Basing pharmacy counselling on the perspective of the angina pectoris patient

Department of Social Pharmacy, Research Centre for Quality in Medicine Use, Royal Danish School of Pharmacy, Universitetsparken 2, DK-2100 Copenhagen, Denmark.
International Journal of Clinical Pharmacy (Impact Factor: 1.27). 05/2002; 24(2):71-8. DOI: 10.1023/A:1015575731203
Source: PubMed


A participatory action research study design was developed and tested in 40 Danish internship pharmacies as part of a 3-year study supported by the Research Centre for Quality in Medicine Use. The aim of the study was to create a foundation for improving the quality of counselling practice in pharmacies by comparing the pharmacy staff's views on, knowledge of and behaviour towards a specific patient group with the knowledge, perceptions and medication use of the same patients.
Pharmacy students in their fourth year collected data for the study. In 1999, the students carried out 123 qualitative interviews with angina pectoris patients and collected 569 questionnaires from pharmacy staff in 40 internship pharmacies.
The results indicate that discrepancies exist between the patients' and pharmacy staff's perspectives on important issues such as knowledge about medicines (patients)/provision of information about medicines (pharmacy staff), experienced side effects (patients)/information about side effects (pharmacy staff), knowledge on prevention and lifestyle (patients)/information on lifestyle and prevention (pharmacy staff) and expectations of pharmacies (patients)/initiatives started in pharmacies (pharmacy staff).
The study gives reason to believe that angina pectoris patients might benefit if pharmacies provided more information on the relationship between lifestyle factors and angina pectoris, the possible side effects of medicines and the function of medicines.

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    • "The Pharmacy-University study36,37,63-65 was a large three-year programme that used research in the 100 internship pharmacies as a strategy for learning and researching in the pharmacy. The overall aim of the programme was to contribute to the quality development of pharmacy practice and pharmacy practice research in the area of pharmaceutical care services. "
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    • "However, it is important to note that good results require the involvement of both students and pharmacies in the study. With this in mind, a participatory research design and method was used (Haugbølle et al., 2002a). Kane, Briceland & Hamilton (1993) concluded that students with didactic training using the pharmacies' workup of drug therapy (PWDT) and drug-related problem (DRP) approach were better able to identify real DRPs compared to students with no such training. "
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