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Community pharmacists providing a pharmaceutical care service: Identifying counselling behaviour and content
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy. (The Pharmaceutical Outcomes Research Group)
Uppsala University, University Administration. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy. (The Pharmaceutical Outcomes Research Group)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy. (The Pharmaceutical Outcomes Research Group)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy. (The Pharmaceutical Outcomes Research Group)
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(English)Article in journal (Other academic) Submitted
Abstract [en]

Objective: To characterise the counselling behaviour of practitioners providing a pharmaceutical care service in community pharmacy, and to describe the content of the consultations.

Methods: Non-participant observations, including audio recording, of five practitioners counselling 16 patients, were analysed qualitatively.

Results: The counselling behaviour was characterised by attempts to understand the patients’ narratives by listening and asking questions and a willingness to help. The computer often had an important role in consultations, being used for documentation and as a supportive tool for identification of drug-drug-interactions. The practitioners often took command in the initial phase of the consultation, and omitted to determine the patients’ most urgent drug-related needs. However, counselling behaviour that identified and focused on the patient’s needs, giving the computer little attention during the consultation was also observed. Practitioners provided vague descriptions of the purpose and outline of the service. Consultations included a wide variety of issues, which potentially could help patients’ achieve optimal outcomes of medical treatment.

Conclusion: The practitioners provided important advice and support to patients. Focus on the computer screen limited their abilities to practise patient-centred care. 

Practice implications: The necessity for practitioners to develop strategies and counselling techniques to achieve patient centredness in pharmaceutical care is highlighted.

Keyword [en]
Community pharmacy, Pharmaceutical care
National Category
Social and Clinical Pharmacy
Research subject
Social Pharmacy
Identifiers
URN: urn:nbn:se:uu:diva-108972OAI: oai:DiVA.org:uu-108972DiVA: diva2:241924
Available from: 2009-10-06 Created: 2009-10-06 Last updated: 2013-01-17Bibliographically approved
In thesis
1. Counselling in Swedish Community Pharmacies: Understanding the Process of a Pharmaceutical Care Service
Open this publication in new window or tab >>Counselling in Swedish Community Pharmacies: Understanding the Process of a Pharmaceutical Care Service
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Community pharmacy practice is moving towards patient care and away from the mere dispensing of medicines. In this movement, which is guided by the philosophy of Pharmaceutical care (PC), new counselling services emerge.

The purpose of the thesis was to add knowledge about the real-world provision of PC services by studying a defined PC service in Swedish pharmacies.

Specific aims of this thesis were to investigate the experiences of professionals working with or close to the service and to describe the content of consultations, counselling behaviour and patterns of follow-up. Further aims were to characterise patients receiving the service and describe their perceived outcomes, in relation to standard service.

Data were collected via focus groups, telephone interviews, observations, a patient medication record database and a cross-sectional survey.

The practitioners reported greater use of their pharmaceutical knowledge and provision of more thorough patient support. Perceived barriers in delivering the service included difficulties in documenting and getting commitment from colleagues, managers and prescribers. Doctors working close to PC pharmacies held varying opinions about the service.

Consultations dealt with issues potentially improving the outcomes of medical treatment, but the level of patient centredness varied and was limited by the practitioners’ focus on the computer screen. The rate of follow-up evaluations was modest, but was higher at pharmacies with a high volume of patients receiving the service.

PC patients were mostly elderly and female, using about 10 prescription drugs. In comparison to patients receiving standard service, they were more worried, vulnerable and information-seeking. At the same time, their feelings of safety following the pharmacy visit were more pronounced than those of patients receiving standard service. They also felt better prepared for doctor visits.

In order for community pharmacy to better meet patients’ needs and optimise PC services, increased attention should be given to implementation strategies, interprofessional collaboration and educational efforts focusing on patient centredness.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2009. 71 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Pharmacy, ISSN 1651-6192 ; 107
Keyword
Community pharmacy, Counselling, Pharmaceutical care, Sweden
National Category
Social and Clinical Pharmacy
Research subject
Social Pharmacy
Identifiers
urn:nbn:se:uu:diva-108973 (URN)978-91-554-7622-9 (ISBN)
Public defence
2009-11-16, Auditorium Minus, Museum Gustavianum, Akademigatan 3, Uppsala, 09:15 (Swedish)
Opponent
Supervisors
Available from: 2009-10-26 Created: 2009-10-06 Last updated: 2009-10-26Bibliographically approved

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