Weight management in men – community pharmacy approaches
Alan White, Maggie Pettifer in Hazardous Waist, 2018
Community pharmacy, and pharmacists, are, to many if not most people, places for medicines and shopping. The public perception of the pharmacist has changed little since the birth of the NHS over 60 years ago. There is, however, change in the air. For many years community pharmacy has argued that it is capable of delivering much more than the basics of dispensing prescriptions, selling over-the-counter medicines, and stacking shelves with toothpaste and shampoo. In April 2005, a new NHS Contract for Community Pharmacy came into force. This contract formally recognised many of the additional services that had been available for many years as well as setting out a framework for new services, making the future for pharmacy and the public it serves look more exciting. One of the areas where pharmacists can contribute is the promotion of healthy lifestyles, and in particular the prevention and management of obesity.
The sector's heritage
Nigel Starey in Health and Social Care in the Digital World, 2020
The development of clinical pharmacy services, such as those in hospitals where pharmacists are intimately involved with the provision and supervision of medicines, has been gradually developing in the primary care sector. Pharmaceutical advisers to health authorities have usually been hospital pharmacists with training in clinical pharmacy and are aware of the potential for community pharmacists to develop this role in the primary care sector. The rapid growth in the drug budgets of the NHS (£6.2 billion in 1999/2000) is an important driver towards the development of effective medicines management in the community. The implications for the future of the profession of pharmacy are profound. No longer simply the dispenser of prescriptions and the first point of contact for advice on minor ailments, perhaps in the future the pharmacist may be the manager of medicines in primary care teams, the prescriber of medication where licensed and competent, and even the controller of the medicine budget of the primary care organisation.
Liability and Other Legal Issues Affecting Patient Counseling
Harvey M. Rappaport, Kelly S. Straker, Tracy S. Hunter, Joseph F. Roy in The Guidebook for Patient Counseling, 2020
The latter, Tennessee case, Dooley v. Everett, involved the issue of whether a pharmacist had a duty to warn a patient, the physician, or both of the potential interaction between two different prescription drugs, written by the same physician on two different days for a three-year-old child. The drugs were theophylline and erythromycin; all prescriptions were accurately dispensed. The child suffered cerebral seizures. In its decision, the court refused to extend the learned intermediary doctrine to the (pharmacist’s) patient and focused on whether the scope of duty owed by the pharmacist includes a duty to warn. It recognized that, “The pharmacist is a professional who has a duty to his customer to exercise the standard of care required by the pharmacy profession in the same or similar communities as the community in which he practices his profession.”
Exploratory study of the dispensing patterns of vaccines by a sample of community pharmacies in Southern Africa
Published in Expert Review of Vaccines, 2018
A community pharmacy is defined as a pharmacy from which some, or all, of the services as prescribed in terms of regulation 18 of the Regulations Relating to the Practice of Pharmacy in the Pharmacy Act are provided to the general public or any defined group of the general public. The database excluded institutional pharmacies, such as hospital pharmacies, where vaccine dispensing may be different to what is seen in community pharmacy. The database contained the dispensing records of pharmacies in all provinces of South Africa, and also included 373 vaccines dispensed in Swaziland (a country neighboring South Africa). The community pharmacy group also has pharmacies in Swaziland and the small country was therefore included for completeness sake. Swaziland follows the South African vaccine schedule as South Africa. The number of pharmacies was not equally distributed between the different provinces of the country (33.8% of vaccines were dispensed in Gauteng, which is a small province but with a high population density and a large number of pharmacies, compared to the Northern Cape (where 1.6% of vaccines were dispensed). The Northern Cape is geographically a large province but with a small population size and only a few pharmacies). The dispensing records included both medical insurance claims (75.2% of the total number of records analyzed for vaccines), self-medication (13.6% of records), and prescriptions from medical practitioners that were paid in cash by patients (11.1% of records).
Medication treatment for opioid use disorder and community pharmacy: Expanding care during a national epidemic and global pandemic
Published in Substance Abuse, 2020
Gerald Cochran, Julie Bruneau, Nicholas Cox, Adam J. Gordon
Innovations in community pharmacy research, practice, and education create a professional environment that is also rapidly changing. Indeed, community pharmacy is quickly evolving from its roots in retail practice into crucial roles within interdisciplinary treatment teams, leaders for wellness management, and acute/chronic care providers.92–94 It is thus key that as pharmacists continue to be recognized in much broader roles in the US—industry leaders and large-scale employers also recognize the critical addition of addiction health care services in community pharmacy. Such a transformation in industry can only be led by sustainable payment models to support pharmacists engaging in addiction care. Inroads currently underway that support such system-level transformation are based in state laws slowly being passed that distinguish and compensate pharmacists as health care providers.95 Including MOUD management as a reimbursable service for pharmacists would facilitate successful long-term practice integration.
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.
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