Patients’ perception of pharmaceutical services available in a community pharmacy among patients living in a rural area of the United Kingdom
Objective: Patients’ opinion about prevalence of pharmaceutical services available in a community pharmacy among patients living in a rural area of the United Kingdom. The secondary objective was to identify appropriate action(s) to enhance patients’ awareness of pharmaceutical services in rural areas.
Methods: A self-administered, anonymous questionnaire was distributed to patients visiting a community pharmacy in Eye, Suffolk, United Kingdom between July and August, 2015. The main inclusion criterion was living in a rural area. Comparisons were performed using chi-square tests and logistic regression.
Results: The study included 103 respondents: 70 women (69.0%) and 33 men (32.0%), aged 16–85 years. Most respondents declared the primary tasks of a community pharmacy were dispensing medicines (86.4% of respondents) and repeat dispensing (72.8% of respondents). Additionally, 23.3% of respondents treated minor ailments at the pharmacy, including bacterial/viral infections, minor injuries, stomach problems, and allergies. The Medicines Use Review service was the only advanced service used in this pharmacy (12.6% of respondents), primarily by men. Younger patients were more familiar with the term of pharmaceutical care (p<0.05; OR=0.33).
Conclusions: Only a few pharmaceutical services are utilized by people living in rural areas in the UK, namely prescription dispensing, repeat dispensing, and sale of medications that support self-care for minor ailments. We found an overall poor awareness of the expanded variety of pharmaceutical services encouraged by the community pharmacy contract introduced in the UK in 2005. Therefore, politicians, pharmacists, and pharmacy experts should actively promote these advanced pharmaceutical services in rural areas.
2. Bajorek BV, Lemay KS, Magin PJ, Roberts C, Krass I, Armour CL. Preparing pharmacists to deliver a targeted service in hypertension management: evaluation of an interprofessional training program. BMC Med Educ. 2015;15:157. doi: 10.1186/s12909-015-0434-y
3. Kaboli PJ, Hoth AB, McClimon BJ, Schnipper JL. Clinical pharmacists and inpatient medical care: a systematic review. Arch Intern Med. 2006;166(9):955-964.
4. Mok G, Vaillancourt R, Irwin D, Wong A, Zemek R, Alqurashi W. Design and validation of pictograms in a pediatric anaphylaxis action plan. Pediatr Allergy Immunol. 2015;26(3):223-233. doi: 10.1111/pai.12349
5. Rotta I, Salgado TM, Silva ML, Correr CJ, Fernandez-Llimos F. Effectiveness of clinical pharmacy services: an overview of systematic reviews (2000-2010). Int J Clin Pharm. 2015;37(5):687-697. doi: 10.1007/s11096-015-0137-9
6. Franklin BD, van Mil JW. Defining clinical pharmacy and pharmaceutical care. Pharm World Sci. 2005;27(3):137.
7. van Mil JW, Schulz M, Tromp TF. Pharmaceutical care, European developments in concepts, implementation, teaching, and research: a review. Pharm World Sci. 2004;26(6):303-311.
8. Allemann SS, van Mil JW, Botermann L, Berger K, Griese N, Hersberger KE. Pharmaceutical care: the PCNE definition 2013. Int J Clin Pharm. 2014;36(3):544-555. doi: 10.1007/s11096-014-9933-x
9. Minarikova D, Malovecka I, Foltan V, Bielik J, Psenkova M. Valuation of patient satisfaction with pharmaceutical care as a tool for increasing quality management in community pharmacy and patient's quality of life. Value Health. 2015;18(7):A835. doi: 10.1016/j.jval.2015.09.342
10. Noyce PR. Providing patient care through community pharmacies in the UK: policy, practice, and research. Ann Pharmacother. 2007;41(5):861-868
11. Ahmad A, Khan MU. Prescribing opportunities for pharmacists in rural areas. Res Social Adm Pharm. 2016;12(5):811-812. doi: 10.1016/j.sapharm.2016.04.003
12. Department for Environment, Food & Rural Affairs, UK; https://www.gov.uk/government/collections/rural-urban-classification (access August 12, 2016).
13. Hasan S, Sulieman H, Stewart K, Chapman CB, Kong DC. Patient expectations and willingness to use primary care pharmacy services in the United Arab Emirates. Int J Pharm Pract. 2015;23(5):340-348. doi: 10.1111/ijpp.12176
14. Agu KA, Oqua D, Agada P, Ohiaeri SI, Adesina A, Abdulkareem MH, King RC, Wutoh AK. Assessment of satisfaction with pharmaceutical services in patients receiving antiretroviral therapy in outpatient HIV treatment setting. Int J Clin Pharm. 2014;36(3):636-647. doi: 10.1007/s11096-014-9948-3
15. Garcao JA, Cabrita J. Evaluation of a pharmaceutical care program for hypertensive patients in rural Portugal. J Am Pharm Assoc (Wash). 2002;42(6):858-864.
16. Arun KP, Murugan R, Kanna MR, Rajalakshmi S, Kalaiselvi R, Komathi V. The impact of pharmaceutical care on the clinical outcome of diabetes mellitus among a rural patient population. Int J Diabetes Dev Ctries. 2008;28(1):15-18. doi: 10.4103/0973-3930.41981
17. Hatah E, Braund R, Tordoff J, Duffull SB. A systematic review and meta-analysis of pharmacist-led fee-for-services medication review. Br J Clin Pharmacol. 2014;77(1):102-115. doi: 10.1111/bcp.12140
18. Yoshimi C, Yamada M, Fujii H, Nishigaki M, Iihara H, Kitaichi K, Takahashi M, Kurahashi S, Takahashi T, Yoshida K, Itoh Y. [Evaluation of the efforts of pharmaceutical care services before medical examination at an outpatient cancer chemotherapy clinic]. Gan To Kagaku Ryoho. 2013;40(3):349-354.
19. Losada-Camacho M, Guerrero-Pabon MF, Garcia-Delgado P, Martinez-Martinez F. Impact of a pharmaceutical care programme on health-related quality of life among women with epilepsy: a randomised controlled trial (IPHIWWE study). Health Qual Life Outcomes. 2014;12:162. doi: 10.1186/s12955-014-0162-8
20. Scott DM. Assessment of pharmacists' perception of patient care competence and need for training in rural and urban areas in North Dakota. J Rural Health. 2010;26(1):90-96. doi: 10.1111/j.1748-0361.2009.00270.x
21. Glassman PA, Schneider PL, Good CB. An ethical framework for pharmacy management: balancing autonomy and other principles. J Manag Care Spec Pharm. 2014;20(4):334-338.
22. Hanson RL, Habibi M, Khamo N, Abdou S, Stubbings J. Integrated clinical and specialty pharmacy practice model for management of patients with multiple sclerosis. Am J Health Syst Pharm. 2014;71(6):463-469. doi: 10.2146/ajhp130495
23. Santra G. Assessment of adherence to cardiovascular medicines in rural population: An observational study in patients attending a tertiary care hospital. Indian J Pharmacol. 2015;47(6):600-604. doi: 10.4103/0253-7613.169573
24. Ma C. A cross-sectional survey of medication adherence and associated factors for rural patients with hypertension. Appl Nurs Res. 2016;31:94-99. doi: 10.1016/j.apnr.2016.01.004
25. Ginzburg R. Impact of pharmacy student interventions in an urban family medicine clinic. Am J Pharm Educ. 2014;78(5):90. doi: 10.5688/ajpe78590
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