Use of chronic disease management algorithms in Australian community pharmacies

Morrissey, Hana; Ball, Patrick; Jackson, David J.; Pilloto, Louis; Nielsen, Sharon

doi:10.1016/j.sapharm.2014.06.002

Cited by 5 publications

(13 citation statements)

References 4 publications

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“…Based on the findings herein, it is recommended that when implementing a shared care model, it is important to manage unintended barriers. 13,14,19,22,24 Communication between health care professionals is required to: educate providers on the function, importance and urgency of discharge summaries 20 ; increase the awareness of local services and referral systems 15,16 ; ensure adequate training in the use of technology 13 ; facilitate a detailed documentation to manage the risk of knowledge loss associated with turnover in regional care providers 19 ; and promote the collaboration between providers to ensure consistent data collation and access, treatment, management, advice and enhanced continuity of patient care experiences. 21 To encourage collaboration and respect, rather than competition between health service providers, the role of each care provider should be clearly defined and communicated to minimise gaps in the continuity of care or disputes potentially arising related to responsibilities for tasks.…”

Section: Discussionmentioning

confidence: 99%

“…15,23 Five studies identified lack of funding and the costs associated with shared care services as a barrier. 15,16,22 Multiple clinical information systems, that might be inconsistent or incompatible between care providers, were also a barrier. 13,24 A lack of availability of technology was sometimes seen as a barrier to achieving continuity of care within the rural areas.…”

Section: Availability Of Resourcesmentioning

confidence: 99%

“…13,17,18,23,24 For example, telemedicine services, provided within a shared care model, can be expensive and not covered by Medicare. 15,22 15,16,22 Multiple clinical information systems, that might be inconsistent or incompatible between care providers, were also a barrier.…”

Section: Availability Of Resourcesmentioning

confidence: 99%

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Continuity of care for patients with chronic conditions from rural or remote Australia: A systematic review

Street

Somoray

Richards

et al. 2019

Australian J Rural Health

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Objective: To identify the barriers and facilitators of achieving continuity of care between health services for patients with chronic conditions living in regional, rural and remote Australia. Design: A systematic literature review of peer-reviewed journal publications between January 1990 and April 2018. Setting: Publications were sourced from medical and scientific databases, including: PubMed; Embase; OvidSP; ProQuest research library; and ScienceDirect. Participants: Studies, involving two groups, were included in the review: (a) Australian adults, residing in non-metropolitan areas with a chronic condition, who accessed health care services; and (b) health care service providers (eg, doctors) who provided care to non-metropolitan patients. Main outcome measures: Facilitators and barriers of continuity of care for nonmetropolitan patients with a chronic condition. Results: Initially, 536 studies were included in the review. Of these, 12 studies were found to have met the eligibility criteria and were included in the final analysis. Conclusions: Coordination of health care services for non-metropolitan patients with chronic conditions substantially improves the outcomes for patients. Overall, communication, availability of resources and location are the major barriers and facilitators to continuity of care, depending on how they are managed. Recommendationshave been provided to assist practitioners and policy-makers to improve the experience of shared care and health outcomes for non-metropolitan patients. K E Y W O R D Sbarriers, coordination of care, facilitators, quality of care, regional

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Section: Discussionmentioning

confidence: 99%

Section: Availability Of Resourcesmentioning

confidence: 99%

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Continuity of care for patients with chronic conditions from rural or remote Australia: A systematic review

Street

Somoray

Richards

et al. 2019

Australian J Rural Health

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“…From the 24 students who attended the workshop, 33% of semester one entry batch achieved an "A" (80-89 marks), 17% of students achieved an A-(75-79 marks) and 50% of students achieved B+ ( While pharmacists in Sri Lanka were perceived to be the specialist in dispensing prescriptions and supplying of medications, the scope of pharmacy practice is much broader [4]. Pharmacist clinical services are well established in the hospital setting and growing rapidly in community settings [7][8]. Clinical pharmacy is the pharmaceutical care services concerned with the science and practice of rational use of medicine and the discipline in which pharmacists ensure the safe and quality used of medicine, promoting patient adherence to their therapy, their health literacy and self-management skills and lifestyle modification to improve their health outcomes [9].…”

Section: Icpps 2017 | International Conference On Pharmacy and Pharmamentioning

confidence: 99%

“…The pharmacist is an active member of the primary health care, where clinical pharmacists provide pharmaceutical care that is based on sound therapeutic knowledge, experience and professional judgment [9]. Clinical pharmacy contributes to improving patient awareness of their medication in relation to their condition and lifestyle, aiming to improve health and quality of life [8].…”

Section: Icpps 2017 | International Conference On Pharmacy and Pharmamentioning

confidence: 99%

Clinical Pharmacy in Galle Sri Lanka, Collaboration and Friendship

Morrissey

Zawahir

Hettihewa

et al. 2017

Asian J Pharm Clin Res

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Pharmacy undergraduate courses in Ruhuna, while is more practice focus than many of the other courses in Sri Lanka, it is still missing clinical pharmacy elements. Collaboration between academic staff from Ruhuna University and two international clinical pharmacy academics was established in 2014. The aim of this paper is to report on a clinical pharmacy training program, delivered by the international academics and supported by the Sri Lankan academics to pharmacy students in 2015-2016. After short conceptualization lecture on each topic, there was a workshop which was structured as team case-based learning progressive case studies. Topics included mental health, pharmacokinetics, interpreting laboratory results, parenteral drug compatibility, special hospital compounding and medication review, of which all were assessed in the final examination. A student found the team based learning to be engaging and enabled them to independently and critically think in a safe environment and preferable over the traditional lectures.

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Viability and sustainability of pharmacist input in chronic disease management in rural Australia

Morrissey

Ball

Jackson³

et al. 2015

J Pharm Pract Res

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Introduction Management of chronic disease patients is a complex continuum, led by doctors, but delivered by a range of health professionals at different levels of care, including primary care. Success is dependent upon adherence to the holistic therapy and on the accessibility and affordability of services. Aim The aim of this study is to investigate the sustainability of a proposed chronic disease management intervention in community pharmacy and the difficulties faced by pharmacists in implementation. Design This was a pilot study, designed to support future research. Community pharmacists provided feedback on the protocol, their communication with doctors and the cost of providing point‐of‐care (PoC) testing through two surveys. The data from both were thematically analysed. Results Completed questionnaires were returned by eight of nine sites. Sixty percent of pharmacists did not see the PoC component as sustainable without better levels of collaboration with doctors. All sites indicated that the cost of testing cannot be absorbed, and patients or government will have to pay for the service. All sites found that their current staff levels did not allow them to spend sufficient time with large numbers of patients (n = 84). Pharmacist intervention was well accepted by patients. It provided the pharmacists with job satisfaction, but the staffing level, cost and inadequate collaboration from doctors made the sustainability of the intervention doubtful. Conclusion Pharmacists found that unpaid services were afforded lower priority than those that generated income. All pharmacists agreed that PoC testing can be performed in the community setting at the same standards provided in doctors’ clinics.

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Use of chronic disease management algorithms in Australian community pharmacies

Cited by 5 publications

References 4 publications

Continuity of care for patients with chronic conditions from rural or remote Australia: A systematic review

Continuity of care for patients with chronic conditions from rural or remote Australia: A systematic review

Clinical Pharmacy in Galle Sri Lanka, Collaboration and Friendship

Viability and sustainability of pharmacist input in chronic disease management in rural Australia

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