netCare, a new collaborative primary health care service based in Swiss community pharmacies

Erni, Pina; Overbeck, Jan von; Reich, Oliver; Ruggli, Martine

doi:10.1016/j.sapharm.2015.08.010

Cited by 17 publications

(15 citation statements)

References 6 publications

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“…Ten of the studies used current or newly developed guidelines which covered asking appropriate questions and differentially diagnosing presenting conditions, and identifying requirements for referral [ 25 , 26 , 28 – 32 , 44 , 48 , 49 ]. Other studies evaluated decision-making by recording the number of questions asked and comparing them with a pre-determined list of questions [ 33 , 34 , 36 – 40 ]; and/or the use of mnemonics such as WWHAM (Who is it for?…”

Section: Resultsmentioning

confidence: 99%

“…Between 66 % and 95.1 % of patients reported symptom relief or resolution in studies using a guideline or protocol [ 25 , 30 , 31 , 48 ]. In the study that did not use a guideline or protocol, 86.8 % reported symptom relief or resolution [ 24 ].…”

Section: Resultsmentioning

confidence: 99%

“…Three of the studies made recommendations surrounding documentation of customer consultations and/or increased communication with the healthcare professional to whom the patient was being referred [ 48 , 50 , 53 ]. One study noted that the use of a notification card given to the patient to take to the health professional to which they were referred, improved patients following through on referral advice by pharmacists.…”

Section: Resultsmentioning

confidence: 99%

“…The authors also suggested that more information could be included on this card, for example any screening measurements that had been taken, for example blood pressure, and this was being trialled [ 50 ]. Erni and colleagues [ 48 ] also proposed that future services needed better integration into the health system to ensure “its efficacy, safety, cost effectiveness and acceptance by patients”.…”

Section: Resultsmentioning

confidence: 99%

“…Authors reported too few questions asked to adequately assess the scenario. ✓ ✓ ✓ ✓ ✓ Erni et al (2016) Switzerland [ 48 ] To evaluate the impact of this new service as well as the added value for the health care system. Cross- sectional study Ailment, procedure of the consultation, treatment, patient information and outcomes of the follow-up call on a standardized form submitted to the study centre.…”

Section: Methodsmentioning

confidence: 99%

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Is there potential for the future provision of triage services in community pharmacy?

Curley

Moody

Gobarani

et al. 2016

J of Pharm Policy and Pract

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BackgroundWorldwide the demands on emergency and primary health care services are increasing. General practitioners and accident and emergency departments are often used unnecessarily for the treatment of minor ailments. Community pharmacy is often the first port of call for patients in the provision of advice on minor ailments, advising the patient on treatment or referring the patient to an appropriate health professional when necessary. The potential for community pharmacists to act as providers of triage services has started to be recognised, and community pharmacy triage services (CPTS) are emerging in a number of countries. This review aimed to explore whether key components of triage services can be identified in the literature surrounding community pharmacy, to explore the evidence for the feasibility of implementing CPTS and to evaluate the evidence for the appropriateness of such services.MethodsSystematic searches were conducted in MEDLINE, EMBASE and International Pharmaceutical Abstracts (IPA) databases from 1980 to March 2016.ResultsKey elements of community pharmacy triage were identified in 37 studies, which were included in the review. When a guideline or protocol was used, accuracy in identifying the presenting condition was high, with concordance rates ranging from 70 % to 97.6 % between the pharmacist and a medical expert. However, when guidelines and protocols were not used, often questioning was deemed insufficient. Where other health professionals had reviewed decisions made by pharmacists and their staff, e.g. around advice and referral, the decisions were considered to be appropriate in the majority of cases. Authors of the included studies provided recommendations for improving these services, including use of guidelines/protocols, education and staff training, documentation, improving communication between health professional groups and consideration of privacy and confidentiality.ConclusionWhilst few studies had specifically trialled triage services, results from this review indicate that a CPTS is feasible and appropriate, and has the potential to reduce the burden on other healthcare services. Questions still remain on issues such as ensuring the consistency of the service, whether all pharmacies could provide this service and who will fund the service.

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