It's not what you do it's the way that it's measured: quality assessment of minor ailment management in community pharmacies
Background Effective management of minor ailments in community pharmacies could reduce the burden on alternative high‐cost services (general practices, Emergency Departments). Evidence is needed regarding the appropriateness of management of these conditions in community pharmacies. Objective To exp...
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| Veröffentlicht in: | The International journal of pharmacy practice 2017-08, Vol.25 (4), p.253-262 |
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| container_title | The International journal of pharmacy practice |
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| creator | Inch, Jackie Porteous, Terry Maskrey, Vivienne Blyth, Annie Burr, Jackie Cleland, Jennifer Wright, David J. Holland, Richard Bond, Christine M. Watson, Margaret C. |
| description | Background
Effective management of minor ailments in community pharmacies could reduce the burden on alternative high‐cost services (general practices, Emergency Departments). Evidence is needed regarding the appropriateness of management of these conditions in community pharmacies.
Objective
To explore the appropriateness of minor ailment management in community pharmacies.
Setting
Prospective, observational study of simulated patient (SP) visits to community pharmacies in Grampian (Scotland) and East Anglia (England).
Method
Eighteen pharmacies (nine per centre) were recruited within a 25‐mile radius of Aberdeen or Norwich. Consultations for four minor ailments were evaluated: back pain; vomiting/diarrhoea; sore throat; and eye discomfort. Each pharmacy received one SP visit per ailment (four visits/pharmacy; 72 visits total). Visits were audio‐recorded and SPs completed a data collection form immediately after each visit.
Primary Outcome Measure
Each SP consultation was assessed for appropriateness against product licence, practice guidelines and study‐specific consensus standards developed by a multi‐disciplinary consensus panel.
Results
Evaluable data were available for 68/72 (94.4%) visits. Most (96%) visits resulted in the sale of a product; advice alone was the outcome of three visits. All product sales complied with the product licence, 52 (76%) visits complied with practice guidelines and seven visits achieved a ‘basic’ standard according to the consensus standard.
Conclusion
Appropriateness of care varied according to the standard used. Pharmacy‐specific quality standards are needed which are realistic and relevant to the pharmacy context and which reflect legal and clinical guidelines to promote the safe and effective management of minor ailments in this setting. |
| doi_str_mv | 10.1111/ijpp.12305 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5516242</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1859732907</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4485-f0e8b6d6793a2d07ee2d1bffe06cfad735daa9610f17d401cf5824ac686cd3503</originalsourceid><addsrcrecordid>eNp9kcFrFDEUxoNY7Lp68Q-QgAdFmJpkJpOZHgQpalcK9qDn8DbJdLNMkmky4zLgH292ty3Wg7m88L1fPt7Lh9ArSs5oPh_sdhjOKCsJf4IWjFSsEFRUT9GCtDUtRC3oKXqe0pYQVvNGPEOnLIuiYuUC_V6NbxP2YcS7DYx4DhPWAdu9OG4M3sGca24cFGcgTdHoc3w7QW_HGUNKJiVn_IhDh531IWKw_UFw4OHGHK7WYxWcm_z-zbCB6EBZk16gkw76ZF7e1SX6-eXzj4vL4ur719XFp6tCVVXDi46YZl3rWrQlME2EMUzTddcZUqsOtCi5Bsirko4KXRGqOt6wClTd1EqXnJRL9PHoO0xrZ7TKI0Xo5RCtgzjLAFY-7ni7kTfhl-Sc1iz_0xK9uzOI4XYyaZTOJmX6HrwJU5K04a0oWUtERt_8g27DFH1eT9KWcs6rkrSZen-kVAwpRdM9DEOJ3Icq96HKQ6gZfv33-A_ofYoZoEdgZ3sz_8dKrr5dXx9N_wBLIK9N</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1915554309</pqid></control><display><type>article</type><title>It's not what you do it's the way that it's measured: quality assessment of minor ailment management in community pharmacies</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Inch, Jackie ; Porteous, Terry ; Maskrey, Vivienne ; Blyth, Annie ; Burr, Jackie ; Cleland, Jennifer ; Wright, David J. ; Holland, Richard ; Bond, Christine M. ; Watson, Margaret C.</creator><creatorcontrib>Inch, Jackie ; Porteous, Terry ; Maskrey, Vivienne ; Blyth, Annie ; Burr, Jackie ; Cleland, Jennifer ; Wright, David J. ; Holland, Richard ; Bond, Christine M. ; Watson, Margaret C.</creatorcontrib><description>Background
Effective management of minor ailments in community pharmacies could reduce the burden on alternative high‐cost services (general practices, Emergency Departments). Evidence is needed regarding the appropriateness of management of these conditions in community pharmacies.
Objective
To explore the appropriateness of minor ailment management in community pharmacies.
Setting
Prospective, observational study of simulated patient (SP) visits to community pharmacies in Grampian (Scotland) and East Anglia (England).
Method
Eighteen pharmacies (nine per centre) were recruited within a 25‐mile radius of Aberdeen or Norwich. Consultations for four minor ailments were evaluated: back pain; vomiting/diarrhoea; sore throat; and eye discomfort. Each pharmacy received one SP visit per ailment (four visits/pharmacy; 72 visits total). Visits were audio‐recorded and SPs completed a data collection form immediately after each visit.
Primary Outcome Measure
Each SP consultation was assessed for appropriateness against product licence, practice guidelines and study‐specific consensus standards developed by a multi‐disciplinary consensus panel.
Results
Evaluable data were available for 68/72 (94.4%) visits. Most (96%) visits resulted in the sale of a product; advice alone was the outcome of three visits. All product sales complied with the product licence, 52 (76%) visits complied with practice guidelines and seven visits achieved a ‘basic’ standard according to the consensus standard.
Conclusion
Appropriateness of care varied according to the standard used. Pharmacy‐specific quality standards are needed which are realistic and relevant to the pharmacy context and which reflect legal and clinical guidelines to promote the safe and effective management of minor ailments in this setting.</description><identifier>ISSN: 0961-7671</identifier><identifier>EISSN: 2042-7174</identifier><identifier>DOI: 10.1111/ijpp.12305</identifier><identifier>PMID: 27677423</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Back Pain - therapy ; community pharmacy services ; Community Pharmacy Services - economics ; Community Pharmacy Services - organization & administration ; Community Pharmacy Services - standards ; Diarrhea - therapy ; Drug stores ; Emergency Service, Hospital - economics ; England ; Eye Diseases - therapy ; Female ; General Practice - economics ; Guideline Adherence - organization & administration ; Guideline Adherence - standards ; health care ; Humans ; Male ; non‐prescription medicines ; Patient Simulation ; Pharmacists ; Pharyngitis - therapy ; Practice Guidelines as Topic ; Prospective Studies ; Quality Assurance, Health Care - methods ; quality indicators ; Referral and Consultation - economics ; Referral and Consultation - organization & administration ; Referral and Consultation - standards ; Research Paper ; Research Papers ; Scotland ; self‐care ; Vomiting - therapy</subject><ispartof>The International journal of pharmacy practice, 2017-08, Vol.25 (4), p.253-262</ispartof><rights>2016 The Authors. published by John Wiley & Sons Ltd on behalf of Royal Pharmaceutical Society</rights><rights>2016 The Authors. International Journal of Pharmacy Practice published by John Wiley & Sons Ltd on behalf of Royal Pharmaceutical Society.</rights><rights>Copyright © 2017 Royal Pharmaceutical Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4485-f0e8b6d6793a2d07ee2d1bffe06cfad735daa9610f17d401cf5824ac686cd3503</citedby><cites>FETCH-LOGICAL-c4485-f0e8b6d6793a2d07ee2d1bffe06cfad735daa9610f17d401cf5824ac686cd3503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijpp.12305$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijpp.12305$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27677423$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Inch, Jackie</creatorcontrib><creatorcontrib>Porteous, Terry</creatorcontrib><creatorcontrib>Maskrey, Vivienne</creatorcontrib><creatorcontrib>Blyth, Annie</creatorcontrib><creatorcontrib>Burr, Jackie</creatorcontrib><creatorcontrib>Cleland, Jennifer</creatorcontrib><creatorcontrib>Wright, David J.</creatorcontrib><creatorcontrib>Holland, Richard</creatorcontrib><creatorcontrib>Bond, Christine M.</creatorcontrib><creatorcontrib>Watson, Margaret C.</creatorcontrib><title>It's not what you do it's the way that it's measured: quality assessment of minor ailment management in community pharmacies</title><title>The International journal of pharmacy practice</title><addtitle>Int J Pharm Pract</addtitle><description>Background
Effective management of minor ailments in community pharmacies could reduce the burden on alternative high‐cost services (general practices, Emergency Departments). Evidence is needed regarding the appropriateness of management of these conditions in community pharmacies.
Objective
To explore the appropriateness of minor ailment management in community pharmacies.
Setting
Prospective, observational study of simulated patient (SP) visits to community pharmacies in Grampian (Scotland) and East Anglia (England).
Method
Eighteen pharmacies (nine per centre) were recruited within a 25‐mile radius of Aberdeen or Norwich. Consultations for four minor ailments were evaluated: back pain; vomiting/diarrhoea; sore throat; and eye discomfort. Each pharmacy received one SP visit per ailment (four visits/pharmacy; 72 visits total). Visits were audio‐recorded and SPs completed a data collection form immediately after each visit.
Primary Outcome Measure
Each SP consultation was assessed for appropriateness against product licence, practice guidelines and study‐specific consensus standards developed by a multi‐disciplinary consensus panel.
Results
Evaluable data were available for 68/72 (94.4%) visits. Most (96%) visits resulted in the sale of a product; advice alone was the outcome of three visits. All product sales complied with the product licence, 52 (76%) visits complied with practice guidelines and seven visits achieved a ‘basic’ standard according to the consensus standard.
Conclusion
Appropriateness of care varied according to the standard used. Pharmacy‐specific quality standards are needed which are realistic and relevant to the pharmacy context and which reflect legal and clinical guidelines to promote the safe and effective management of minor ailments in this setting.</description><subject>Back Pain - therapy</subject><subject>community pharmacy services</subject><subject>Community Pharmacy Services - economics</subject><subject>Community Pharmacy Services - organization & administration</subject><subject>Community Pharmacy Services - standards</subject><subject>Diarrhea - therapy</subject><subject>Drug stores</subject><subject>Emergency Service, Hospital - economics</subject><subject>England</subject><subject>Eye Diseases - therapy</subject><subject>Female</subject><subject>General Practice - economics</subject><subject>Guideline Adherence - organization & administration</subject><subject>Guideline Adherence - standards</subject><subject>health care</subject><subject>Humans</subject><subject>Male</subject><subject>non‐prescription medicines</subject><subject>Patient Simulation</subject><subject>Pharmacists</subject><subject>Pharyngitis - therapy</subject><subject>Practice Guidelines as Topic</subject><subject>Prospective Studies</subject><subject>Quality Assurance, Health Care - methods</subject><subject>quality indicators</subject><subject>Referral and Consultation - economics</subject><subject>Referral and Consultation - organization & administration</subject><subject>Referral and Consultation - standards</subject><subject>Research Paper</subject><subject>Research Papers</subject><subject>Scotland</subject><subject>self‐care</subject><subject>Vomiting - therapy</subject><issn>0961-7671</issn><issn>2042-7174</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp9kcFrFDEUxoNY7Lp68Q-QgAdFmJpkJpOZHgQpalcK9qDn8DbJdLNMkmky4zLgH292ty3Wg7m88L1fPt7Lh9ArSs5oPh_sdhjOKCsJf4IWjFSsEFRUT9GCtDUtRC3oKXqe0pYQVvNGPEOnLIuiYuUC_V6NbxP2YcS7DYx4DhPWAdu9OG4M3sGca24cFGcgTdHoc3w7QW_HGUNKJiVn_IhDh531IWKw_UFw4OHGHK7WYxWcm_z-zbCB6EBZk16gkw76ZF7e1SX6-eXzj4vL4ur719XFp6tCVVXDi46YZl3rWrQlME2EMUzTddcZUqsOtCi5Bsirko4KXRGqOt6wClTd1EqXnJRL9PHoO0xrZ7TKI0Xo5RCtgzjLAFY-7ni7kTfhl-Sc1iz_0xK9uzOI4XYyaZTOJmX6HrwJU5K04a0oWUtERt_8g27DFH1eT9KWcs6rkrSZen-kVAwpRdM9DEOJ3Icq96HKQ6gZfv33-A_ofYoZoEdgZ3sz_8dKrr5dXx9N_wBLIK9N</recordid><startdate>201708</startdate><enddate>201708</enddate><creator>Inch, Jackie</creator><creator>Porteous, Terry</creator><creator>Maskrey, Vivienne</creator><creator>Blyth, Annie</creator><creator>Burr, Jackie</creator><creator>Cleland, Jennifer</creator><creator>Wright, David J.</creator><creator>Holland, Richard</creator><creator>Bond, Christine M.</creator><creator>Watson, Margaret C.</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201708</creationdate><title>It's not what you do it's the way that it's measured: quality assessment of minor ailment management in community pharmacies</title><author>Inch, Jackie ; Porteous, Terry ; Maskrey, Vivienne ; Blyth, Annie ; Burr, Jackie ; Cleland, Jennifer ; Wright, David J. ; Holland, Richard ; Bond, Christine M. ; Watson, Margaret C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4485-f0e8b6d6793a2d07ee2d1bffe06cfad735daa9610f17d401cf5824ac686cd3503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Back Pain - therapy</topic><topic>community pharmacy services</topic><topic>Community Pharmacy Services - economics</topic><topic>Community Pharmacy Services - organization & administration</topic><topic>Community Pharmacy Services - standards</topic><topic>Diarrhea - therapy</topic><topic>Drug stores</topic><topic>Emergency Service, Hospital - economics</topic><topic>England</topic><topic>Eye Diseases - therapy</topic><topic>Female</topic><topic>General Practice - economics</topic><topic>Guideline Adherence - organization & administration</topic><topic>Guideline Adherence - standards</topic><topic>health care</topic><topic>Humans</topic><topic>Male</topic><topic>non‐prescription medicines</topic><topic>Patient Simulation</topic><topic>Pharmacists</topic><topic>Pharyngitis - therapy</topic><topic>Practice Guidelines as Topic</topic><topic>Prospective Studies</topic><topic>Quality Assurance, Health Care - methods</topic><topic>quality indicators</topic><topic>Referral and Consultation - economics</topic><topic>Referral and Consultation - organization & administration</topic><topic>Referral and Consultation - standards</topic><topic>Research Paper</topic><topic>Research Papers</topic><topic>Scotland</topic><topic>self‐care</topic><topic>Vomiting - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Inch, Jackie</creatorcontrib><creatorcontrib>Porteous, Terry</creatorcontrib><creatorcontrib>Maskrey, Vivienne</creatorcontrib><creatorcontrib>Blyth, Annie</creatorcontrib><creatorcontrib>Burr, Jackie</creatorcontrib><creatorcontrib>Cleland, Jennifer</creatorcontrib><creatorcontrib>Wright, David J.</creatorcontrib><creatorcontrib>Holland, Richard</creatorcontrib><creatorcontrib>Bond, Christine M.</creatorcontrib><creatorcontrib>Watson, Margaret C.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The International journal of pharmacy practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Inch, Jackie</au><au>Porteous, Terry</au><au>Maskrey, Vivienne</au><au>Blyth, Annie</au><au>Burr, Jackie</au><au>Cleland, Jennifer</au><au>Wright, David J.</au><au>Holland, Richard</au><au>Bond, Christine M.</au><au>Watson, Margaret C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>It's not what you do it's the way that it's measured: quality assessment of minor ailment management in community pharmacies</atitle><jtitle>The International journal of pharmacy practice</jtitle><addtitle>Int J Pharm Pract</addtitle><date>2017-08</date><risdate>2017</risdate><volume>25</volume><issue>4</issue><spage>253</spage><epage>262</epage><pages>253-262</pages><issn>0961-7671</issn><eissn>2042-7174</eissn><abstract>Background
Effective management of minor ailments in community pharmacies could reduce the burden on alternative high‐cost services (general practices, Emergency Departments). Evidence is needed regarding the appropriateness of management of these conditions in community pharmacies.
Objective
To explore the appropriateness of minor ailment management in community pharmacies.
Setting
Prospective, observational study of simulated patient (SP) visits to community pharmacies in Grampian (Scotland) and East Anglia (England).
Method
Eighteen pharmacies (nine per centre) were recruited within a 25‐mile radius of Aberdeen or Norwich. Consultations for four minor ailments were evaluated: back pain; vomiting/diarrhoea; sore throat; and eye discomfort. Each pharmacy received one SP visit per ailment (four visits/pharmacy; 72 visits total). Visits were audio‐recorded and SPs completed a data collection form immediately after each visit.
Primary Outcome Measure
Each SP consultation was assessed for appropriateness against product licence, practice guidelines and study‐specific consensus standards developed by a multi‐disciplinary consensus panel.
Results
Evaluable data were available for 68/72 (94.4%) visits. Most (96%) visits resulted in the sale of a product; advice alone was the outcome of three visits. All product sales complied with the product licence, 52 (76%) visits complied with practice guidelines and seven visits achieved a ‘basic’ standard according to the consensus standard.
Conclusion
Appropriateness of care varied according to the standard used. Pharmacy‐specific quality standards are needed which are realistic and relevant to the pharmacy context and which reflect legal and clinical guidelines to promote the safe and effective management of minor ailments in this setting.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27677423</pmid><doi>10.1111/ijpp.12305</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0961-7671 |
| ispartof | The International journal of pharmacy practice, 2017-08, Vol.25 (4), p.253-262 |
| issn | 0961-7671 2042-7174 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5516242 |
| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Back Pain - therapy community pharmacy services Community Pharmacy Services - economics Community Pharmacy Services - organization & administration Community Pharmacy Services - standards Diarrhea - therapy Drug stores Emergency Service, Hospital - economics England Eye Diseases - therapy Female General Practice - economics Guideline Adherence - organization & administration Guideline Adherence - standards health care Humans Male non‐prescription medicines Patient Simulation Pharmacists Pharyngitis - therapy Practice Guidelines as Topic Prospective Studies Quality Assurance, Health Care - methods quality indicators Referral and Consultation - economics Referral and Consultation - organization & administration Referral and Consultation - standards Research Paper Research Papers Scotland self‐care Vomiting - therapy |
| title | It's not what you do it's the way that it's measured: quality assessment of minor ailment management in community pharmacies |
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