Research in social & administrative pharmacy : RSAP
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Res Social Adm Pharm · Nov 2015
A review of countries' pharmacist-patient communication legal requirements on prescription medications and alignment with practice: Comparison of Nordic countries.
Pharmacist-patient communication around prescription medications can optimize treatment outcomes. Society's expectations of pharmacist-patient communication around medications can be expressed in legislation, economic incentives, and authority control. In this study, the Nordic countries of Denmark, Finland, Iceland, Norway and Sweden provide the legislative examples and can be used as a platform to discuss how society's expectations, professional visions, and practice are aligning. ⋯ Various countries throughout the world differ in their requirements for pharmacy staff to communicate on the use of medicines during dispensing. The Nordic countries all require such communication, which aligns with professional visions. Regardless of the pharmacy system, the states let the employer and pharmacy professions carry out it in practice with apparently little state involvement, thus showing trust in the profession and employers. However, since Nordic communication studies show deviation from the legislation, there are reasons to reevaluate and discuss the legislation, the economic incentives and the control system.
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Res Social Adm Pharm · Nov 2015
Recent developments toward the safer use of opioids, with a focus on hydrocodone.
Opioids have become a mainstay of treatment for pain in the United States, with over 250 million prescription issued in 2012 alone. The increased prescribing of these medications has also contributed to the unintended consequence of a widening prevalence of abuse and misuse, and therefore safety has become a top agenda item for both government and health care providers alike. ⋯ Hydrocodone in particular, as the most widely prescribed opioid product, has recently been subject to a myriad of changes, both through the federal rescheduling of hydrocodone-combination products (HCPs) to Schedule II, as well as the introduction of two new extended-release formulations to the USA market. These efforts represent a first step toward tackling the opioid harms epidemic, although continuing follow-up through research and policy implementation is needed to see any measureable impact on safety in the future.
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Res Social Adm Pharm · Sep 2015
ReviewPhysicians and community pharmacists collaboration in primary care: A review of specific models.
Since 2008, French healthcare reform encourages community pharmacists (CP) to develop collaborative care with other health care providers through new cognitive pharmacy services. ⋯ A meta-model for PCPC has been postulated. It can be used for qualitative exploration of PCPC, in a context of implementation of collaborative practice including CPs, in the primary care.
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Res Social Adm Pharm · Sep 2015
Factors influencing community pharmacists' likelihood to ask medication monitoring questions: A factorial survey.
Community pharmacists are well positioned to identify and resolve medication related problems associated with chronic medication use during prescription dispensing, a process referred to as medication monitoring. Pharmacists need feedback about patient medication experiences to engage in effective monitoring, but the pharmacist's decision making process for when to ask questions to solicit this information from patients has not been established. ⋯ Factorial surveys are a useful approach to independently measuring the impact of respondent and contextual variables on pharmacist judgments. Reactions to the vignettes demonstrated that multiple factors go into a pharmacist's mental model when deciding to ask a question at the time of refill. The lateness of a refill prescription was a significant cue to question asking. Pharmacies can ensure late refill information is reaching pharmacists as a means to increase in medication monitoring. Pharmacies also can design work environments and workflows conducive to question asking and prompt pharmacists to address potentially under-discussed medications.
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Res Social Adm Pharm · Sep 2015
Motivational Interviewing Skills in Health Care Encounters (MISHCE): Development and psychometric testing of an assessment tool.
Motivational interviewing (MI) has demonstrated a significant impact as an intervention strategy for addiction management, change in lifestyle behaviors, and adherence to prescribed medication and other treatments. Key elements to studying MI include training in MI of professionals who will use it, assessment of skills acquisition in trainees, and the use of a validated skills assessment tool. ⋯ MISHCE assesses the health provider's level of knowledge and skills in brief disease management encounters. MISHCE also evaluates quality of the patient-provider therapeutic alliance, i.e., the "flow" of the interaction.