scholarly journals An Exploratory Study of Consumers’ Social Behavior Towards Role of Malaysian Community Pharmacists in Providing Healthcare

2020 ◽  
Author(s):  
Alamin Hassan Mohamed Alamin Alabid ◽  
Mohamed Izham Mohamed Ibrahim ◽  
Mohamed Azmi Hassali ◽  
Subish Palaian
Keyword(s):  
Community Pharmacists ◽  
Community Pharmacies ◽  
Chi Square ◽  
Survey Tool ◽  
Healthcare Settings ◽  
The North ◽  
The Mean ◽  
Perception Score

Abstract Background: Consumers awareness, perceptions, expectations and experiences are integral components of their satisfaction towards the quality of care provided by community pharmacists. The study aims to assess consumers’ awareness, perceptions, expectations and experiences about the role of community pharmacists in providing healthcare.Methods: The study was carried out in the state of Penang, in the north of Malaysia. A survey was carried out by conveniently selecting the consumers patronizing the community pharmacies. A pretested and validated survey tool with different domains (Cronbach’s alpha ranged from 0.577 to 0.774) was used. Descriptive and inferential statistics (Chi-Square, Mann-Whitney and Kruskal-Wallis tests) were used for analyzing the data using SPSS program, Version 26.Results: Of the total 424 questionnaires distributed, 195 (46%) were returned and usable. The median age of the consumers was 30 (IQR = 28-38). The majority of them were female, Chinese, living in urban area and having a bachelor degree. The mean awareness score was 8.39 (± 2.00), mean perception score was 2.95 (± 0.83), mean expectation score was 3.70 (± 0.13), and mean experience score was 3.17 (± 0.97). Trusting a pharmacist’s advice about medicines was significantly associated with the consumer’s age (p= 0.030). age of the consumers was a significant determinant in their perception of CP suggestions about the use of certain prescription medicines to patients and physicians (p = .001 and p = 0.014, successively). The strongly anticipated that CPs should monitor responses to drug therapy and be more concerned with the patient rather than being profit-oriented (medians = 5 and 4, respectively).Conclusions: The consumers in this study were aware of the role of community pharmacists in community pharmacies and healthcare settings. They were also showed high perception, expectation and positive experience with the community pharmacists.

scholarly journals An Exploratory Study of Consumers’ Social Behavior towards Role of Malaysian Community Pharmacists in Providing Healthcare

2020 ◽  
pp. 37-51
Author(s):  
Alamin Hassan Mohamed Alamin Alabid ◽  
Mohamed Izham Mohamed Ibrahim ◽  
Mohamed Azmi Hassali ◽  
Subish Palaian
Keyword(s):  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Community Pharmacies ◽  
Chi Square ◽  
Cross Sectional ◽  
Survey Tool ◽  
Healthcare Settings ◽  
The North

Aims: Consumers’ awareness, perceptions, expectations and experiences are integral components of their satisfaction towards the quality of care provided by community pharmacists. This study aims to assess consumers’ awareness, perceptions, expectations and experiences about the role of Malaysian community pharmacists in providing healthcare. Study Design:  Cross-sectional study. Place of Study:  Penang state in the north of Malaysia.  Methodology: A survey was carried out by conveniently selecting the consumers patronizing the community pharmacies.  A pretested and validated survey tool with different domains (Cronbach’s alpha ranged from 0.577 to 0.774) was used. Descriptive and inferential statistics (Chi-Square, Mann-Whitney and Kruskal-Wallis tests) were used for analyzing the data using SPSS program, Version 26. Results:  Of the total 424 questionnaires distributed, 195 (46%) were returned and usable.  The median age of the consumers was 30 (IQR = 28-38).  Majority of them were female, Chinese, living in urban area and having a bachelor degree. The mean awareness score was 8.39 (± 2.00), mean perception score was 2.95 (± 0.83), mean expectation score was 3.70 (± 0.13), and mean experience score was 3.17 (± 0.97). Trusting a pharmacist’s advice about medicines was significantly associated with the consumer’s age (p= 0.030). age of the consumers was a significant determinant in their perception of community pharmacists suggestions about the use of certain prescription medicines to patients and physicians (p = .001 and p = 0.014, successively).  The strongly anticipated that community pharmacists should monitor responses to drug therapy and        be more concerned with the patient rather than being profit-oriented (medians = 5 and 4, respectively). Conclusion:  The consumers in this study were aware of the role of community pharmacists in community pharmacies and healthcare settings.  They also reported high perception, expectation and positive experience with the community pharmacists.

scholarly journals Impact of COVID-19 on Pharmaceutical Care Services and the Role of Community Pharmacists: A Multi-Center Cross-Sectional Study in Ethiopia

2021 ◽  
Vol 7 ◽  
pp. 237796082110258
Author(s):  
Dawit Kumilachew Yimenu ◽  
Chilot Abiyu Demeke ◽  
Asmamaw Emagn Kasahun ◽  
Ebrahim Abdela Siraj ◽  
Adane Yehualaw Wendalem ◽  
...  
Keyword(s):  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Community Pharmacies ◽  
Bahir Dar ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Care Services ◽  
Chi Square Test

Objectives The current study aimed at assessing the impact of COVID-19 on pharmaceutical care services and the role of community pharmacists. Methods A cross-sectional study was conducted from May 1st to June 7, 2020, on community pharmacies in Bahir Dar and Gondar cities, Ethiopia. Descriptive statistics and Chi-square test were conducted. A P-value of less than 0.05 was considered to declare statistical significance at a 95% Confidence interval (CI). Results A total of 101 community pharmacies were approached (one pharmacist per pharmacy), and 80 of them had completed the survey. From the total pharmacies, 78.8% of them had encountered a shortage of pharmaceutical products. Chi-square test revealed that there was a significant difference ( P = 0.036) in the shortage of personal protection equipment between Gondar and Bahir Dar cities. Face mask 55 (77.4%) followed by hand glove 15 (21.1%) were the most commonly reported personal protective equipment’s in short supply. Conclusion Strategies should be in place to improve the availability and affordability of various essential pharmaceuticals to mitigate the spread of the disease and prevent other complications.

HUBUNGAN PERAN FAMILY CAREGIVER TERHADAP QUALITAS HIDUP LANSIA

2019 ◽  
Vol 11 (1) ◽  
pp. 51-56
Author(s):  
RIANI PRADARA JATI ◽  
Sekar Farah Nabila
Keyword(s):  
Quality Of Life ◽  
Family Caregiver ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Chi Square ◽  
The Poor ◽  
The Family

  Penempatan peran yang baik bagi Family Caregiver sangatlah membantu lansia dalam meningkatkah qualitas hidupnya, meningkatkan motivasi dalam menjalankan hidup Penelitian ini bertujuan Mengetahui hubungan peran Family Caregiver dalam pemenuhan qualitas hidup bagi lansia di Kelurahan Langenharjo Kabupaten Kendal. DesainPenelitianDeskriptifKorelasional menggunakan pendekatan Krosectional,tehnikSamplingStratified Simple Random Sampling dengan karakteristik heterogen, dari populasi mempunyai hak yang sama untuk diseleksi sebagai sampel teknik undianPengambilan data dengan menggunakan kuesioner yang telah diuji validitas dan reliabilitasnya. Uji statistik Chi-square, dengan taraf signifikasi 5%jumlah sampel pada penelitian ini 70 sampel pada Family Caregiver dari 213 populasi yang ada. Hasil penelitian dari 70 responden didapatkan Peran Family Caregiver tidak baik dengan qualitas hidup tidak baik 33 (47,1%), sedangkan Peran Family Caregiver kurang baik dengan qualitas hidup lansia baik 3 (4,3%). Untuk distribusi Peran Family Caregiver kurang baik dengan qualitas hidup lansia tidak baik sebanyak 6 responden (8,6%) sedangkan untuk distribusi Peran Family Caregiver kurang baik dengan qualitas hidup lansia baik sebanyak 23 responden (32,9%). Terakhir, untuk distribusi Peran Family Caregiver baik dengan qualitas hidup lansia tidak baik didapatkan hasil 2 responden (2, 9%) sedangkan untuk distribusi Peran Family Caregiver baik dengan qualitas hidup lansia baik didapatkan hasil 3 responden (4,3%)Menunjukkan nilai ρ value 0,001 (ρ < 0,05) berarti ada hubungan antara dukungan keluarga dengan kepatuhan lansia dalam keikutsertaan posyandu lansia. Disarankan kepada semua Family Cregiver lansia untuk mampu memahami pentingnya perhatian, dukungan bagi lansia dalammeningkatkan qualitas hidup yang lebih baik bagi lansia.   Kata kunci : Peran family caregiver, qualitas hidup, lansia.   ABSTRACT Placement of a good role for Family Caregiver is very helpful for the elderly to improve their quality of life, increase motivation in living life Research Objective: To know the relationship between the role of Family Caregiver in fulfilling quality of life for the elderly in Langenharjo Village, Kendal Regency. Descriptive Correlational Research Design uses a cross sectional approach, Sampling Stratified Simple Random Sampling technique with heterogeneous characteristics, from the population has the same right to be selected as a sample lottery technique Retrieving data using a questionnaire that has been tested for validity and reliability. Test Chi-square statistics, with a significance level of 5% the number of samples in this study 70 samples on the Family Caregiver from 213 populations. Results of the Study Of 70 respondents found the role of Family Caregiver was not good with poor quality of life 33 (47.1%) , while the role of the Family Caregiver is not good with the quality of life of a good elderly 3 (4.3%). For the distribution of the role of Family Caregiver is not good with the quality of life of the poor family as many as 6 respondents (8.6%) while for the distribution of the Role of Family Caregiver is not good with the quality of life of good elderly as many as 23 respondents (32.9%). Finally, the distribution of the Role of Family Caregiver with good quality of life for the poor is obtained by 2 respondents (2, 9%), while the distribution of the Role of Family Caregiver with good quality of life for the elderly is obtained by 3 respondents (4.3%). 0.001 (ρ <0.05) means that there is a relationship between family support and the compliance of the elderly in the participation of the elderly posyandu. It is recommended to all elderly Cregiver families to be able to understand the importance of attention, support for the elderly in improving the quality of life better for the elderly   Keywords: Role of Family Caregiver, Quality of Life, Elderly

COUNSELLING ACTIVITIES OF DRUG USE IN 58 COMMUNITY PHARMACIES AT HUE CITY

2017 ◽  
pp. 75-80
Author(s):  
Quoc Duong Doan ◽  
Thi Ha Vo
Keyword(s):  
Blood Pressure ◽  
Drug Use ◽  
Community Pharmacy ◽  
Key Words ◽  
Community Pharmacists ◽  
Community Pharmacies ◽  
Cough Headache ◽  
Rational Drug ◽  
Question Survey

Background: Community pharmacists play an important role in counseling of rational drug use for population. The study aimed to characterize counselling activities of drug use and demand of counselling tools at some community pharmacies at Hue City. Materials and method: A 17-question survey were asked to fill pharmacy staffs of a convenient sample of 100 community pharmacies at Hue City from 2/2017 to 7/2017. Results: There were 58 pharmacies (58.0%) answered this survey. Cough, headache, fever, high blood pressure and diabetes were the most popular symptoms/diseases presented in pharmacies. Patients often need counselling about dose (82.8%) and when to take medicine (79.3%). The main bariers for counselling were a lack of time (53.4%), and of skills/medthods for counseling (31.7%). About 96.6% pharmacies demanded counselling tools and favorite formats were book (32.9%) or pocket handbook (29.3%). Conclusion: Most pharmacies demanded counselling tools. Other studies should be conducted to develop supporting tools for counseling and to assess the quality of counseling in pharmacies. Key words: community pharmacy, counseling of drug use, pharmacist, Hue

scholarly journals Exploring the independent prescribing role of the community pharmacists in Wales

2021 ◽  
Vol 29 (Supplement_1) ◽  
pp. i35-i35
Author(s):  
S S Alghamdi ◽  
R Deslandes ◽  
S White ◽  
K Hodson ◽  
A Mackridge ◽  
...  
Keyword(s):  
Community Pharmacy ◽  
Community Pharmacists ◽  
Community Pharmacies ◽  
Committee Report ◽  
Independent Prescribing ◽  
General Practices ◽  
The Government ◽  
Clinical Records ◽  
The Impact

Abstract Introduction Since 2019, the role of independent pharmacist prescribers (IPPs) in primary care has extended to community pharmacies in Wales [1]. This was in response to a Welsh Pharmaceutical Committee report in 2019 that outlined a plan to include an IPP in each community pharmacy in Wales by 2030. This aimed to relieve pressure on general practices, enhance patient care and reduce referral and admission rates to secondary care [2]. As funding was provided by the Government, the number of community pharmacists completing the independent prescribing course increased and many have implemented their prescribing role. Aim To explore the views of community IPPs regarding their prescribing role within community pharmacies in Wales. Methods Semi-structured face-to-face and telephone interviews were conducted with community IPPs from all seven health boards (HBs) in Wales. Ethical approval was obtained from the School of Pharmacy and Pharmaceutical Sciences at Cardiff University and the School of Pharmacy and Bioengineering at Keele University. Purposive sampling was used to identify potential participants. Gatekeepers (HB community pharmacy leads and directors of IPP courses in Wales) sent invitation emails, participant information sheet and consent form to potential participants. Written consent was obtained. Interviews were audio-recorded and transcribed ad verbatim. Thematic analysis was used to analyse the data. Results Thirteen community IPPs across Wales participated. Six themes were identified, including the utilisation of their role as community IPPs, their experiences with their independent prescribing training, motivation to obtain their prescribing qualification and utilise it, the impact, barriers and facilitators to implement and utilise their role. Participants practised as IPPs in the management of minor ailments and some other conditions, such as respiratory and sexual health. The course and training for community IPPs was helpful, but there was a need to focus more on therapeutic and clinical examination skills. The main impact of the role was that it helped to improve communication between community pharmacies and general practices and relieved some pressure on general practices. The main barriers were the lack of appropriate funding by the Government to develop the role, lack of access to patients’ medical records, lack of support and high workload. “One of the areas identified as high risk is for pharmacy prescribers is the lack of access to clinical records. How can you [as community IPPs] make any sensible decisions with half the information?” IPP6 Facilitators included that some services were already in place and the drive from the 2030 vision. Conclusion This is the first study that explored the views of community IPPs regarding their prescribing role in community pharmacies in Wales. It provided an insight into this new role that can be considered by the Welsh Government to achieve the 2030 vision for this role. A limitation to this study was that the role is still new in community pharmacies, which may affect the views of the community IPPs. Many of them have obtained their prescribing qualification but have not started to utilise it yet. Further work is needed to explore a wider population of community IPPs’ experiences as the role develops. References 1. Wickware, C. 2019. All community pharmacies in Wales to have an independent prescriber as part of long-term plan for Welsh pharmacy. Available at: https://www.pharmaceutical-journal.com/news-and-analysis/news/all-community-pharmacies. 2. Welsh Pharmaceutical Committee. 2019. Pharmacy: Delivering a Healthier Wales. Available at: https://www.rpharms.com/Portals/0/RPS%2.

scholarly journals Asthma and COPD Patients’ Perception of Appropriate Metered-Dose Inhaler Technique

Dose-Response ◽  
2020 ◽  
Vol 18 (2) ◽  
pp. 155932582091783 ◽  
Author(s):  
Wijdan H. Ramadan ◽  
Aline Sarkis ◽  
Sandrine Sarine Aderian ◽  
Aline Milane
Keyword(s):  
Pulmonary Disease ◽  
Reliability And Validity ◽  
Pulmonary Diseases ◽  
Dose Inhaler ◽  
Chronic Obstructive ◽  
Community Pharmacies ◽  
Obstructive Pulmonary Disease ◽  
Survey Tool ◽  
Metered Dose ◽  
The Mean

Objectives: Asthma and chronic obstructive pulmonary disease (COPD) are chronic illnesses of the airways affecting a good number of people in Lebanon and the Middle East. Pressurized metered-dose inhalers (pMDIs) are important drug delivery systems used to treat such pulmonary diseases. Drugs proven to be valuable and effective may fail to act effectively if such inhalers are used incorrectly. The purpose of this study was to assess the technical use of pMDIs by patients with pulmonary diseases presenting to the community pharmacies in Lebanon. Methods: A structured questionnaire was developed to collect data. A total of 601 patients using drugs delivered through pMDIs and presenting to 12 Lebanese community pharmacies were recruited to participate in the research project. The questionnaire items were divided into 3 subscales: subscale 1—assessing the device preparation; subscale 2—investigating the device use; and subscale 3—examining the knowledge and use of spacers. After confirming the reliability and validity of the survey tool, patients’ responses were analyzed and compared according to many variables. Results: Many patients answered inaccurately to questions assessing both the device preparation and use. Around 40% of patients said they do not coordinate the inhalation with pressing the canister down. The mean scores were 1.72 (± 0.73) over 6 and 5.67 (± 1.44) over 7 for subscales 1 and 2, respectively. The mean total score on all questions was 7.39 over 13, with a standard deviation of 1.75. While patients’ age did not impact the results, asthmatic, well-educated, male patients had fewer wrong answers when it comes to preparing and using the device ( P < .01). Conclusions: Our study showed that many patients with asthma and COPD might not be properly using their pMDIs. Appropriate inhaler use is crucial for successful pulmonary disease management. As pMDIs are one of the most difficult devices to use, proper and tailored instructions should be given to patients.

scholarly journals Arthroscopic Debridement and Autologous Micronized Adipose Tissue Injection in the Treatment of Advanced-Stage Posttraumatic Osteoarthritis of the Ankle

Cartilage ◽  
2020 ◽  
pp. 194760352094636
Author(s):  
Yoshiharu Shimozono ◽  
John F. Dankert ◽  
John G. Kennedy
Keyword(s):  
Adipose Tissue ◽  
Advanced Stage ◽  
Arthroscopic Debridement ◽  
Posttraumatic Osteoarthritis ◽  
Significant Difference ◽  
The Mean ◽  
Grade 3

Objective To evaluate the effect of intra-articular injection of autologous micronized adipose tissue (MAT) with ankle arthroscopic debridement in patients with advanced-stage posttraumatic osteoarthritis (PTOA) of ankle. Design A retrospective cohort study investigating patients treated with arthroscopic debridement and autologous MAT injection for ankle PTOA was performed. Patients with Kellgren-Lawrence (KL) grade 3 to 4 were included. Visual analogue scale (VAS), Foot and Ankle Outcome Scores (FAOS), and patient satisfaction were evaluated. Results A total of 19 patients (19 ankles) were included (KL grade 3, 8 patients; grade 4, 11 patients). At a mean follow-up time of 14.3 months (range, 7-23 months), the mean FAOS subscales for pain and quality of life significantly increased from 48.8 and 20.1 preoperatively to 61.1 and 30.1 ( P = 0.029 and 0.048, respectively). The mean VAS score significantly improved from 6.1 to 3.8 (P = 0.003) at final follow-up. A total of 10.5% (2/19) of patients were very satisfied, 31.6% (6/19) satisfied, 26.3% (5/19) neutral, 21.1% (4/19) unsatisfied, and 10.5% (2/19) very unsatisfied with their outcomes. The overall FAOS score demonstrated a significant difference in pre- to postoperative change with 14.8 for KL grade 3 and 5.9 for KL grade 4 ( P = 0.048). Conclusions Autologous MAT injection is a safe and potentially beneficial procedure for advanced-stage ankle PTOA as an adjunct to arthroscopic debridement, although more than one-third of patients were unsatisfied with the procedure. This procedure may be more beneficial for KL grade 3 patients than grade 4 patients. However, future investigations are necessary to define the role of MAT for ankle PTOA.

scholarly journals Orofacial complaints and complications of chemotherapy

2017 ◽  
Vol 23 (1) ◽  
pp. 9-14
Author(s):  
Cristina Novaes ◽  
e Tristão ◽  
Coelho Mello ◽  
Fabri Campos ◽  
Maria Chaves
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Health Impact ◽  
Plaque Index ◽  
Oral Complications ◽  
Related Quality ◽  
Health Related ◽  
The Mean

Background: Oral complications of chemotherapy are sometimes unnoticed and if not treated, they can compromise patients? health and quality of life. Methods: This study aimed to assess and characterize orofacial complaints and complications, and their impact on the oral-health-related quality of life in patients undergoing cancer chemotherapy. Results: We evaluated 28 patients with solid tumors undergoing chemotherapy, through a systematic orofacial evaluation. Eighteen patients (64.2%) developed oral complications during chemotherapy and xerostomia scored the highest incidence n = 14 (50%). About oral health data, gingival index revealed greater part of patients classified with moderate or severe gingival inflammation. The mean plaque index was 25.6%. The mean CPOD index was 15.48 and was worse in patients without oral complications. The patients presented higher plaque index and the oral health impact profile showed higher mean index in the patients group that developed oral complications. Conclusion: These data reinforce the crucial role of the dentist in the multidisciplinary team, with crucial suport in the diagnosis of oral complications. Thus, a specific assistance and relieve of patient?s complaints could impact positively on quality of life.

scholarly journals Der Norden und der Süden: die Rolle des Staates bei der wirtschaftlichen und sozialen Spaltung Italien.

1995 ◽  
Vol 25 (98) ◽  
pp. 111-121
Author(s):  
Isaia Sales
Keyword(s):  
Social Integration ◽  
Social Life ◽  
The State ◽  
The South ◽  
National Unity ◽  
Italian History ◽  
The North ◽  
Role Of The State

The dominating role of the state in the failed economic and social integration of the Mezzogiorno into the modern and developed northern part of the country since the creation of the Italian union is analysed. The mutation of the 'southern' to the'northern question' constitutes one of the most recent phenomena in Italian history which threatens the concept of national unity. Therefore, a new contract between the North and the South is necessary to combat the backwardness of the Mezzogiorno. This also requires a new quality of state and not its withdrawal from social life.

scholarly journals The role of VES-13 to identify limited life expectancy in older adults in primary healthcare settings

2021 ◽  
Vol 55 ◽  
Author(s):  
Danilo Lopes Assis ◽  
Virgínia Oliveira Chagas ◽  
Helton Saulo ◽  
Claudia Kimie Suemoto ◽  
Alfredo Nicodemos Cruz Santana
Keyword(s):  
Older Adults ◽  
Life Expectancy ◽  
Primary Healthcare ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional ◽  
Limited Life Expectancy ◽  
Healthcare Settings ◽  
Limited Life ◽  
The Mean

ABSTRACT Objective To investigate the potential role of the Vulnerable Elders Survey to identify older adults with limited life expectancy in primary healthcare settings. Method This cross-sectional study was performed in all (nine) healthcare units in Jatai, Goiás (Brazil) from July to December 2018. A sample size of 407 older adults was obtained considering an older population (≥ 60 years old). Participants answered a questionnaire about sociodemographic and clinical characteristics, including the Vulnerable Elders Survey and the Suemoto index. We tested the association between limited life expectancy and the Vulnerable Elders Survey using multiple logistic regression analysis. Results The mean age was 68.9 ± 6.6 yo, and 58.0% were women. The mean score of the Vulnerable Elders Survey was 2.0 ± 2.2, the mean score of Suemoto index was 31.5 ± 21.1%, and 17.2% had limited life expectancy. The Vulnerable Elders Survey was associated with limited life expectancy (OR = 1.57; p = < 0.0001). Conclusion The Vulnerable Elders Survey was able to identify older adults with limited life expectancy in primary healthcare settings and can play a role in detecting older adults who would not benefit from screening and strict control of chronic diseases.

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