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Development and testing of a framework for defining a strategy to address medication adherence during patient encounters in community pharmacies.
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 4657521
Author(s) Baumgartner, Pascal C; Comment, Nicolas; Hersberger, Kurt E; Arnet, Isabelle
Author(s) at UniBasel Arnet, Isabelle
Baumgartner, Pascal
Comment, Nicolas
Hersberger, Kurt
Year 2022
Title Development and testing of a framework for defining a strategy to address medication adherence during patient encounters in community pharmacies.
Journal Explor Res Clin Soc Pharm
Volume 5
Pages / Article-Number 100123
Keywords Community pharmacy services; Counseling; Medication adherence; Pharmaceutical care; Social marketing; Strategy
Abstract

Counseling patients on medication adherence could be ameliorated in pharmacy practice. There is a lack of simple and practical strategies to address medication adherence with patients in daily practice. The goal was to develop and test a framework that allows pharmacy teams to define and apply a strategy to address medication adherence in community pharmacies.; A framework based on the principles of social marketing was developed. It consisted of 3 items: the target patient ("Who"), the target plan ("How"), and the target goal ("How many"). To test the framework, each participating pharmacy team developed their strategy by defining the 3 items and applied them during one pilot day. A master student observed the encounters between patients and pharmacy team members and used a structured checklist to document the patient's characteristics, counseling content, and strategy use. Pharmacy teams answered a feedback questionnaire at the end of the pilot day.; Ten pharmacy teams were included. During a brainstorming session that lasted on average 31 Ī 8 min, unique strategies comprised 18 different target patients and 20 different target plans. The planned target goal was a mean of 31 patients (range: 1 to "all"). A total of 325 encounters were observed, of which 208 patients (64%) corresponded to the predefined target patients. Medication adherence was addressed with 73 patients (22.5%), and adherence counseling was performed with 50 patients (15%). The pharmacy teams accepted the framework and judged it feasible and adaptable to their needs.; The proposed framework represents a simple tool that enables pharmacy teams to develop a strategy for addressing medication adherence in community pharmacies. Its adoption by pharmacy teams occurred without additional training and its integration into daily practice without difficulties. A further study is now needed to investigate if pharmacy teams can successfully engage patients in discussion on medication adherence and ultimately propose targeted adherence interventions.

ISSN/ISBN 2667-2766
Full Text on edoc
Digital Object Identifier DOI 10.1016/j.rcsop.2022.100123
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/35478506
   

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