Implementation and evaluation of social determinants of health practice models within community pharmacy

Foster, Amanda A.; Daly, Christopher J.; Logan, Tripp; Logan, R. F. L.; Jarvis, Heather; Croce, John; Jalal, Zarina; Trygstad, Troy; Jacobs, David M.

doi:10.1016/j.japh.2022.02.005

Cited by 13 publications

(4 citation statements)

References 15 publications

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“…Pharmacists reported enjoying finding resources in their local communities and communicating and coordinating care with other health professionals. This finding underscores the importance of providing community pharmacists with the appropriate skills and training needed to support collaborative and effective goal planning, including how to advocate for those they are working with 48 …”

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

“…This finding underscores the importance of providing community pharmacists with the appropriate skills and training needed to support collaborative and effective goal planning, including how to advocate for those they are working with. 48 This study must be viewed in the context of its strengths and limitations. The inclusion of goal-planning experiences from both the perspective of pharmacists and service users strengthened this study, along with the diversity of pharmacy locations.…”

Section: Individualised and Flexible Processesmentioning

confidence: 99%

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Experiences of goal planning in Australian community pharmacy settings for people experiencing mental illness: A qualitative study

Stewart

McMillan

et al. 2023

Health Expectations

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BackgroundPerson‐centred goal planning is increasingly being incorporated into healthcare interventions. People experiencing severe and persistent mental illnesses (SPMIs) have high levels of co‐occurring health conditions, reducing their life expectancy when compared with the general population. As medications are commonly used in the treatment of SPMIs, community pharmacists are well‐placed to support the health and wellbeing of this population.ObjectivesTo examine pharmacists' and service users' experiences of goal planning as a component of a community pharmacy‐based health intervention for people experiencing SPMIs (PharMIbridge intervention).MethodsThis study utilised a qualitative exploratory approach with an interpretive description method. Semistructured interviews were undertaken with community pharmacists (n = 16) and service user participants (n = 26) who had participated in pharmacist support services for people experiencing SPMIs (PharMIbridge intervention).ResultsFour themes relating to goal planning were identified. First, goal planning provided purpose and motivation for participation in the intervention. Planning realistic goals was important but often challenging. Both pharmacists and service users highlighted the relational aspects of goal planning and how strong relationships supported positive behaviour change and outcomes. Finally, individualised and flexible approaches were important aspects of the intervention, ensuring goals were meaningful to service users.ConclusionsThe findings from this study identified positive outcomes from the inclusion of goal‐planning processes in a community pharmacy‐based health intervention. Further research regarding tools, strategies or training that could support future goal‐planning interventions in primary healthcare is needed.Patient or Public ContributionThe PharMIbridge randomised controlled trial research team included lived experience members and was overseen by an expert panel that included members with a lived experience of mental illness and representatives from key organisations. The training provided to pharmacists was co‐designed and co‐delivered by the researchers and lived experience representatives, and pharmacists were supported by lived experience mentors. Service user participants were invited to participate in the interviews through a number of pathways (e.g., at the completion of the intervention, flyers). Those interested were provided with the full study participant information and provided with a $30 gift voucher at the conclusion of the interview.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Individualised and Flexible Processesmentioning

confidence: 99%

See 1 more Smart Citation

Experiences of goal planning in Australian community pharmacy settings for people experiencing mental illness: A qualitative study

Stewart

McMillan

et al. 2023

Health Expectations

View full text Add to dashboard Cite

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“…Patients’ social needs are local to their communities and dynamic in nature; therefore, our findings may be difficult to generalize or transfer to other populations. Social needs screening and navigation programs are becoming more prevalent within different healthcare settings including clinics, hospitals, and pharmacies [ 28 – 30 ]. Successful implementation of these programs will be a priority to overcome social challenges and improve patient care.…”

Section: Discussionmentioning

confidence: 99%

Patient and social factors related to nebulizer use in COPD patients at the transition of care: a qualitative study

Foster,

Stoll,

Daly

et al. 2023

BMC Pulm Med

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Background Transition from hospital to home is a vulnerable period for patients with COPD exacerbations, with a high risk for readmission and mortality. Twenty percent of patients with an initial hospitalization for a COPD exacerbation are readmitted to a hospital within 30 days, costing the health care system over $15 billion annually. While nebulizer therapy directed at some high-risk COPD patients may improve the transition from hospital to home, patient and social factors are likely to contribute to difficulties with their use. Current literature describing the COPD patient’s experience with utilizing nebulizer therapy, particularly during care transitions, is limited. Therefore, the objective of this study was to explore underlying COPD patient and social factors contributing to practical difficulties with nebulizer use at the care transition from hospital to home. Methods This was a qualitative study conducted between September 2020 and June 2022. Patients were included if they were ≥ 40 years old, had a current diagnosis of COPD, had an inpatient admission at a hospital, and were discharged directly to home with nebulizer therapy. Semi-structured, one-on-one interviews with patients were conducted covering a broad range of patient and social factors and their relationships with nebulizer use and readmission. Interviews were recorded and transcribed verbatim. A thematic analysis was performed using a mixed inductive and deductive approach. Results Twenty-one interviews were conducted, and subjects had a mean age of 64 ± 8.4 years, 62% were female, and 76% were White. The predominant interview themes were health care system interactions and medication management. The interviews highlighted that discharge counseling methods and depth of counseling from hospitals were inconsistent and were not always patient-friendly. They also suggested that patients could appropriately identify, set up, and utilize their nebulizer treatment without difficulties, but additional patient education is required for nebulizer clean up and maintenance. Conclusions Our interviews suggest that there is room for improvement within the health care system for providing consistent, effective discharge counseling. Also, COPD patients discharged from a hospital on nebulizer therapy can access and understand their treatment but require additional education for nebulizer clean up and maintenance.

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Advancing pharmacy technician roles in practice: Advancing pharmacy technician roles in addressing social determinants of health

Adeoye-Olatunde¹

2023

Journal of the American Pharmacists Association

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Implementation and evaluation of social determinants of health practice models within community pharmacy

Cited by 13 publications

References 15 publications

Experiences of goal planning in Australian community pharmacy settings for people experiencing mental illness: A qualitative study

Experiences of goal planning in Australian community pharmacy settings for people experiencing mental illness: A qualitative study

Patient and social factors related to nebulizer use in COPD patients at the transition of care: a qualitative study

Advancing pharmacy technician roles in practice: Advancing pharmacy technician roles in addressing social determinants of health

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