Pharmaceutical care for asthma patients: A community pharmacy-based pilot project

2008 ◽  
Vol 29 (1) ◽  
pp. 55-61 ◽  
Author(s):  
Valentina B. Petkova
Keyword(s):  
Community Pharmacy ◽  
Pharmaceutical Care ◽  
Pilot Project ◽  
Asthma Patients

scholarly journals The BC Community Pharmacy Asthma Study: A Study of Clinical, Economic and Holistic Outcomes Influenced by an Asthma Care Protocol Provided by Specially Trained Community Pharmacists in British Columbia

2003 ◽  
Vol 10 (4) ◽  
pp. 195-202 ◽  
Author(s):  
William Mclean ◽  
Jane Gillis ◽  
Ron Waller
Keyword(s):  
British Columbia ◽  
Community Pharmacy ◽  
Pharmaceutical Care ◽  
Readiness To Change ◽  
Community Pharmacists ◽  
Indirect Costs ◽  
Cost Effective ◽  
Asthma Care ◽  
Care Protocol ◽  
Asthma Patients

OBJECTIVES: Despite advances in recent years, asthma morbidity and mortality have been noted to be on the increase in the past decade. The present study examined the failures and recommendations of past studies and introduced a new milieu for asthma care - the community pharmacy. The study incorporated a care protocol with the important ingredients of asthma education on medications, triggers, self-monitoring and an asthma plan, with pharmacists taking responsibility for outcomes, assessment of a patient's readiness to change and tailoring education to that readiness, compliance monitoring and physician consultation to achieve asthma prescribing guidelines.METHODS: Thirty-three pharmacists in British Columbia, specially trained and certified in asthma care, agreed to participate in a study in which experienced pharmacists would have asthma patients allocated to enhanced (pharmaceutical) care (EC) or usual care (UC). Pharmacists less experienced were clustered by geography and had their pharmacies randomized to two levels of care; each pharmacy then had patients randomized to EC versus control, UC versus control or EC versus UC depending on their pharmacy randomization. Six hundred thirty-one patients provided consent, of which 225 in EC or UC were analyzed for all outcomes. Patients were followed for one year.RESULTS: Compared with patients in the UC group, the results of those in the EC group were as follows: symptom scores decreased by 50%; peak flow readings increased by 11%; days off work or school were reduced by approximately 0.6 days/month; use of inhaled beta-agonists was reduced by 50%; overall quality of life improved by 19%, and the specific domains of activity limitations, symptoms and emotional function also improved; initial knowledge scores doubled; emergency room visits decreased by 75%; and medical visits decreased by 75%. A patient satisfaction survey revealed that the population was extremely pleased with their pharmacy services. Cost analysis reinforces the EC model, which is more cost effective than UC in terms of most direct and indirect costs in asthma patients.CONCLUSION: Specially trained community pharmacists in Canada, using a pharmaceutical care-based protocol, can produce impressive improvements in clinical, economic and humanistic outcome measures in asthma patients. The health care system needs to produce incentives for such care.

scholarly journals APOTEK PENDIDIKAN TADULAKO: IMPLEMENTASI PHARMACEUTICAL CARE SECARA PROFESSIONAL PADA LINGKUP FARMASI KOMUNITAS

2019 ◽  
Vol 24 (4) ◽  
pp. 865
Author(s):  
Alwiyah Mukaddas ◽  
Muhammad Sulaiman Zubair ◽  
Yusriadi Yusriadi
Keyword(s):  
Health Service ◽  
Community Pharmacy ◽  
Pharmaceutical Care ◽  
Customer Loyalty ◽  
Government Regulation ◽  
Business Unit ◽  
Good Care ◽  
Service Unit ◽  
Field Practice ◽  
Monitoring Treatment

AbstrakApotek merupakan tempat dilakukan praktik kefarmasian oleh Apoteker. Apotek menjadi unit layanan kesehatan (fungsi sosial) dan unit bisnis (profit oriented). Apotek memiliki fungsi pendidikan yaitu sarana pembelajaran bagi calon tenaga teknis kefarmasian dan calon apoteker sebagai tempat praktik lapangan yang ideal menjadi nilai lebih dari Apotek Pendidikan. Selain itu, dapat menjadi tempat melakukan penelitian farmasi komunitas. Pendirian Apotek Pendidikan Tadulako (Apotek PenTa) dengan tagline LET’S TAKE A GOOD CARE OF OUR HEALTH (Caring, Serving, Learning, Educating, Being Healthy) sangat penting karena bertujuan menjadi apotek pioner yang melaksanakan implementasi peraturan pemerintah secara komprehensif dan berkesinambungan. Apotek PenTa menerapkan Branch Image Entrepreneurship yang menjalankan asuhan kefarmasian (pharmaceutical care) secara profesional dengan semboyan “no pharmacist no service”. Seiring dengan itu, terpenuhinya kebutuhan masyarakat akan layanan kefarmasian yang ideal, komunikasi yang efektif serta membina hubungan melalui monitoring pengobatan akan meningkatkan customer satisfied dan customer loyality sehingga omzet apotek dapat meningkat dan profit juga akan meningkat setiap tahun.Kata kunci: apotek pendidikan, asuhan kefarmasian, farmasisAbstractPharmacy is a place where pharmacy practices are carried out. Pharmacy becomes a health service unit (social function) and business unit (profit oriented). The pharmacy has an educational function that is a learning facility for prospective pharmacy technical candidates and prospective pharmacistsas an ideal field practice place to be more value than the Education Pharmacy (Apotek Pendidikan). In addition, it can be a place to conduct community pharmacy research. The establishment of the Tadulako Education Pharmacy (Apotek PenTa) with the LET 'S TAKE A GOOD CARE OF OUR HEALTH(Caring, Serving, Learning, Educating, Being Healthy) tagline is very important because it aims to be a pioneer pharmacy that implements comprehensive and sustainable government regulation. PenTa Pharmacy implements Branch Image Entrepreneurship that carries out pharmaceutical care professionally with the slogan "no pharmacist no service". Along with this, the fulfillment of thecommunity's need for ideal pharmaceutical services, effective communication and fostering relationships through monitoring treatment will increase customer satisfaction and customer loyalty so that the turnover of pharmacies can increase and profits will also increase every year.Keywords: apotek pendidikan, pharmaceutical care, pharmacist

scholarly journals Impact of the COVID-19 pandemic: Community and hospital shared pharmaceutical care model. Satisfaction and acceptability of patients with HIV infection on antiretroviral treatment

2021 ◽  
Author(s):  
María Ema Molas ◽  
Hernando Knobel ◽  
Olivia Ferrández ◽  
Marta de Antonio Cuscó ◽  
Nuria Carballo Martínez ◽  
...  
Keyword(s):  
Community Pharmacy ◽  
Pharmaceutical Care ◽  
Antiretroviral Treatment ◽  
Cross Sectional Study ◽  
Hiv Patients ◽  
Cross Sectional ◽  
Health Crisis ◽  
Plasma Viraemia ◽  
Degree Of Satisfaction ◽  
Cd4 Lymphocyte

Background. The health crisis due to the COVID-19 pandemic is a challenge in the dispensing of outpatient hospital medication (OHM). Models of Antiretroviral Therapy (ART) based on community pharmacy support (ARTCP) have proven to be successful. The aim was to evaluate the degree of satisfaction, acceptability and limitations of the implementation of ARTCP, in the context of a pandemic, in our environment. Methods. Descriptive cross-sectional study carried out in a Barcelona hospital, during the months of July-November 2020. A telephone survey was carried out via a questionnaire on the quality dimensions of the model (degree of satisfaction, acceptability) and associated inconveniences. Data collected: demographics, antiretroviral treatment (ART), concomitant medication, drug interactions (DDIs), CD4 lymphocyte count and plasma viraemia. Data analysis included descriptive statistics. Results. A total of 533 (78.0%) HIV patients receiving ART were included. 71.9% (383/533) of these patients were very satisfied and 76.2% preferred attending the community pharmacy rather than the hospital. The mean satisfaction rating was 9.3 (DS: 1.4). The benefits reported were: 1) proximity to home (406: 76.1%); 2) lower risk of contagion of COVID-19 (318: 59.7%); 3) shorter waiting time (201: 37.1%); 4) time flexibility (104: 19.5%); 5) reduction of financial expenses (35: 6.57%). A total of 11 (2%) patients reported no benefit. Only 22.9% reported disadvantages associated with ARTCP: 1) lack of privacy (65: 12.2%); 2) lack of coordinationorganization (57: 10.7%). Conclusion. The COVID-19 pandemic has had an impact on the provision of pharmaceutical care for HIV patients. The ARTPC model has proved efficient, with patients reporting a high degree of satisfaction.

scholarly journals Pharmaceutical care for asthma patients: A Developing Country′s Experience

2012 ◽  
Vol 1 (2) ◽  
pp. 66 ◽  
Author(s):  
AliMohammad Sabzghabaee ◽  
Rajalingam Balasubramanian ◽  
Chitra Bhojan ◽  
Vidhya Devarajan ◽  
Sriram Shanmugam ◽  
...  
Keyword(s):  
Pharmaceutical Care ◽  
Developing Country ◽  
Asthma Patients

scholarly journals Evaluation of Pharmaceutical Care Services Provided to South Indian Asthma Patients in a Tertiary Care Hospital

2020 ◽  
Vol 13 (2) ◽  
pp. 126-131
Author(s):  
Meeran Sahina Begum ◽  
Santhosh Kumar Sanchana ◽  
Elangovan Sandhiya ◽  
Mathivanan Koushik M Raja ◽  
Muhasaparur Ganesan Rajanandh
Keyword(s):  
Pharmaceutical Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Care Services ◽  
South Indian ◽  
Asthma Patients

Implementation of Pharmaceutical Care Services for Patients with Hyperlipidemias by Independent Community Pharmacy Practitioners

1997 ◽  
Vol 31 (6) ◽  
pp. 713-719 ◽  
Author(s):  
Michelle CH Shibley ◽  
Carol B Pugh
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Community Pharmacy ◽  
Pharmaceutical Care ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Therapeutic Goals ◽  
Care Services ◽  
A Prospective Study

OBJECTIVE: To implement and evaluate pharmaceutical care services for patients with hyperlipidemias in the community pharmacy setting, to evaluate the results of a pharmaceutical care training process for pharmacists by using an assessment quiz, and to measure patient outcomes resulting from provision of pharmaceutical care to patients with hyperlipidemia. DESIGN: A prospective study was conducted over a 1 -year period. Patients served as their own controls. SETTING: Two independent community pharmacies in Richmond, Virginia. PARTICIPANTS: Twenty-five adult patients with confirmed dyslipidemias completed the study. INTERVENTIONS: Study pharmacists assessed each patient and assisted in setting therapeutic goals; patients also completed a visit with a registered dietitian. Drug therapy recommendations were made to physicians by the pharmacist when appropriate. Follow-up was scheduled with the pharmacist to ensure positive outcomes and reduce adverse effects. MAIN OUTCOME MEASURES: Fasting lipoprotein profiles were measured initially and at 6 and 12 months. The SF-36 survey, the MacKeigan-Larson satisfaction survey, and a patient opinion survey were administered initially and at the conclusion of the study. RESULTS: Total cholesterol and low-density lipoprotein cholesterol values were significantly decreased at 12 months compared with either the baseline or 6-month values (p < 0.02). Significant improvement was found in several domains of the surveys; quality of life, patient satisfaction with pharmacy services, and patient opinions on the role of the pharmacist improved after the intervention. CONCLUSIONS: Pharmaceutical care may positively affect lipid values, quality of life, and patient satisfaction.

scholarly journals Pharmaceutical care of older people: what do older people want from community pharmacy?

2014 ◽  
Vol 23 (2) ◽  
pp. 121-130 ◽  
Author(s):  
Kathryn Wood ◽  
Fiona Gibson ◽  
Andrew Radley ◽  
Brian Williams
Keyword(s):  
Older People ◽  
Community Pharmacy ◽  
Pharmaceutical Care

scholarly journals Pilot-project of implantation of pharmaceutical care close to the program of bipolar mood disorder of the Hospital of Clinics of Porto Alegre

2009 ◽  
Vol 45 (2) ◽  
pp. 249-256 ◽  
Author(s):  
Keila Maria Mendes Ceresér ◽  
Marcello Ávila Mascarenhas ◽  
Aida Santin ◽  
Flávio Kapczinski
Keyword(s):  
Mood Disorder ◽  
Pharmaceutical Care ◽  
Pilot Project ◽  
Tertiary Hospital ◽  
Adherence To Treatment ◽  
Porto Alegre ◽  
Bipolar Mood Disorder ◽  
Number Of Patients ◽  
Bipolar Patients

The Bipolar Mood Disorder is characterized by the alternation of depressive crises with episodes of mania or euphoria, having these patients 15 to 35 times more chances of suicide, as compared with people without this disorder. The pharmacotherapy is fundamental for this disease, aiming to decrease the frequency of episodes and disease severity. In these patients, the polypharmacy has recently increased and one of the main difficulties is the adherence to treatment. The objective of this study was to contribute for the improvement of bipolar patients health conditions, developing their respective pharmacotherapeutic follow-up. Twenty eight adult bipolar patients who were participants of a specialized clinic within a tertiary hospital in Porto Alegre have been randomly selected, and the Dader Method of pharmacotherapeutic follow-up has been applied. The more common clinical comorbidities were: hypertension (50%), obesity (46.43%), and hypothyroidism (36.29%). The bipolar patients are more susceptible to clinical comorbidities, and many of them could be due to pharmacotherapy. Only 1.43% of patients presented Drug Related Problems, being all of them resolved along the study. It was also observed that 32.14% of evaluated patients presented low adherence to treatment, and between these patients, 55.56% passed to have good adherence after pharmacotherapeutic follow-up. The pharmacotherapeutic follow-up is fundamental for the improvement of patient's health. New studies, with higher number of patients and longer duration, are necessary to evaluate the percentage of patients that could be beneficiary of Pharmaceutical Care.

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