Dissertations / Theses on the topic 'Community pharmacy services'
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Renberg, Tobias. "Patient Perspectives on Community Pharmacy Services." Doctoral thesis, Uppsala universitet, Institutionen för farmaci, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-108392.
Full textAdams, Edries. "Independent community pharmacy : quo vadis?" Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/14640.
Full textOn 16 January 2004, the Parliament of the Republic of South Africa published the Draft Regulations to the Medicines and Related Substances Act No. 101 of 1965 (Republic of South Africa, 2010a) for comments due by 16 April 2004. These regulations would change the retail pharmacy landscape that generations of pharmacists had become dependent on in supporting themselves and the communities that they served. These regulations proposed a single exit price (SEP) that manufacturers might charge pharmaceutical wholesalers, which included the distribution cost. The wholesaler in turn would sell the pharmaceutical to the pharmaceutical retailer at the listed SEP, thus prohibiting discounts and in the process creating transparency in the pharmaceutical industry. This transparency would ensure that all people would pay the same price for their medication with the aim of making it affordable and available to those in need. Preceding these draft regulations was the amendment to the Pharmacy Act No. 53 of 1974 (Republic of South Africa, 2010c) concerning pharmacy ownership, which allowed non-pharmacist and legal entities to own pharmacies as of 2003. This amendment posed the first external threat to the autonomy of pharmacists regarding independent pharmacy ownership. Pharmacists now had to compete not only amongst themselves but also with large corporate food and health shops with in-house pharmacies. The resources and capabilities inherent to independent community pharmacies given the events of the past few years proved inadequate in competing with the corporate retailers. These two amendments to acts that influenced the existing pharmacy landscape posed a real threat to the sustainability of independent pharmacy business models. This paper investigates the issues that independent community pharmacies in South Africa are facing and their strategic options in the pharmaceutical and services value chain.
Hariri, Shapour. "Multimedia health promotion in community pharmacy." Thesis, King's College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.301212.
Full textRogers, Philip John. "Patient medication records by community pharmacy." Thesis, University of Bath, 1993. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.357290.
Full textBlignault, Suzette Martha. "Audit of community pharmacy activities." Thesis, Nelson Mandela Metropolitan University, 2010. http://hdl.handle.net/10948/1533.
Full textBond, Christine M. "Prescribing in community pharmacy : barriers and opportunities." Thesis, University of Aberdeen, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.294204.
Full textWilson, Debbie Louise. "Professional expertise and pharmacy technicians." [Gainesville, Fla.] : University of Florida, 2004. http://purl.fcla.edu/fcla/etd/UFE0008401.
Full textTypescript. Title from title page of source document. Document formatted into pages; contains 173 pages. Includes Vita. Includes bibliographical references.
Dooda, Nicole, Alexander Leonard, and Kim Nguyen. "Patient Satisfaction and Utilization of Pharmacy Care Services at an Independent Community Pharmacy." The University of Arizona, 2017. http://hdl.handle.net/10150/624170.
Full textObjectives: To determine if there is a correlation between both awareness and utilization of pharmacy care services and patient satisfaction at an independent community pharmacy in Benson, Arizona. Subjects: Patients who visited the pharmacy within a 45-day period in 2016 and who have filled at least one prescription at that location. Methods: A self-reported questionnaire was administered by pharmacy staff to assess patients’ satisfaction ratings on the pharmacy’s performance. The questionnaire also inquired about patients’ awareness and use of pharmacy services as well as demographic information including a history of specific disease states. Data were evaluated using analytic software. Results: Questionnaires were completed by 48 men (mean age = 65.8; SD = 12.57) and 69 women (mean age 60.3; SD = 15.06), with the mean number of select health conditions being 1.63 (SD = 1.16) and 1.49 (SD = 1.24), respectively. There was no correlation between the number of services for which a patient was aware, nor the number of services utilized, and overall satisfaction (p=0.466 and p=0.384, respectively). However, there was a significant positive correlation between awareness and utilization of pharmacy services (r=0.208, p=0.019). Over 74% of respondents rated satisfaction for all measures “excellent,” with professionalism of the pharmacist (92.1%) and pharmacy staff (89.9%) ranking highest. The only category that received a “poor” rating was how well the pharmacist explains medication side effects. Conclusions There was no apparent correlation between awareness of pharmacy care services and patient satisfaction at The Medicine Shoppe in Benson, nor between utilization of pharmacy services and satisfaction. However, patient satisfaction scored high in all categories surveyed.
Lelubre, Melanie. "Implementation Study of Professional Pharmacy Services in Community Pharmacies." Doctoral thesis, Universite Libre de Bruxelles, 2018. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/268974.
Full textDoctorat en Sciences biomédicales et pharmaceutiques (Pharmacie)
info:eu-repo/semantics/nonPublished
Saramunee, Kritsanee. "General public views on community pharmacy services in public health." Thesis, Liverpool John Moores University, 2013. http://researchonline.ljmu.ac.uk/6170/.
Full textIbrahim, Osama Mohamed. "Evaluating cholesterol screening in a community pharmacy." Scholarly Commons, 1988. https://scholarlycommons.pacific.edu/uop_etds/2162.
Full textEINARSON, THOMAS RAY. "EVALUATION OF A BLOOD LEVEL SERVICE IN A COMMUNITY PHARMACY PRACTICE." Diss., The University of Arizona, 1987. http://hdl.handle.net/10150/184019.
Full textLee, Amy, and Nisha Patel. "A Consumer Assessment of Pharmaceutical Care Services in a Diabetes Ambulatory Clinic." The University of Arizona, 2009. http://hdl.handle.net/10150/623965.
Full textOBJECTIVES: To assess patients’ satisfaction with pharmaceutical care services provided in a community health center diabetes management clinic. METHODS: Patients who received diabetes-related pharmaceutical services from the clinical pharmacist at El Rio Health Center in Tucson, Arizona from November 2008 to January 2009 were contacted during a visit to the diabetes clinic and asked to complete the consumer assessment of pharmaceutical services questionnaire. The questionnaire included 14 likert-type items with response options ranging from “Never” to “Always” or “Disagree” to “Agree.” In addition, the patient’s most recent hemoglobin A1C (HgbA1C) was obtained from the electronic medical record. The survey instrument was also translated from English to Spanish to serve the Hispanic participants who could not communicate fluently in English. A descriptive cross-sectional analysis was completed in order to assess patient satisfaction. Dependent variables extracted from the survey were analyzed by Mann-Whitney U test. Interval and ratio data were analyzed by calculating means, standard deviations, and an independent t-test. Nominal data were analyzed using the Chi-Square test. RESULTS: A total of 46 patients completed the questionnaires, including 17 men and 29 women (mean age = 56, SD = 11.3, 80% Hispanic). All patients had seen the clinical pharmacist at least 3 times. Overall, this study showed that majority of the patients were satisfied with the service provided in the clinic. There was no statistically significant difference between English and Spanish patient populations in terms of satisfaction with pharmaceutical services provided about their disease management. CONCLUSIONS: Patients in this clinic were highly satisfied with the pharmaceutical care services provided by the clinical pharmacist.
Lopatka, Harold. "An evaluation of a community pharmacy reimbursement model for cognitive services." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0010/NQ59990.pdf.
Full textBrown, Malcolm Ernest. "The sociology of pharmacy : an ethnography of community pharmacists, their medicines and other artefacts." Thesis, University of East Anglia, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.302147.
Full textChua, Gin Nie. "Using a discrete choice experiment to value a community pharmacy service : how valid are the findings?" Thesis, University of Aberdeen, 2017. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=236463.
Full textWong, Peter Kim-Hung. "QUANTIFYING THE PERCEIVED VALUE OF PHARMACY SERVICES AS MEASURED BY THE CONTINGENT VALUATION METHOD: FOCUS ON COMMUNITY PHARMACY." University of Cincinnati / OhioLINK, 2000. http://rave.ohiolink.edu/etdc/view?acc_num=ucin980272432.
Full textMatheson, Catriona I. "Community pharmacy services for drug misusers : a study of the perspectives of service users and providers." Thesis, University of Aberdeen, 1998. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU105510.
Full textAndersson, Karolina. "Swedish pharmaceutical benefit reforms : analyses of implementation, pharmaceutical sales patterns and expenditures /." Göteborg : Department of Public Health and Community Medicine, The Sahlgrenska Academy at Göteborg University, 2006. http://hdl.handle.net/2077/724.
Full textSchiraldi, Katherine. "Qualitative Needs Assessment of Pharmacy Services in an Arizona-Mexico Border Community Clinic." The University of Arizona, 2011. http://hdl.handle.net/10150/623530.
Full textOBJECTIVES: To identify the pharmacy service needs of providers and staff at the San Luis Walk-In Clinic, and to evaluate whether the addition of a dispensing pharmacy to the clinic will benefit the community of San Luis. METHODS: Two focus groups were conducted with employees of the clinic: one with providers and another with supportive staff. Subjects discussed included major health issues at the clinic, where patients received health care products and information, barriers to receiving health care, beneficial pharmacy services and products, and the role of pharmacists in health care. Data was collected regarding whether participants were providers or staff members and whether they lived within or outside of San Luis. These sessions were audio-recorded, transcribed, and analyzed for recurrent themes and patterns. RESULTS: The first focus group consisted of three providers, one of whom was living within San Luis, and the second group was comprised of six supportive staff members, five of whom were from the community. In regards to pharmacy service needs, providers cited medication management, patient education, and treatment recommendations as beneficial resources. Both groups identified the top four major health problems seen in their clinic as hypertension, diabetes, allergies, and dyslipidemia, and barriers to adequate healthcare included financial issues, time constraints, transportation, and lack of education. CONCLUSION: There is a need for pharmacy services, including medication therapy management and disease state education, at the San Luis Walk-In Clinic. This need likely extends to many rural communities throughout the nation.
Byrt, Sarah. "Social, medical and geographical aspects of the provision of community pharmacy services in rural West Wales." Thesis, University of Wales Trinity Saint David, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.683168.
Full textTan, Grace T. H. U. "An interpretive approach to power, professionalism and control : with special reference to the functions of hospital pharmacy departments." Thesis, University of Oxford, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.334805.
Full textHunt, John Anthony. "The development of pharmaceutical services in the British welfare state." Thesis, University of Portsmouth, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.266923.
Full textMontgomery, Anna. "Counselling in Swedish Community Pharmacies : Understanding the Process of a Pharmaceutical Care Service." Doctoral thesis, Uppsala universitet, Institutionen för farmaci, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-108973.
Full textFuller, Heather. "A Quality Improvement Analysis and Assessment of Counseling Services Provided at a Community Pharmacy." The University of Arizona, 2005. http://hdl.handle.net/10150/624731.
Full textObjectives: To determine the level of patient satisfaction regarding counseling services provided at a local community pharmacy. Methods: 100 questionnaires were handed out randomly to pharmacy customers who received counseling services on new prescription medication(s). The questionnaires contained multiple criteria/statements regarding the provision of counseling services. Customers were also asked to select from a list of potential additional categories of information that they would like to receive during counseling. Results: 48 of 100 questionnaires were received at the time this report was written. Customers strongly agreed that the criteria regarding the content of the counseling services were met: (name/strength/dose, and with all of the statements regarding the pharmacist's professional attributes and the counseling environment except one regarding privacy involved with counseling). Suprisingly, only 20% of customers would feel more comfortable being counseled in a more private area such as a separate room or walled off area. Implications: This study provided important feedback to the community pharmacy as well as the pharmacists working there in regards to the evaluation of counseling services provided to their valued customers. Customers have the opportunity to provide their input in regard to their satisfaction level of the quality of counseling services they receive at this community pharmacy (in the form of a questionnaire). Customers, through the completion of the questionnaire, may realize the value of this questionnaire and its use as a tool to improve the areas of the counseling services that customers agree need improvement as well as the opportunity to realize that this community pharmacy does care and value it’s customers and their level of satisfaction in the counseling services provided. This questionnaire may be used as a tool by the community pharmacy in the future to re-assess these criteria of counseling services in the overall purpose of improving the quality of counseling services provided by this community pharmacy.
Hawksworth, Gillian Mary. "Pharmaceutical care - clinical community pharmacy services in primary care : an evaluation of drug monitoring, clinical interventions, domiciliary visiting and other unremunerated clinical pharmacy services which could be provided by a community pharmacist." Thesis, University of Bradford, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.559095.
Full textHunter, Carole. "Evaluation of syringe markers distributed through community pharmacy needle exchanges." Thesis, University of Stirling, 2012. http://hdl.handle.net/1893/11096.
Full textSödergård, Björn. "Adherence and Readiness to Antiretroviral Treatment." Doctoral thesis, Uppsala University, Department of Pharmacy, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7282.
Full textAntiretroviral therapy places extraordinarily high demands on adherence, since non-adherence affects both individuals and society due to the spread of resistant viral strains. The aims of the thesis were to investigate the prevalence of adherence in Swedish HIV-infected patients, changes in adherence over time, and factors associated with adherence, including patients’ readiness to adhere. Further, to investigate the collaboration between nurses, doctors and pharmacists after the introduction of a HIV-clinic satellite pharmacy. Data were collected via two cross-sectional patient surveys in 1998 and 2002, qualitative interviews with health care personnel at a major HIV clinic, and a nation-wide, cross-sectional patient survey in 2003-2004.
The level of adherence improved from 28% in 1998 to 57% in 2002, possibly due to simplified treatment and a new multi-professional treatment model at the clinic. The proportion of adherent patients was 63% in the nationwide survey. Factors associated with adherence were high age, high quality patient-provider relationships, no drug or alcohol problems and shorter time on treatment.
A hypothesized structural equational model, using readiness and adherence as separate latent concepts, was tested and found to support readiness as a distinct factor influencing adherence.
The health care personnel believed that conventional pharmacies had several disadvantages in serving the HIV infected population. They found the HIV-clinic satellite pharmacy valuable, since it contributed to increased communication and trust between the health care professions, and improved teamwork in medication management.
In conclusion, the level of adherence increased over time, and several factors associated with adherence were identified. Improved collaboration between health care professionals may enhance treatment support, and increased attention should be given to interventions that focus on the individual’s readiness for behavioural change in order to optimize treatment outcomes.
Allan, Lucie. "Competing interests and change within the pharmacy education system in South Africa." Thesis, Rhodes University, 2006. http://hdl.handle.net/10962/d1003219.
Full textHattingh, Hendrika Laetitia. "An Investigation of Community Pharmacy Risk Management Regulation and Practices in the Context of an Expanding Role." Thesis, Griffith University, 2008. http://hdl.handle.net/10072/366632.
Full textThesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Pharmacy
Griffith Health
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Serhal, Sarah. "Building A Sustainable Future For Asthma Health Services In Community Pharmacy Practice - An Implementation Science Approach." Thesis, The University of Sydney, 2022. https://hdl.handle.net/2123/29939.
Full textChuc, Nguyen Thi Kim. "Towards good pharmacy practice in Hanoi : a multi-intervention study in private sector /." Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-316-3.
Full textLakhani, Neena. "An exploration of factors affecting the use of community pharmacy services by South Asians in Leicester." Thesis, De Montfort University, 2012. http://hdl.handle.net/2086/9880.
Full textWibowo, Yosi Irawati. "A model of community pharmacy-based services for type 2 diabetes patients in the Indonesian setting." Thesis, Curtin University, 2014. http://hdl.handle.net/20.500.11937/878.
Full textClayton-Smith, Bevan, and n/a. "He ratonga hauora Maori me nga ratonga rarau rongoa o Aotearoa e tirohanga, he tataritanga i nga mohio o tenei wa, i nga tumanako me etahi huarahi atu = Maori health providers and pharmacy services in New Zealand : a survey and analysis of current awareness, expectations and options." University of Otago. School of Pharmacy, 2005. http://adt.otago.ac.nz./public/adt-NZDU20070501.142338.
Full textHagemeier, Nicholas E., Sarah Blevins, Kyle Hagen, Emily Sorah, Richa Shah, and Kelly Ferris. "Integration of Rural Community Pharmacies into a Rural Family Medicine Practice-Based Research Network: A Descriptive Analysis." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1476.
Full textHanes, Carissa Ann. "The provision of obstructive sleep apnea services in community pharmacies and development of professional practice guidelines." Thesis, The University of Sydney, 2015. http://hdl.handle.net/2123/13870.
Full textNotman, Frances. "Investigating patients' experience and self-management of early cancer symptoms prior to their cancer diagnosis in order to identify the role of community pharmacy in earlier diagnosis." Thesis, University of Aberdeen, 2016. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=231748.
Full textWallman, Andy. "Pharmacy Internship : Students’ Learning in a Professional Practice Setting." Doctoral thesis, Uppsala universitet, Institutionen för farmaci, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-112771.
Full textChinthammit, Chanadda. "A Single-Blind, Randomized, Controlled study of Efficacy and Effectiveness of Pharmacy Quality Improvement." Thesis, The University of Arizona, 2014. http://hdl.handle.net/10150/323441.
Full textMiller, Elizabeth J. "A Mixed Methods Study Investigating the Community Pharmacist’s Role in Palliative Care." Thesis, University of Bradford, 2017. http://hdl.handle.net/10454/17392.
Full textKrigsman, Kristin. "Refill Adherence to Long-Term Drug Treatment with a Focus on Asthma/COPD Medication." Doctoral thesis, Uppsala University, Department of Pharmacy, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-8094.
Full textMost patients are non-adherent with their medication sometimes, i.e. that they do not always use their medicines as prescribed. This might result in both under- and overuse and can lead to therapy failure, resulting in both unnecessary suffering and high costs. Therefore, medication adherence should be as high as possible.
The aims of this thesis were to investigate the refill adherence to long-term drug treatment, especially for patients with asthma and chronic obstructive pulmonary disease (COPD), and to study treatment gaps for patients with undersupply and drug costs for patients with oversupply. Further aims were to compare different methods for assessing refill adherence and analyse whether the same patient has the same refill adherence pattern to two different chronic drug treatments, i.e. diabetes and asthma/COPD.
The thesis shows that satisfactory refill adherence (80-120% of the prescribed dose) was 57% for repeat prescriptions with long-term drug treatment; undersupply was 21% and oversupply 22%. Patients with undersupply were without drugs more than half of the prescribed treatment time and the median oversupply for 90-100 days dispensation interval was 28 days. Patients who were exempt from charges had significantly higher oversupply than non-exempt patients and that leads to unnecessary cost for society. The level of satisfactory refill adherence for repeat prescriptions dispensed for asthma/COPD was on average 30%. The same low level was displayed for the elderly, where undersupply was more common than oversupply.
Assessments of refill adherence during a one-year period gave the same results irrespective of whether the repeat prescriptions were from an individual pharmacy record database or were manually collected at a pharmacy.
Patients with concomitant use of diabetes and asthma/COPD drugs do not have the same dispensation pattern for both drug types.
The introduction of patient profiles as a new approach to complement the calculated refill adherence needs to be further studied in larger and more divergent populations. In the future, the new national pharmacy record database in Sweden has opened up for larger studies and will be valuable when studying patterns of drug utilization.
Ching, Diana K. "Factors that Explain and Predict Community Pharmacists' Provision of Smoking Cessation Services: An Application of the Integrated Behavioral Model." University of Toledo Health Science Campus / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=mco155681784242428.
Full textSmith, Robert Mark Houston. "South African community pharmacists’ self-perception of their professional identity and job satisfaction." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/20637.
Full textPaudyal, Vibhu. "An exploration of Scottish community pharmacists' adoption of innovative services and products relating to minor ailment management." Thesis, Robert Gordon University, 2011. http://hdl.handle.net/10059/664.
Full textWard, Kim Lana. "Expanding presumptive male partner management of sexually transmitted infections (STIs) to Western Cape, South African community retail pharmacies." Thesis, University of the Western Cape, 2007. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_2411_1257329598.
Full textThe effect of industrialisation has thrust the pharmaceutical profession into a clinical paradigm where the approcah to pharmaceutical decisions is more disease and patient orientated. Consequently, South African community pharmacies are inundated with requests from the public for advice and treatment on a wide range of medical conditions, including sexually transmitted infections (STI's). Although community pharmacies are often the first port of call for undiagnosed STI, limited diagnostic skills and legally-imposed prescribing restrictions preclude pharmacists from providing the necessary clinical management. The overarching goal of this dissertation was to present objective arguments and evidences (new and existing) around an expanded role for pharmacists in STI partner management.
Brito, Giselle de Carvalho. "Serviços clínicos farmacêuticos em unidades do programa Farmácia Popular do Brasil do estado de Sergipe: implantação, implementação e consolidação." Universidade Federal de Sergipe, 2015. https://ri.ufs.br/handle/riufs/3592.
Full textObjetivo: Implantar, implementar e consolidar serviços clínicos farmacêuticos em unidades do programa Farmácia Popular do Brasil do Estado de Sergipe. Métodos: Inicialmente, foi realizada revisão sistemática da literatura nas bases de dados PubMed, SCOPUS, EMBASE utilizando os descritores community pharmacy services , quality assurance health care , outcome assessment . Foi realizado um estudo longitudinal em três unidades da Farmácia Popular do Brasil do estado de Sergipe sobre a implantação (2012), implementação (2013) e consolidação dos serviços clínicos farmacêuticos (2014). Foi avaliada a estrutura das farmácias quanto à estrutura física, por meio da RDC 44/2009, e aos recursos humanos, pela técnica do paciente simulado. Em seguida, foram realizados três grupos focais (2012, 2013 e 2014) para obter as percepções dos farmacêuticos. Por fim, foi utilizada a técnica de coaching para a implantação, implementação e consolidação dos serviços de: dispensação, aferição da pressão arterial e glicemia capilar, revisão da farmacoterapia e seguimento da farmacoterapia. Resultados: Na revisão sistemática 42 artigos preencheram os critérios de inclusão. Observou-se que os resultados mais avaliados foram hemoglobina glicosilada (clínico), qualidade de vida (humanístico) e análise da relação custo-eficácia do serviço (econômico). Na avaliação da estrutura, as intervenções possibilitaram melhorias em todos os itens que foram considerados inconformes. No entanto, a impressão geral sobre as competências farmacêuticas para serviços clínicos foi considerada regular (3) numa escala de 1 a 5. Com relação aos grupos focais, os farmacêuticos relataram expectativas quanto ter suporte técnico para desenvolver habilidades, adquirir conhecimentos e ter um acompanhamento constante dos pesquisadores, além disso, identificaram 13 tipos de barreiras. Por fim, foram destinadas 520 horas de coaching in loco para implantação de fluxos e processos, elaboração de procedimentos operacionais padrão e elaboração de planos estratégicos situacionais. Na etapa de treinamento, os farmacêuticos foram submetidos a 176h de treinamento teórico-prático e os colaboradores a 24h. Após as intervenções do coaching os números dos serviços foram ampliados: obteve-se 767 atendimentos de dispensação em 2012, 1444 em 2013 e 2537 em 2014; 714 aferições da pressão arterial e glicemia capilar em 2012, 2375 em 2013 e 5039 em 2014; 49 consultas da revisão da farmacoterapia em 2012, 87 em 2013 e 355 em 2014; 15 consultas de seguimento da farmacoterapia em 2012, 33 em 2013 e 271 em 2014. Conclusão:. A partir de um bom diagnóstico situacional o coaching pode ser considerado uma técnica que auxilia nas etapas de implantação, implementação e consolidação de serviços clínicos farmacêuticos. Aliado a um treinanamento profissional, ele permite o acompanhamento individualizado em etapas como: definição dos serviços e processos, seleção de indicadores para a avaliação e elaboração de planos estratégicos situacionais. Nesta perspectiva, os resultados observados poderão embasar a construção de um modelo diferenciado e replicável de serviços clínicos farmacêuticos em farmácias comunitárias.
Stöger, Ulrika. "Kommunala sjuksköterskors kontakt med apoteken : en tids- och enkätstudie bland Kalmar kommuns sjuksköterskor." Thesis, University of Kalmar, School of Pure and Applied Natural Sciences, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hik:diva-1473.
Full textSyftet med denna studie är dels att undersöka hur stor andel av arbetstiden som sjuksköterskor, inom kommunala hälso- och sjukvården i Kalmar kommun, använder för kontakt med apoteken, dels att belysa hur sjuksköterskorna ser på kontakten med apoteken med avseende på dess omfattning och innehåll.
Kalmars kommunala sjuksköterskor förde under en vecka i februari 2009 tidsdagbok över sin apotekskontakt. I anslutning till detta utfördes även en enkätundersökning bland dessa sjuksköterskor.
Svarsfrekvensen var låg; 43 % av sjuksköterskorna deltog i enkätstudien och endast 19 % deltog i tidsstudien. Den genomsnittliga andelen arbetstid som ägnades åt apotekskontakt fastställdes till 4,6 ± 3,9 %. Enkätstudien visade på en del önskemål om förändring i såväl kontakten med apoteken som i de kommunala rutinerna. Förslag som lades fram av sjuksköterskorna för en minskning av kontakttiden med apoteken var bland annat att annan personal inom hälso- och sjukvården eller anhöriga till patienten gör apoteksärenden i stället för sjuksköterskorna, samt att apoteken ska införa en särskild kö för vårdpersonal och därmed minska kötiden.
Den låga svarsfrekvensen gör att inga statistiskt signifikanta slutsatser kan dras av studien och då i synnerhet inte av tidsstudien. Studien visar dock på stora variationer sjuksköterskorna emellan, i andel arbetstid som ägnas åt apotekskontakt. Validiteten och precisionen för denna variation är ej hög, delvis på grund av det låga deltagandet. Enkätundersökningen visade på problem som kan härröras till brist i kommunikationen mellan såväl sjuksköterskor och övrig hälso- och sjukvårdspersonal, som mellan sjuksköterskor och apotekspersonal. En förbättrad interprofessionell kommunikation skulle eventuellt kunna lösa denna problematik.
Bardet, Jean-Didier. "Les pratiques pharmaceutiques collaboratives en soins de premier recours dans le contexte de l'émergence des TIC." Thesis, Université Grenoble Alpes (ComUE), 2016. http://www.theses.fr/2016GREAS027/document.
Full textWith the analysis of the causes of drug-induced diseases in the French primary care, the collaboration between healthcare professionals, supported by information and communication technology, appears to be a major challenge to secure the patient’s care. The objective of this thesis was to identify the aspects of pharmacy practice on which to develop the physician – community pharmacist collaboration and to explore the organized forms of collaborative pharmacy practice in the context of the deployment of the Pharmaceutical Record (DP).First, we explored the process of the physician – community pharmacist collaboration. A literature review was conducted to identify the specific models of collaboration. A total of 16 articles were included and four different models were identified. Their analysis showed that collaboration is based on an individual process underpinned by two categories of drivers: (1) towards the other professional and the personal interest for collaborative practice; (2) the perception of the other professional and the evaluation of his skills.As the collaboration is based on the recognition of professional skills, the second part of this work was to analyze the pharmacists’ role and the impact of the DP in the safety of the dispensing. The DOPI-OFFI study is an observational, cross-sectional and multicenter study on pharmacists’ interventions (PIs) performed in the primary care and on the evaluation of the DP in the dispensing process. A total of 243 community pharmacies have documented 7231 PIs. The DP appears to be a valuable complement when the patient's local pharmacy record is blank or incomplete and as an effective tool to prevent discrepancies with the medication history. The study also identified the context associated with the PIs. Thus appropriate actions would be proposed to enhance the quality of pharmacy practices. Finally, the study demonstrated the sustained communication between general practitioners and community pharmacists about the drug-related problems.The collaborative dynamics is also based on the specific healthcare professionals’ and patients’ needs. The objective of the third part of this work was to determine the preferences of the general population, the physicians and the community pharmacists on pharmacy services and their organization. We developed a Best-Worst Scaling experiment. We identified the key characteristics of pharmacy services from 6 focus groups that were conducted with patients, general practitioners and community pharmacists. Three questionnaires, each consisting of 20 attributes, were developed.The development of the community pharmacists’ role must be based on the current practice, on pharmacy services that have demonstrated their effectiveness and on the legitimacy of the pharmacist to propose them. The results of the BWS will complement the results that were already established by this work
Elhatab, Nesrin M. "The community pharmacist's role enhancing medicines management for type II diabetes in Tripoli, Libya : a randomised controlled trial in community pharmacy to investigate knowledge and practice in relation to type II diabetes and glycaemic control." Thesis, University of Bradford, 2016. http://hdl.handle.net/10454/15903.
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