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Community Retail Pharmacies
Published in Rupa S. Valdez, Richard J. Holden, The Patient Factor, 2021
Michelle A. Chui, Ashley Morris, David Mott
Encounters between a patient and their pharmacist are crucial facets of care in the community pharmacy setting, and patient counseling is a long-standing component of the pharmacist responsibilities (Milosavljevic et al., 2018). Pharmacists should tailor conversations with their patients and prioritize patient support tasks accordingly as they grasp an understanding of their patient population demographics (Shoemaker et al., 2011; Ngoh, 2009). Unfortunately, we know pharmacists carry biases that may impact their patient interactions, and the encounters between a patient and their pharmacist may vary depending on the physical space of the encounter (e.g. drive-through window versus the traditional walk-in window).
The NHS of the future: resilient, adaptive and united
Published in Gina Johnson, Ian Hill-Smith, Chirag Bakhai, The Minor Illness Manual, 2018
Gina Johnson, Ian Hill-Smith, Chirag Bakhai
Similarly, pharmacists can transfer the skills and experience gained in GP settings into community pharmacy services. Minor ailments schemes and medication use reviews have existed for years in community pharmacy, helping to reduce pressure on GP practices, but chronic disease management in pharmacies is relatively novel. The detection of high blood pressure, initiation of medication and titration to target is already occurring in some community pharmacies; more clinical pathways are likely to follow. Proficiency in consultation skills and shared decision-making is invaluable for moving such work into community pharmacy, with resultant benefits for patients, GP practices and participating pharmacies.
Getting organised for promoting and supporting self care as a pharmacy team
Published in Ruth Chambers, Gill Wakley, Alison Blenkinsopp, Supporting Self Care in Primary Care, 2018
Community pharmacies will extend their involvement and support self care as a result of their new community pharmacy contractual framework. PCTs, general practices and pharmacists should be proactive in ensuring that advice, information and support from the pharmacy are linked to local services and practice. These changes will help to improve the integration of community pharmacy into primary care and to increase recognition of pharmacy’s contribution to supporting patients and the public.
Australian Consultant Pharmacists’ Potential Roles in Sleep Health Care: Exploring a New Avenue for Improving the Management of Insomnia
Published in Behavioral Sleep Medicine, 2022
Mariam M. Basheti, Minh Tran, Keith Wong, Christopher Gordon, Ronald Grunstein, Bandana Saini
Consultant pharmacists frequently encounter patients on a polypharmacy regimen (Chen, 2016), including those with conditions comorbid with insomnia, situating them in an ideal position to address sleep medication concerns and insomnia in this “at-risk” population (Ohayon et al., 2001; Taylor et al., 2007). Table 1 highlights potential roles for consultant pharmacists in sleep health management. Whilst community pharmacists also have medication expertise, patients visiting community pharmacies for sedative-hypnotics are usually unwilling to spend time on deprescribing discussions and community pharmacists find integrating sleep health services into routine dispensing difficult as community pharmacies mainly thrive on dispensed medication payments (Crespo-Gonzalez et al., 2021; Kashyap et al., 2014; Wibowo et al., 2010). Further, unlike consultant pharmacists’ MMR services, only a few chronic disease health services in Australian community pharmacies are remunerated through Medicare. Several health services by community pharmacists are provided free to patients to inculcate goodwill or through a sense of professional obligation, but the lack of funding for these services propels community pharmacists to prioritize prescription dispensing over health services, despite considerable evidence for positive impact of community pharmacy-based health services (Crespo-Gonzalez et al., 2021). Developing and evaluating consultant pharmacist sleep health services within primary care teams is therefore a relevant but unexplored avenue.
The impact of the COVID-19 pandemic on addressing common barriers to pharmacy-based point-of-care testing
Published in Expert Review of Molecular Diagnostics, 2021
Donald G. Klepser, Nicklas S. Klepser, Jennifer L. Adams, Alex J. Adams, Michael E. Klepser
With the prospect of a long-term need for COVID-19 testing, patient awareness of and demand for pharmacy-based testing is poised to grow. Much like immunizations, where patient acceptance of seasonal influenza immunizations has led to much wider use of pharmacies for other vaccines, patients may well come to accept and expect a wider range of POCT services available at their community pharmacy. Influenza vaccines are recommended annually for patients, though, and testing frequency will vary based on the nature of tests. POCT for influenza, for example, is limited to symptomatic patients and will therefore is likely to occur less frequently than an annual vaccination. Patient awareness of pharmacy-based testing will need to grow to the extent that patients know where to seek such services in the infrequent cases in which they develop symptoms. The broader the uptake of pharmacy-based POCT and the more extensive the testing menu becomes at pharmacies, the more likely patient awareness will be raised.
Exploring patient-safety culture in the community pharmacy setting: a national cross-sectional study
Published in Postgraduate Medicine, 2021
Ziyad S. Almalki, Ahmed Mohammed Alshehri, Latifah Abdullah Alturki, Rawan Abdullah Altamimi, Ahmed Abdulrahman Albassam, Maaly Salem Alqurashi, Feras Ahmed Saleh Al-Omaim, Nehad Ahmed
Teamwork depends on support, which would lead to a good chance for medication errors to be reduced and consequently patient outcomes to be improved by adopting improvement plans [31]. Community pharmacy is a complex work system. This system includes pharmacy team members who interact dynamically, operations, workload, protocols, resources, other pharmacy systems, and space. In order to understand safety problems and prevent future occurrences, these factors should be taken into consideration because the interrelationships among the team members are important for safe dispensing [32]. Therefore, there is a need to improve the teamwork among community pharmacy staff to enhance the quality of patient safety. A variety of strategies have been developed to enhance teamwork among hospital providers [33–35]. To our knowledge, however, no one has reported the effectiveness of any intervention in community pharmacy with very different characteristics.