Rural pharmacy not delivering on its health promotion potential

Sunderland, V Bruce; Burrows, Suzanne; Joyce, Andrew; McManus, Alexandra; Maycock, Bruce

doi:10.1111/j.1440-1584.2006.00774.x

Cited by 29 publications

(34 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The community pharmacist is one of the most accessible primary care professionals 10 and visiting a pharmacist is convenient for most people, even those who have limited access to private or public transport. 11 They are also easier to access than other primary care providers, especially when GPs' surgeries are closed.…”

Section: Background and Objectivesmentioning

confidence: 99%

Exploring the community pharmacist's role in palliative care: Focusing on the person not just the prescription

O’Connor

Fisher

French

et al. 2011

Patient Education and Counseling

View full text Add to dashboard Cite

ObjectivesChanges in health care provision have led to an emphasis on providing end of life care within the home. Community pharmacists are well positioned to provide services to communitybased palliative care patients and carers. MethodsA multiple qualitative case study design was adopted. A total of 16 focus groups and 19 interviews with pharmacists, nurses, general practitioners and carers were undertaken across metropolitan and regional settings in Western Australia, New South Wales, Queensland and Victoria. Data were analysed thematically using a framework that allowed similarities and differences across stakeholder groups and locations to be examined and compared. ResultsThree main themes emerged: Effective communication; Challenges to effective communication; and: Towards best practice, which comprised two themes: Community pharmacists' skills and Community pharmacists' needs. DiscussionA key component of the provision of palliative care was having effective communication skills. Although community pharmacists saw an opportunity to provide interpersonal support, they suggested that they would need to develop better communication skills to fulfil this role. ConclusionThere is clear need for continuing professional development in this area -particularly in communicating effectively and managing strong emotions. Practice implicationsCommunity pharmacists are willing to support palliative care patients and carers but need education, support and resources. Words: 203Key words: community pharmacists, palliative care, focus groups, effective communication, qualitative research 3 Background and objectivesSince the World Health Organisation 1 proposed that primary health should be at the forefront of health systems, patient care has increasingly been moved from hospital to the home. 2 This changing pattern of health care provision has led to an emphasis on providing care in the community to people at the end of life, 3 acknowledging that people prefer to die with the support of family and friends. 4 Achieving a death at home for a palliative care patient is dependent on a range of factors including the availability of skilled support from community based health professionals. 5-7The provision of this skilled support from health care professionals for community based palliative care, however, is complicated by unmet demand for General Practitioner (GP)services and an increasing number of patients with chronic diseases and complex care needs. 8Additionally an ageing population 9 will result in an increased number of people with chronic and/or life-threatening diseases and, consequently, the numbers of patients requiring palliative care. The involvement of community pharmacists in the provision of community based palliative care would seem an appropriate way of alleviating these challenges and supporting end-of-life care in the home.Although not forming the basis of their substantive work, community pharmacists are wellsuited to respond to the palliative care needs of clients, especially as they often have a...

show abstract

Section: Background and Objectivesmentioning

confidence: 99%

Exploring the community pharmacist's role in palliative care: Focusing on the person not just the prescription

O’Connor

Fisher

French

et al. 2011

Patient Education and Counseling

View full text Add to dashboard Cite

show abstract

“…5 The community pharmacist is one of the most accessible health professionals in the community. 6 Visiting a pharmacist is convenient for most, even those who have limited access to transport. 7 Pharmacists are also easier to approach than other primary care providers, especially outside normal business hours.…”

mentioning

confidence: 99%

Community Pharmacists' Attitudes Toward Palliative Care: An Australian Nationwide Survey

O’Connor

Hewitt

Tuffin

2013

Journal of Palliative Medicine

View full text Add to dashboard Cite

Background: Pharmacists are among the most accessible health care professionals in the community, yet are often not involved in community palliative care teams. Objective: We investigated community pharmacists' attitudes, beliefs, feelings, and knowledge about palliative care as a first step towards determining how best to facilitate the inclusion of community pharmacists on the palliative care team. Method: A cross-sectional descriptive survey design was used. Subjects: Community pharmacists around Australia were invited to participate; 250 completed surveys were returned. Measurements: A survey was constructed to measure pharmacists' knowledge and experience, emotions and beliefs about palliative care. Results: Pharmacists were generally positive about providing services and supports for palliative care patients, yet they also reported negative beliefs and emotions about palliative care. In addition, pharmacists had good knowledge of some aspects of palliative care, but misconceptions about other aspects. Pharmacists' beliefs and knowledge about palliative care predicted-and therefore underpinned-a positive attitude towards palliative care and the provision of services and supports for palliative care patients. Conclusion:The results provide evidence that pharmacists need training and support to facilitate their involvement in providing services and supports for palliative care patients, and highlight areas that training and support initiatives should focus on.

show abstract

“…There are not proper arrangements to guide the patient regarding the therapeutical, clinical and pharmaceutical information of drug and disease. Especially; the professional intervention of pharmacist produces a compatibility of drugs with the patient's medical profile, 10 social constraints and personal obtained data. Thus; Punjab drug Rule 2007 endows professional services along with the coverage enforcement worldwide accepted clinical services.…”

Section: Pharmaceutical Profession Interventionmentioning

confidence: 99%

“…7 The' retail medical stores, drug stores, chemist shops, medicose or pharmacies are most convenient accessible places to get healthcare facilities in Pakistan's Punjab. 8 They are very diverse in their role and setups. These can be noticed like market place around the public and private hospitals.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Review of Pharmacy Professionals and Drug Jurisprudence to Achieve the Millennium Development Goals in Punjab Province of Pakistan.

Nazir¹,

Islam²,

Taha³

et al. 2016

IJPER

View full text Add to dashboard Cite

The current health practice of Punjab Province of Pakistan needs a serious attention to control the unnecessary drug usage, improve pharmaceutical care and establish excellent public health system. Hence, the health officials of Govt. of Pakistan have established "Drug Regulatory Authority", and Punjab Health Department has chalked out Punjab Drug Rule, 2007 to deployed a revised health structure in Punjab. But, unluckily, the medical physicians, drug store owners and bureaucracy have not put it into actual practice. Punjab Health Department has made amendments in the Drug Rules, 2007; substituted the word "three" by the "ten" and suspended it until 2017 via notification printed in the official weekly gazette dated February 10, 2010. This potential confliction of interest can also be noticed in hospital settings, community clinical practice and other allied health institutions. The most awful part the current scenario is the insufficient aspirations to share the clinical burden to provide the health facilities for patients presented in hospital/ clinical setting. The consultant physicians and medical practitioners are very much reluctant to involve the pharmacy professionals to perform their primary professional role. They want them to stay away from their actual scientific job and keep doing the administrative and clerical work. Therefore, the current health system and drug jurisprudence needs a serious attention to address the health problem. That will help to minimize avoidable mortalities, wrong medication, irrational prescription and development of drug resistance. Moreover, a conclusive prescribing guidelines and appropriate drug jurisprudence will expedite the achievement of MDG of WHO.

show abstract

Rural pharmacy not delivering on its health promotion potential

Abstract: Pharmacies are being underutilised with respect to their capacity to deliver heath prevention advice and ways to capitalise on this potential need to be investigated.

Cited by 29 publications

References 8 publications

Exploring the community pharmacist's role in palliative care: Focusing on the person not just the prescription

Exploring the community pharmacist's role in palliative care: Focusing on the person not just the prescription

Community Pharmacists' Attitudes Toward Palliative Care: An Australian Nationwide Survey

Review of Pharmacy Professionals and Drug Jurisprudence to Achieve the Millennium Development Goals in Punjab Province of Pakistan.

Contact Info

Product

Resources

About