scholarly journals Identifying Community Pharmacists' Readiness to Participate in Transitions of Care

2015 ◽  
Vol 6 (3) ◽  
Author(s):  
Nicole Gibson ◽  
Clark Kebodeaux ◽  
Daron Smith ◽  
Kellye Holtgrave ◽  
Nicole Gattas
Keyword(s):  
Community Pharmacists ◽  
Perceived Barriers ◽  
Transitions Of Care ◽  
Original Research ◽  
Willingness To Participate ◽  
Readmission Rates ◽  
Chi Square ◽  
Care Services ◽  
Hospital Readmission Rates ◽  
Patient Health

Objective: To determine the readiness of community pharmacists to participate in transitions of care and to identify barriers related to participation. Methods: A questionnaire was developed to identify community pharmacists’ willingness, attitudes, and barriers to participating in transitions of care programs. The questionnaire was piloted with community pharmacists prior to implementation. The questionnaire was distributed to a population of chain, supermarket/grocery, and independent community pharmacists (n=200). Descriptive statistics, correlations, and chi square tests were used to analyze demographic trends and final results. Results: Of the 200 questionnaires distributed, 147 pharmacists responded (73.5%). Community pharmacists agreed transitions of care services have the potential to improve patients’ understanding of medications (97.3%), decrease medication-related errors (95.9%), and enhance relationships with patients (96.6%). The largest pharmacist perceived barriers included time (69.7%), communication/lack of patient data (14.6%), and lack of physician acceptance (6.7%). Of the respondents who indicated time as the greatest barrier to participation, 76.9% of pharmacists were still willing to participate in transitions of care given the opportunity. Willingness to participate in transitions of care did not differ by gender (p=0.139), years in practice (p=0.133), or degree of education (p=0.382). Conclusion: Community pharmacists are in a unique position to widely impact patient health outcomes and decrease hospital readmission rates through improved care coordination. This research demonstrates community pharmacists’ readiness and willingness to participate in transitions of care. Awareness of perceived barriers can allow stakeholders to address these areas when designing and implementing transitions of care programs with pharmacists.   Type: Original Research

scholarly journals Differences in career paths and attributes of pharmacists completing a community pharmacy residency program (CPRP)

2014 ◽  
Vol 5 (4) ◽  
Author(s):  
Timothy R. Ulbrich ◽  
Alex Adams ◽  
David R. Bright ◽  
Donald L. Sullivan ◽  
Evan Schnur ◽  
...  
Keyword(s):  
Community Pharmacy ◽  
Residency Program ◽  
Career Paths ◽  
Emotional Health ◽  
Community Pharmacists ◽  
Original Research ◽  
Job Responsibilities ◽  
Web Based ◽  
Care Services ◽  
Strongly Agree

Objective: To determine any differences in career paths and career attributes of pharmacists who have completed a PGY1 community pharmacy residency program (CPRP) as compared to those that have not completed a PGY1 CPRP. Methods: A web-based survey evaluating various aspects of community pharmacists' careers was distributed to 274 CPRP graduates in addition to a random sample of 7,376 community pharmacists. The survey contained 32 questions evaluating various career attributes. Questions that assessed level of agreement were on a 6-point Likert-type Scale (1=strongly disagree; 6=strongly agree). Results: A total of 353 participants completed the survey, with 224 indicating that they had not completed a CPRP. Pharmacists who completed a CPRP responded that they spend significantly more time on patient care services, teaching, and research, and spend less time dispensing medications compared to those that have not completed a CPRP. Compared to those that did not complete a CPRP, CPRP graduates were less likely to agree that current level of workload negatively impacts job performance, motivation to work, job satisfaction, mental/emotional health, and physical health. Conclusion: Pharmacists completing a CPRP noted significant differences in their current employment and job responsibilities. Additional expansion and education regarding the importance of CPRPs should be considered.   Type: Original Research

Evaluation of Clinical Pharmacist Services in a Transitions of Care Program Provided to Patients at Highest Risk for Readmission

2018 ◽  
Vol 33 (3) ◽  
pp. 314-320 ◽  
Author(s):  
Jessica E. Fennelly ◽  
Antoinette B. Coe ◽  
Kellie A. Kippes ◽  
Tami L. Remington ◽  
Hae Mi Choe
Keyword(s):  
Hospital Readmission ◽  
Care Program ◽  
Transitions Of Care ◽  
Day Hospital ◽  
Inclusion Criteria ◽  
Readmission Rates ◽  
Hospital Readmission Rates ◽  
Significant Difference ◽  
Acceptance Rates ◽  
Hospital To Home

Background: An ambulatory transition of care program, including a pharmacist-provided comprehensive medication review (CMR), was implemented. Objectives: The objectives were to: (1) compare 30-day hospital readmission rates between those who received the pharmacist CMR versus eligible patients not scheduled, (2) describe identified problems and recommendations, and (3) quantify recommendation acceptance rates. Methods: A retrospective cohort study was conducted between March and October 2016. Inclusion criteria were: LACE score of ≥13, established Michigan Medicine primary care, and discharged from specific inpatient services to home. The primary outcome was 30-day hospital readmission rates. Pharmacist-identified problems, recommendations, and recommendation acceptance rates were examined. χ2 analysis and descriptive statistics were used. Results: 355 discharges met inclusion criteria and pharmacists provided CMRs for 159 patients. The average age was 60 years (standard deviation [SD]: 14.3), the majority were female (54%), and white/Caucasian (69%). There was no significant difference in 30-day readmission rates in patients who received a CMR (p = .96). A mean of 3.1 problems were identified per visit (SD: 1.8, range: 1-10). 509 recommendations were provided and approximately 50% were provider accepted. Conclusions: Reduced readmission rates were not observed; however, pharmacists identified many areas for intervention in highest risk patients during the transition from hospital to home.

Impact of a Pharmacist-Driven Poststroke Transitions of Care Clinic on 30 and 90-Day Hospital Readmission Rates

2020 ◽  
Vol 29 (4) ◽  
pp. 104648 ◽  
Author(s):  
Alissa M. Nathans ◽  
Rohini Bhole ◽  
Christopher K. Finch ◽  
Christa M. George ◽  
Andrei V. Alexandrov ◽  
...  
Keyword(s):  
Hospital Readmission ◽  
Transitions Of Care ◽  
Day Hospital ◽  
Readmission Rates ◽  
Care Clinic ◽  
Hospital Readmission Rates

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.

scholarly journals Ohio Community Pharmacist Interest and Participation in Community-Clinical Linkages

2019 ◽  
Vol 10 (2) ◽  
pp. 18 ◽  
Author(s):  
Scott J Alexander ◽  
Natalie A DiPietro Mager
Keyword(s):  
Community Pharmacy ◽  
Community Pharmacist ◽  
Statistical Tests ◽  
Community Setting ◽  
Community Pharmacists ◽  
Original Research ◽  
Chi Square ◽  
Survey Tool ◽  
State Management ◽  
Disease State Management

Background: Community-clinical linkages have been promoted as a means to improve population health.  The community pharmacy is an ideal location for these partnerships to occur due to the expertise of the community pharmacist. While the need for these partnerships exists, there are limited data regarding community pharmacists’ current participation in such programs. Objective: The purpose of this analysis was to assess Ohio community pharmacists’ involvement and interest in community-clinical linkages.  Methods: An electronic survey tool containing 26 questions was developed to assess Ohio community pharmacists’ participation in community-clinical linkages and interest to develop such partnerships. The tool was sent via email to a random sample of 500 pharmacists registered in Ohio and practicing in a community setting.  Chi-square or Fisher exact nonparametric statistical tests were used as appropriate to identify whether there were any significant differences in current partnership or interest to partner with a prescriber who refers patients to their community pharmacy based on education (Bachelor of Science or Doctor of Pharmacy degree) or pharmacy location (urban, suburban, or rural).  Results: Nine emails were undeliverable, leaving a sample of 491 pharmacists.  Ninety-three (19%) responded to the survey.  Sixteen respondents (17%) indicated that they currently partner with a prescriber who refers patients to their pharmacy for assistance with medications or chronic disease state management; this practice was more often reported in urban settings (p=0.022).  Of those not currently participating in such a partnership, 53 (57%) were interested in developing one.  Thirty-two respondents (34%) reported providing referrals for at least 1 type of screening or counseling service.  For some types of services, pharmacists reported that they provide the service in the pharmacy and/or were interested to develop the service in the pharmacy rather than provide a referral.  However, for any given service there were a number of pharmacists who expressed interest in providing referrals although they were not currently doing so. Conclusion: This sample of Ohio community pharmacists reported limited participation in community-clinical linkages but interest to develop them.  Further studies should explore the pharmacists’ role and impact in such programs.   Article Type: Original Research

scholarly journals Impact of pharmacist-conducted anticoagulation patient education and telephone follow-up on transitions of care: a randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lamis R. Karaoui ◽  
Elsy Ramia ◽  
Hanine Mansour ◽  
Nisrine Haddad ◽  
Nibal Chamoun
Keyword(s):  
Tertiary Care ◽  
Intervention Group ◽  
Bleeding Event ◽  
Transitions Of Care ◽  
Control Group ◽  
Published Data ◽  
Post Discharge ◽  
Readmission Rates ◽  
The Impact

Abstract Background There is limited published data in Lebanon evaluating the impact of supplemental education for anticoagulants use, especially DOACs, on clinical outcomes such as bleeding. The study aims to assess the impact of pharmacist-conducted anticoagulation education and follow-up on bleeding and readmission rates. Methods This study was a randomized, non-blinded interventional study conducted between August 2017 and July 2019 in a tertiary care teaching Lebanese hospital. Participants were inpatients ≥18 years discharged on an oral anticoagulant for treatment. Block randomization was used. The control group received the standard nursing counseling while the intervention group additionally received pharmacy counseling. Phone call follow-ups were done on day 3 and 30 post-discharge. Primary outcomes included readmission rates and any bleeding event at day 3 and 30 post-discharge. Secondary outcomes included documented elements of education in the medical records and reported mortality upon day 30 post-discharge. Results Two hundred patients were recruited in the study (100 patients in each study arm) with a mean age of 73.9 years. In the pharmacist-counseled group, more patients contacted their physician within 3 days (14% versus 4%; p = 0.010), received explicit elements of education (p < 0.001) and documentation in the chart was better (p < 0.05). In the standard of care group, patients were more aware of their next physician appointment date (52% versus 31%, p < 0.001). No difference in bleeding rates at day 3 and 30 post-discharge was observed between the groups. Conclusions Although pharmacist-conducted anticoagulation education did not appear to reduce bleeding or readmission rates at day 30, pharmacist education significantly increased patient communication with their providers in the early days post-discharge. Trial registration Lebanon Clinical Trial Registry LBCTR2020033424. Retrospectively registered. Date of registration: 06/03/2020.

scholarly journals The perception of COVID-19 among Italian dental patients: an orthodontic point of view

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Stefano Martina ◽  
Alessandra Amato ◽  
Paolo Faccioni ◽  
Alfredo Iandolo ◽  
Massimo Amato ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Point Of View ◽  
Dental Practice ◽  
Online Questionnaire ◽  
Chi Square ◽  
Dental Patients ◽  
Patient Health ◽  
Chi Square Test ◽  
Orthodontic Patients ◽  
Level Of Significance

Abstract Background The present study aimed to investigate the patients’ perception of the dental practice during the COVID-19 outbreak, and whether the pandemic will affect the attendance of orthodontic patients at the dental practice. An online questionnaire, including the Patient Health Questionnaire-4 (PHQ-4), was submitted to Italian dental patients with items about their perceived risks when going to the dentist, concerns about continuing orthodontic treatment, and the onset of temporomandibular disorders (TMD). Data were analyzed with a chi-square test and logistic regression analysis. The level of significance was set at P < 0.05. Results A total of 1566 subjects completed the survey, including 486 who were under orthodontic treatment or who had a child in orthodontic treatment. A total of 866 participants (55.3%) thought the risk of contracting the COVID-19 infection was higher in a dental practice; this perception was associated with gender (women more than man), age (over 60 years old) and high levels of distress (P<0.001). However, 894 patients (57.1%) felt comfortable going back to the dentist. Most of the orthodontic patients (84%) would continue their treatment. After the lockdown, there was a slight increase in the frequency of TMD pain (356 versus 334). Conclusions Most of the participants believed that the dental practice is a place at greater risk of contracting COVID-19, even if they continue to go to the dentist. Gender, age, and the level of distress were associated with the increase in the fear of going to the dentist due to COVID-19. Because of the pandemic, 16% of patients undergoing orthodontic treatment would not return to the dental practice to continue their orthodontic treatment after the lockdown. The prevalence of TMD pain in the population increased due to the pandemic.

scholarly journals Gender Differences in Cancer Screening Beliefs, Behaviors, and Willingness to Participate

2011 ◽  
Vol 6 (3) ◽  
pp. 211-217 ◽  
Author(s):  
Jenna L. Davis ◽  
Kyrel L. Buchanan ◽  
Ralph V. Katz ◽  
B. Lee Green
Keyword(s):  
Gender Differences ◽  
New York ◽  
Puerto Rico ◽  
Cancer Screening ◽  
Mortality Rates ◽  
Willingness To Participate ◽  
Chi Square ◽  
Random Digit ◽  
Random Digit Dial ◽  
Logistic Regressions

Men have higher cancer mortality rates for all sites combined compared with women. Cancer screening (CS) participation is important for the early detection of cancer. This study explores gender differences in CS beliefs, behaviors, and willingness to participate. The data were collected from a stratified, random-digit dial survey of adults living in New York, Maryland, and Puerto Rico. Chi-square tests and logistic regressions were computed to analyze gender associations among CS beliefs, behaviors, and willingness variables. Men and women believed that CSs were effective, though a higher percentage of men had never had a past CS. Men were less willing to participate in a CS at the present time and in a skin cancer exam; however, when given descriptions of screening conditions, men indicated more willingness to participate. These gender differences highlight the need for health professionals to examine their efforts in providing enhanced CS promotion and education among men.

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