Article

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

ABSTRACT 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.

0 Bookmarks
 · 
137 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: An action research approach was applied to develop a community pharmacy team into a research aware practice. A pharmacy team consisting of a pharmacist and medicine counter assistants carried out this project. They started by reflecting on their own practice and in doing so examined the reliability of the evidence base they used to give advice to customers regarding the sale of medicines. The team used this opportunity to discuss and critically analyse their core activities. This process resulted in the development of portfolios of evidence-based counter recommendations and a more knowledgeable, self-aware, confident as well as research-aware pharmacy team.
    Action Research - ACTION RES. 01/2010; 8(4):387-406.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: It has been assumed that a new health technology, automated dose-dispensing (ADD), would result in benefits for medication users, including increased compliance, enhanced medication understanding, and improved safety. However, it was legislators and health professionals who pinpointed the assumed user benefits. Neither Danish nor international studies dealt with users' perspective on ADD in general or with respect to the pinpointed benefits, and thus exploration was needed. The objective of this article is to respond to the following research question: How does ADD affect users' handling and consumption of medication in terms of compliance behavior, and how does the assumption of user benefits made by health professionals and legislators measure up to users' experiences with ADD? The results built on a secondary analysis of 9 qualitative interviews with a varied selection of Danish ADD users. Decontexualizing and recontextualizing provided the framework for data analysis. Compliance behavior was framed by a theory classifying noncompliance as either conscious or unconscious. Most interviewees were noncompliant in various ways, with conscious noncompliance being the more frequent type of behavior. After switching to ADD, most users experienced no change in understanding of their medications. ADD did not lead to automatic removal of old medications in users' homes; in fact for some users, ADD led to even larger medication stockpiles. Overall, reports from patients do not show evidence of the positive implications of switching to ADD assumed by health professionals and legislators before implementation. As a technical aid to simplify complex medication regimes, ADD alone does not appear to eliminate noncompliance or provide a better medication understanding, nor does it automatically eliminate stockpiles of old medication in users' homes. The gap between the perspectives of users and health professionals makes a compelling case for considering users' voices in the development and implementation of future health technologies.
    Research in Social and Administrative Pharmacy 10/2007; 3(3):265-84. · 2.35 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective: To describe the practice, education and research concerning medication adherence in Danish community pharmacy. Methods: The authors supplemented their expertise in the area of medication adherence through their contacts with other educators and researchers as well as by conducting searches in the Danish Pharmacy Practice Evidence Database, which provides annually updated literature reviews on intervention research in Danish pharmacy practice. Results: Practice: Medication adherence is the focus of and/or is supported by a large number of services and initiatives used in pharmacy practice such as governmental funding, IT-supported medicine administration systems, dose-dispensing systems, theme years in pharmacies on adherence and concordance, standards for counselling at the counter, pharmacist counselling, medication reviews and inhaler technique assessment. Education: In Denmark, pharmacy and pharmaconomist students are extensively trained in the theory and practice of adherence to therapy. Pharmacy staff can choose from a variety of continuing education and post-graduate programmes which address patient adherence. Research: Nine ongoing and recently completed studies are described. Early research in Denmark comprised primarily smaller, qualitative studies centred on user perspectives, whereas later research has shifted the focus towards larger, quantitative, controlled studies and action-oriented studies focusing on patient groups with chronic diseases (such as diabetes, asthma, coronary vascular diseases). Conclusions: Our analysis has documented that Danish pharmaceutical education and research has focused strongly on adherence to treatment for more than three decades. Adherence initiatives in Danish community pharmacies have developed substantially in the past 5-10 years, and, as pharmacies have prioritised their role in health care and patient safety, this development can be expected to continue in future years.
    Pharmacy Practice 12/2009; 7(4):185-194.

Full-text (3 Sources)

View
43 Downloads
Available from
May 22, 2014