Pharmacist and patient experiences of primary care during the COVID-19 pandemic: An interview study

Gleeson, Laura L.; Ludlow, Aoife; Clyne, Barbara; Ryan, Benjamin R.; Argent, Rob; Barlow, James W.; Mellon, Lisa; Brún, Aoife De; Pate, Muriel; Kirke, Ciara; Moriarty, Frank; Flood, Michelle

doi:10.1016/j.rcsop.2022.100193

Cited by 8 publications

(13 citation statements)

References 27 publications

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“…The data in this study were collected before the onset of the COVID-19 pandemic in 2020. The pandemic spurred expansion in the role of community pharmacists internationally and in Ireland,(2,42,43) with growth in additional services offered given the reduced access to other healthcare providers. (42,43) This included delivery of COVID-19 vaccination, and the enhanced awareness of such expanded pharmacist roles among the population may have impacted on the use of pharmacy services generally since 2020.…”

Section: Limitations and Future Researchmentioning

confidence: 99%

“…The pandemic spurred expansion in the role of community pharmacists internationally and in Ireland,(2,42,43) with growth in additional services offered given the reduced access to other healthcare providers. (42,43) This included delivery of COVID-19 vaccination, and the enhanced awareness of such expanded pharmacist roles among the population may have impacted on the use of pharmacy services generally since 2020. Change in pharmacy services use could be examined in future research analysing data from TILDA participants collected since the onset of the COVID-19 pandemic.…”

Section: Limitations and Future Researchmentioning

confidence: 99%

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Use of pharmacy services in community-dwelling middle-aged and older adults; findings from The Irish Longitudinal Study on Ageing (TILDA)

Murry

Flood

Holton

et al. 2023

Preprint

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Introduction The role of community pharmacists has evolved in recent years with expansion in pharmacy services offered. This study aims to assess pharmacy services use among adults aged >=50 years in Ireland, and determine the demographic and clinical factors associated with pharmacy services use. Methods This cross-sectional study included community-dwelling participants in wave 4 of The Irish Longitudinal Study on Ageing (TILDA), aged >=56 years who were self-respondents. TILDA is a nationally representative cohort study, with wave 4 data collected during 2016. TILDA collects participant demographics and health data, in addition to information on the use of several services when visiting the pharmacy in the last 12 months. Characteristics and pharmacy services use were summarised. Multivariate logistic regression was used to examine the association of demographic and health factors with reporting (i) any pharmacy service use and (ii) requesting medicines advice. Results Among 5,782 participants (55.5% female, mean age 68 years), 96.6% (5,587) reported visiting a pharmacy in the previous 12 months, and almost one fifth of these (1,094) availed of at least one specified pharmacy service. The most common non-dispensing services reported were requesting advice about medications (786, 13.6%), blood pressure monitoring (184, 3.2%), and vaccination (166, 2.9%). Controlling for other factors, female sex (odds ratio (OR) 1.32, 95%CI 1.14-1.52), third-level education (OR 1.85, 95%CI 1.51-2.27), higher rates of GP visits, private health insurance (OR 1.29, 95%CI 1.07-1.56), higher number of medications, loneliness, and respiratory condition diagnosis (OR 1.42, 95%CI 1.14-1.74) were associated with higher likelihood of availing of pharmacy services. The relationship between these factors and requesting medicines advice were similar. Conclusion A high proportion of middle-aged and older adults visit community pharmacy and a fifth avail of specified pharmacy services. Despite advances in the services offered in pharmacies, medicines advice remains at the core of pharmacists' practice.

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Section: Limitations and Future Researchmentioning

confidence: 99%

Section: Limitations and Future Researchmentioning

confidence: 99%

Use of pharmacy services in community-dwelling middle-aged and older adults; findings from The Irish Longitudinal Study on Ageing (TILDA)

Murry

Flood

Holton

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…The pandemic spurred expansion in the role of community pharmacists internationally and in Ireland, 2 , 42 with growth in additional services offered given the reduced access to other healthcare providers. 42 , 43 This included delivery of COVID-19 vaccination, and the enhanced awareness of such expanded pharmacist roles among the population may have impacted the use of pharmacy services generally since 2020. Change in pharmacy services use could be examined in future research analysing data from TILDA participants collected since the onset of the COVID-19 pandemic.…”

Section: Limitations and Future Researchmentioning

confidence: 99%

Use of pharmacy services in community-dwelling middle-aged and older adults; findings from The Irish Longitudinal Study on Ageing (TILDA)

Murry¹,

Flood²,

Holton³

et al. 2023

Exploratory Research in Clinical and Social Pharmacy

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“…As telemedicine becomes more widely used, research should be conducted on its safety and efficacy, and on the experiences of healthcare providers and patients delivering and receiving care remotely. [46,47] The identified studies on medication safety incidents associated with e-prescribing varied widely in terms of what was reported as a medication safety incident and how such incidents were recorded. Future research in this field should use standardised methods and definitions to allow for comparisons between studies.…”

Section: Further Researchmentioning

confidence: 99%

Medication safety incidents associated with the remote delivery of primary care: a rapid review

Gleeson¹,

Clyne²,

Barlow³

et al. 2022

International Journal of Pharmacy Practice

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Objectives The COVID-19 pandemic triggered rapid, fundamental changes, notably increased remote delivery of primary care. While the impact of these changes on medication safety is not yet fully understood, research conducted before the pandemic may provide evidence for possible consequences. To examine the published literature on medication safety incidents associated with the remote delivery of primary care, with a focus on telemedicine and electronic prescribing. Methods A rapid review was conducted according to the Cochrane Rapid Reviews Methods Group guidance. An electronic search was carried out on Embase and Medline (via PubMed) using key search terms ‘medication error’, ‘electronic prescribing’, ‘telemedicine’ and ‘primary care’. Identified studies were synthesised narratively; reported medication safety incidents were categorised according to the WHO Conceptual Framework for the International Classification for Patient Safety. Key Findings Fifteen studies were deemed eligible for inclusion. All 15 studies reported medication incidents associated with electronic prescribing; no studies were identified that reported medication safety incidents associated with telemedicine. The most commonly reported medication safety incidents were ‘wrong label/instruction’ and ‘wrong dose/strength/frequency’. The frequency of medication safety incidents ranged from 0.89 to 81.98 incidents per 100 electronic prescriptions analysed. Summary This review of medication safety incidents associated with the remote delivery of primary care identified common incident types associated with electronic prescriptions. There was a wide variation in reported frequencies of medication safety incidents associated with electronic prescriptions. Further research is required to determine the impact of the COVID-19 pandemic on medication safety in primary care, particularly the increased use of telemedicine.

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Pharmacist and patient experiences of primary care during the COVID-19 pandemic: An interview study

Cited by 8 publications

References 27 publications

Use of pharmacy services in community-dwelling middle-aged and older adults; findings from The Irish Longitudinal Study on Ageing (TILDA)

Use of pharmacy services in community-dwelling middle-aged and older adults; findings from The Irish Longitudinal Study on Ageing (TILDA)

Use of pharmacy services in community-dwelling middle-aged and older adults; findings from The Irish Longitudinal Study on Ageing (TILDA)

Medication safety incidents associated with the remote delivery of primary care: a rapid review

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