Improving Patient-Pharmacist Encounters with Over-The-Counter Medications: A Mixed-Methods Pilot Study.
Improving Patient-Pharmacist Encounters with Over-The-Counter Medications: A Mixed-Methods Pilot Study.
复制标题
DOI：
10.24926/iip.v11i1.2295
复制
发表时间：
2020
影响因子：
--
通讯作者：
Chui MA
中科院分区：
文献类型：
--
作者：
Gilson AM;Xiong KZ;Stone JA;Jacobson N;Phelan C;Reddy A;Chui MA
非处方药（OTC）的使用增加了65岁以上成年人的安全风险。大多数老年人从社区药房购买OTC药物，处方区域和OTC通道之间的相当大的距离或视觉障碍削弱了药剂师帮助患者做出OTC药物决定的能力。专门针对老年人的简化药物部分（称为高级部分TM）的创新重新设计可以促进药房工作人员/患者的互动，可能会改善安全的药物选择和使用。本研究评估了高级部门对药房工作人员和患者之间OTC遭遇的频率和内容的影响。干预混合方法的设计产生的数据，从病人的非处方药的遭遇，并采访了两名药剂师和两名技术人员，在整个研究。NVivo被用来编码采访成绩单，频率和卡方分析表明，前/后干预比较的OTC遇到的变量。高级部分实施后，药房工作人员更有可能发起（并参与）患者接触，解决更多主题或问题/症状，提供有关非处方药产品的详细信息，讨论非处方药使用的适当性，并讨论高级部分强调的药物类别。药房工作人员不太可能需要离开处方部门很长一段时间，他们也有更少的长期接触或接触产品的位置。重要的是，高级科没有妨碍药房工作流程。高级部分促使药房工作人员和患者之间更频繁，有效和高效的接触，这可能会大大减少老年人中与OTC相关的伤害。
Over-the-counter (OTC) medication use has increased safety risks for adults older than 65. Most older adults purchase OTC medications from community pharmacies, where the considerable distance or visual obstructions between the prescription area and OTC aisles undermine pharmacists’ ability to assist patients with OTC medication decisions. An innovative redesign of an abbreviated medication section specifically for older adults (called the Senior SectionTM ) can facilitate pharmacy staff/patient interaction, potentially improving safe medication selection and use. This study evaluated the impact of the Senior Section on the frequency and content of OTC encounters between pharmacy staff and patients. An intervention mixed-methods design generated data from patient OTC encounters, and interviews with two pharmacists and two technicians, throughout the study. NVivo was used to code interview transcripts, and frequencies and chi-square analyses demonstrated pre/post-intervention comparisons for the OTC encounter variables. After Senior Section implementation, pharmacy staff were more likely to initiate (and be involved in) patient encounters, address more topics or problem/symptoms, provide details about OTC products, discuss appropriateness of OTC use, and discuss medication classes highlighted in the Senior Section. Pharmacy staff were less likely to need to leave the prescription department for extended periods; they also had fewer prolonged encounters or encounters about product location. Importantly, the Senior Section did not impede pharmacy workflow. The Senior Section prompted more frequent, effective, and efficient engagements between pharmacy staff and patients, which may substantially reduce OTC-related harms among older adults.