switzerland. Content of counseling was manually ticked on a checklist with predefined themes (administration, dose, effect, and adherence). Pharmacists working in the pharmacy were interviewed on triggers, topics, and barriers in adherence counseling. RESULTS: In 20 community pharmacies and during a total of 148.1 hours, 1,866 patient contacts were observed. During the 1,476 patient contacts including the dispensing of one or more medications, counseling was provided to 799 (54.1%) patients; with 735 (49.8%) patients counseled about administration, 362 (24.5%) about dose, 267 (18.1%) about effect, and 99 (6.7%) about adherence. Significantly more patients received counseling when they obtained prescribed versus over-the-counter medication (P=0.002), a new prescription versus a repeat prescription (P<0.001), or when they were served by a pharmacist versus by another staff member (P<0.001). Of the 33 interviewed pharmacists, all except one reported actively approaching patients for adherence counseling. Triggers included medication-related and patient-related factors. The pharmacists named predominantly product-centered topics of adherence counseling. The most cited barriers were rejection of counseling by the patient and lack of time. CONCLUSION: Half of the patients receiving one or more medications were counseled, and only 6.7% of all contacts included adherence counseling. Future studies should clarify how barriers to adherence counseling at the community pharmacy can be overcome. Dove Medical Press 2015-04-24 /pmc/articles/PMC4423509/ /pubmed/25960642 http://dx.doi.org/10.2147/PPA.S76027 Text en © 2015 Boeni et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Boeni, Fabienne
Arnet, Isabelle
Hersberger, Kurt E
Adherence counseling during patient contacts in swiss community pharmacies
title Adherence counseling during patient contacts in swiss community pharmacies
title_full Adherence counseling during patient contacts in swiss community pharmacies
title_fullStr Adherence counseling during patient contacts in swiss community pharmacies
title_full_unstemmed Adherence counseling during patient contacts in swiss community pharmacies
title_short Adherence counseling during patient contacts in swiss community pharmacies
title_sort adherence counseling during patient contacts in swiss community pharmacies
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4423509/
https://www.ncbi.nlm.nih.gov/pubmed/25960642
http://dx.doi.org/10.2147/PPA.S76027
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