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Erschienen in: The Patient - Patient-Centered Outcomes Research 5/2015

01.10.2015 | Original Research Article

Consumers and Carers Versus Pharmacy Staff: Do Their Priorities for Australian Pharmacy Services Align?

verfasst von: Sara S. McMillan, Fiona Kelly, Adem Sav, Elizabeth Kendall, Michelle A. King, Jennifer A. Whitty, Amanda J. Wheeler

Erschienen in: The Patient - Patient-Centered Outcomes Research | Ausgabe 5/2015

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Abstract

Background

Health professionals, including pharmacists, are encouraged to meet the needs of their consumers in an efficient and patient-centred manner. Yet, there is limited information as to what consumers with chronic conditions need from pharmacy as a healthcare destination or how well pharmacy staff understand these needs.

Objective

The aim of this study was to identify service user priorities for ideal community pharmacy services for consumers with chronic conditions and their carers, and compare these priorities with what pharmacy staff think these groups want.

Methods

The nominal group technique was undertaken with pharmacist, pharmacy support staff, consumer and carer groups in four Australian regions between December 2012 and April 2013. Participant ideas and priorities for ideal services or care were identified, and contextual insight was obtained by thematic analysis.

Results

Twenty-one nominal group sessions are accepted, including 15 consumer and carer, four pharmacist and two pharmacy support staff groups. Pharmacy staff views generally aligned with consumer priorities, such as access, affordability, patient-centred care and continuity and coordinated care, yet diverged with respect to consumer information or education on medication and services. Fundamentally, consumers and carers sought streamlined access to information and medication, in a coordinated, patient-centred approach. Alleviating financial burden was a key consumer priority, with a call for the continuation and extension of medication subsidies.

Conclusion

Overall, pharmacy staff had a reasonable understanding of what consumers would prioritise, but further emphasis on the importance, delivery, or both, of consumer information is needed. Greater consideration is needed from policy makers regarding the financial barriers to accessing medication for consumers with chronic conditions.
Anhänge
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Fußnoten
1
The Australian Government provides assistance for low income earners in the form of a concession card. This allows medication to be obtained at a cheaper price.
 
2
Australian’s who reach a certain threshold on medications are entitled to either reduced (co-pay) or free medication supply for the rest of the calendar year.
 
Literatur
1.
Zurück zum Zitat Australian Commission on Safety and Quality in Health Care. Patient-centred care: improving quality and safety through partnerships with patients and consumers. Sydney; 2011. Australian Commission on Safety and Quality in Health Care. Patient-centred care: improving quality and safety through partnerships with patients and consumers. Sydney; 2011.
5.
Zurück zum Zitat Smith J, Picton C, Dayan M. Now or never: shaping pharmacy for the future. London; 2013. Smith J, Picton C, Dayan M. Now or never: shaping pharmacy for the future. London; 2013.
6.
Zurück zum Zitat Giberson S, Yoder S, Lee MP. Improving patient and health system outcomes through advanced pharmacy practice. A report to the US Surgeon General: Office of the Chief Pharmacist, US Public Health Service; 2011. Giberson S, Yoder S, Lee MP. Improving patient and health system outcomes through advanced pharmacy practice. A report to the US Surgeon General: Office of the Chief Pharmacist, US Public Health Service; 2011.
7.
Zurück zum Zitat Pharmaceutical Society of Australia. Australians stay healthier: PSA’s call to action on chronic disease. Canberra; 2013. Pharmaceutical Society of Australia. Australians stay healthier: PSA’s call to action on chronic disease. Canberra; 2013.
12.
Zurück zum Zitat Pharmaceutical Society of Australia. Better health outcomes through improved primary care: optimising pharmacy’s contribution. 2014. Pharmaceutical Society of Australia. Better health outcomes through improved primary care: optimising pharmacy’s contribution. 2014.
13.
Zurück zum Zitat Building upon pharmacists’ practice in Australia: a vision for the profession. 2014. Building upon pharmacists’ practice in Australia: a vision for the profession. 2014.
14.
Zurück zum Zitat Legislative Council Legal and Social Issues Legislation Committee. Inquiry into community pharmacy in Victoria. Victoria; 2014. Legislative Council Legal and Social Issues Legislation Committee. Inquiry into community pharmacy in Victoria. Victoria; 2014.
16.
Zurück zum Zitat Duckett S, Breadon P, Ginnivan L. Access all areas: new solutions for GP shortages in rural Australia. Melbourne: Grattan Institute; 2013. Duckett S, Breadon P, Ginnivan L. Access all areas: new solutions for GP shortages in rural Australia. Melbourne: Grattan Institute; 2013.
17.
Zurück zum Zitat Shea B, Santesso N, Qualman A, Heiberg T, Leong A, Judd M, et al. Consumer-driven health care: building partnerships in research. Health Expect. 2005;8(4):352–9.CrossRefPubMed Shea B, Santesso N, Qualman A, Heiberg T, Leong A, Judd M, et al. Consumer-driven health care: building partnerships in research. Health Expect. 2005;8(4):352–9.CrossRefPubMed
18.
Zurück zum Zitat Ronksley PE, Sanmartin C, Quan H, Ravani P, Tonelli M, Manns B, et al. Association between chronic conditions and perceived unmet health care needs. Open Med. 2012;6(2):e48–58.PubMedCentralPubMed Ronksley PE, Sanmartin C, Quan H, Ravani P, Tonelli M, Manns B, et al. Association between chronic conditions and perceived unmet health care needs. Open Med. 2012;6(2):e48–58.PubMedCentralPubMed
19.
Zurück zum Zitat Jeon Y, Jowsey T, Yen L, Glasgow NJ, Essue B, Kljakovic M, et al. Achieving a balanced life in the face of chronic illness. Aust J Prim Health. 2010;16(1):66–74.CrossRefPubMed Jeon Y, Jowsey T, Yen L, Glasgow NJ, Essue B, Kljakovic M, et al. Achieving a balanced life in the face of chronic illness. Aust J Prim Health. 2010;16(1):66–74.CrossRefPubMed
20.
Zurück zum Zitat Yen L, Gillespie J, Rn YH, Kljakovic M, Anne Brien J, Jan S, et al. Health professionals, patients and chronic illness policy: a qualitative study. Health Expect. 2011;14(1):10–20.CrossRefPubMed Yen L, Gillespie J, Rn YH, Kljakovic M, Anne Brien J, Jan S, et al. Health professionals, patients and chronic illness policy: a qualitative study. Health Expect. 2011;14(1):10–20.CrossRefPubMed
21.
Zurück zum Zitat Komaric N, Bedford S, van Driel ML. Two sides of the coin: patient and provider perceptions of health care delivery to patients from culturally and linguistically diverse backgrounds. BMC Health Serv Res. 2012;12:322.PubMedCentralCrossRefPubMed Komaric N, Bedford S, van Driel ML. Two sides of the coin: patient and provider perceptions of health care delivery to patients from culturally and linguistically diverse backgrounds. BMC Health Serv Res. 2012;12:322.PubMedCentralCrossRefPubMed
22.
23.
Zurück zum Zitat Henderson S, Kendall E. Culturally and linguistically diverse peoples’ knowledge of accessibility and utilisation of health services: exploring the need for improvement in health service delivery. Aust J Prim Health. 2011;17(2):195–201.CrossRefPubMed Henderson S, Kendall E. Culturally and linguistically diverse peoples’ knowledge of accessibility and utilisation of health services: exploring the need for improvement in health service delivery. Aust J Prim Health. 2011;17(2):195–201.CrossRefPubMed
24.
Zurück zum Zitat Swain L, Barclay L. They’ve given me that many tablets, I’m bushed. I don’t know where I’m going: Aboriginal and Torres Strait Islander peoples’ experiences with medicines. Aust J Rural Health. 2013;21(4):216–9.CrossRefPubMed Swain L, Barclay L. They’ve given me that many tablets, I’m bushed. I don’t know where I’m going: Aboriginal and Torres Strait Islander peoples’ experiences with medicines. Aust J Rural Health. 2013;21(4):216–9.CrossRefPubMed
25.
Zurück zum Zitat Hamrosi K, Taylor SJ, Aslani P. Issues with prescribed medications in Aboriginal communities: Aboriginal health workers’ perspectives. Rural Remote Health. 2006;6(2):557.PubMed Hamrosi K, Taylor SJ, Aslani P. Issues with prescribed medications in Aboriginal communities: Aboriginal health workers’ perspectives. Rural Remote Health. 2006;6(2):557.PubMed
26.
Zurück zum Zitat Henderson S, Kendall E, See L. The effectiveness of culturally appropriate interventions to manage or prevent chronic disease in culturally and linguistically diverse communities: a systematic literature review. Health Soc Care Community. 2011;19(3):225–49.CrossRefPubMed Henderson S, Kendall E, See L. The effectiveness of culturally appropriate interventions to manage or prevent chronic disease in culturally and linguistically diverse communities: a systematic literature review. Health Soc Care Community. 2011;19(3):225–49.CrossRefPubMed
28.
Zurück zum Zitat Australian Institute of Health and Welfare. Australia’s health 2014—in brief. 2014. Australian Institute of Health and Welfare. Australia’s health 2014—in brief. 2014.
30.
Zurück zum Zitat Australian Government Department of Health and Ageing. Closing the Gap: Indigenous Chronic Disease Package PBS Co-Payment Measure Pharmacy Staff Resource Booklet. ACT; 2010. Australian Government Department of Health and Ageing. Closing the Gap: Indigenous Chronic Disease Package PBS Co-Payment Measure Pharmacy Staff Resource Booklet. ACT; 2010.
33.
Zurück zum Zitat Tully M, Cantrill J. The use of the nominal group technique in pharmacy practice research: processes and practicalities. J Soc Admin Pharm. 1997;14(2):93–104. Tully M, Cantrill J. The use of the nominal group technique in pharmacy practice research: processes and practicalities. J Soc Admin Pharm. 1997;14(2):93–104.
34.
Zurück zum Zitat Bradley F, Schafheutle EI, Willis SC, Noyce PR. Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. Health Soc Care Community. 2013;21(6):644–54.PubMed Bradley F, Schafheutle EI, Willis SC, Noyce PR. Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. Health Soc Care Community. 2013;21(6):644–54.PubMed
35.
Zurück zum Zitat Hutchings HA, Rapport FL, Wright S, Doel MA, Wainwright P. Obtaining consensus regarding patient-centred professionalism in community pharmacy: nominal group work activity with professionals, stakeholders and members of the public. Int J Pharm Pract. 2010;18(3):149–58.PubMed Hutchings HA, Rapport FL, Wright S, Doel MA, Wainwright P. Obtaining consensus regarding patient-centred professionalism in community pharmacy: nominal group work activity with professionals, stakeholders and members of the public. Int J Pharm Pract. 2010;18(3):149–58.PubMed
36.
Zurück zum Zitat McMillan SS, Kelly F, Sav A, Kendall E, King MA, Whitty JA, et al. Using the nominal group technique: how to analyse across multiple groups. Health Serv Outcomes Res Method. 2014;14:92–108.CrossRef McMillan SS, Kelly F, Sav A, Kendall E, King MA, Whitty JA, et al. Using the nominal group technique: how to analyse across multiple groups. Health Serv Outcomes Res Method. 2014;14:92–108.CrossRef
37.
Zurück zum Zitat McMillan SS, Kelly F, Sav A, King MA, Whitty JA, Wheeler AJ. Consumer and carer views of Australian community pharmacy practice: awareness, experiences and expectations. J Pharm Health Serv Res. 2014;5(1):29–36.CrossRef McMillan SS, Kelly F, Sav A, King MA, Whitty JA, Wheeler AJ. Consumer and carer views of Australian community pharmacy practice: awareness, experiences and expectations. J Pharm Health Serv Res. 2014;5(1):29–36.CrossRef
38.
Zurück zum Zitat Gonzales CK, Leroy G. Eliciting used requirements using appreciative inquiry. Empir Software Eng. 2011;16:733–72.CrossRef Gonzales CK, Leroy G. Eliciting used requirements using appreciative inquiry. Empir Software Eng. 2011;16:733–72.CrossRef
39.
Zurück zum Zitat Bissell P, Ward PR, Noyce PR. Appropriateness measurement: application to advice-giving in community pharmacies. Soc Sci Med. 2000;51(3):343–59.CrossRefPubMed Bissell P, Ward PR, Noyce PR. Appropriateness measurement: application to advice-giving in community pharmacies. Soc Sci Med. 2000;51(3):343–59.CrossRefPubMed
40.
Zurück zum Zitat Liamputtong P. Research methods in health: foundations for evidence-based practice. Sydney: Oxford University Press; 2010. Liamputtong P. Research methods in health: foundations for evidence-based practice. Sydney: Oxford University Press; 2010.
41.
Zurück zum Zitat Van Breda AD. Steps to analysing multiple-group NGT data. Soc Work Pract Res. 2005;17(1):1–14. Van Breda AD. Steps to analysing multiple-group NGT data. Soc Work Pract Res. 2005;17(1):1–14.
42.
Zurück zum Zitat Morgan S, Yoder LH. A concept analysis of person-centered care. J Holistic Nurs. 2012;30(1):6–15.CrossRef Morgan S, Yoder LH. A concept analysis of person-centered care. J Holistic Nurs. 2012;30(1):6–15.CrossRef
43.
Zurück zum Zitat Pharmaceutical Society of Australia. Guide to providing pharmacy services to Aboriginal and Torres Strait Islander people. 2014. Pharmaceutical Society of Australia. Guide to providing pharmacy services to Aboriginal and Torres Strait Islander people. 2014.
45.
Zurück zum Zitat Braund R, Chesney KM, Keast EP, Ng LJ, Qi S, Samaranayaka S, et al. Are all pharmacy staff interested in potential future roles? Int J Pharm Prac. 2012;20(6):417–21.CrossRef Braund R, Chesney KM, Keast EP, Ng LJ, Qi S, Samaranayaka S, et al. Are all pharmacy staff interested in potential future roles? Int J Pharm Prac. 2012;20(6):417–21.CrossRef
46.
Zurück zum Zitat Hamrosi KK, Aslani P, Raynor DK. Beyond needs and expectations: identifying the barriers and facilitators to written medicine information provision and use in Australia. Health Expect. 2014;17(2):220–31.CrossRefPubMed Hamrosi KK, Aslani P, Raynor DK. Beyond needs and expectations: identifying the barriers and facilitators to written medicine information provision and use in Australia. Health Expect. 2014;17(2):220–31.CrossRefPubMed
47.
Zurück zum Zitat Shah B, Chewning B. Conceptualizing and measuring pharmacist-patient communication: a review of published studies. Res Soc Adm Pharm. 2006;2(2):153–85.CrossRef Shah B, Chewning B. Conceptualizing and measuring pharmacist-patient communication: a review of published studies. Res Soc Adm Pharm. 2006;2(2):153–85.CrossRef
48.
Zurück zum Zitat Simmons-Yon A, Roth MT, Vu M, Kavalieratos D, Weinberger M, Rao JK. Understanding pharmacists’ experiences with advice-giving in the community pharmacy setting: a focus group study. Patient Educ Couns. 2012;89(3):476–83.CrossRefPubMed Simmons-Yon A, Roth MT, Vu M, Kavalieratos D, Weinberger M, Rao JK. Understanding pharmacists’ experiences with advice-giving in the community pharmacy setting: a focus group study. Patient Educ Couns. 2012;89(3):476–83.CrossRefPubMed
49.
Zurück zum Zitat Chong CP, March G, Clark A, Gilbert A, Hassali MA, Bahari MB. A nationwide study on generic medicines substitution practices of Australian community pharmacists and patient acceptance. Health Policy. 2011;99(2):139–48.CrossRefPubMed Chong CP, March G, Clark A, Gilbert A, Hassali MA, Bahari MB. A nationwide study on generic medicines substitution practices of Australian community pharmacists and patient acceptance. Health Policy. 2011;99(2):139–48.CrossRefPubMed
50.
Zurück zum Zitat Mey A, Knox K, Kelly F, Davey AK, Fowler J, Hattingh L, et al. Trust and safe spaces: mental health consumers’ and carers’ relationships with community pharmacy staff. Patient. 2013;6(4):281–9.CrossRefPubMed Mey A, Knox K, Kelly F, Davey AK, Fowler J, Hattingh L, et al. Trust and safe spaces: mental health consumers’ and carers’ relationships with community pharmacy staff. Patient. 2013;6(4):281–9.CrossRefPubMed
51.
Zurück zum Zitat McMillan SS, Sav A, Kelly F, King MA, Whitty JA, Wheeler AJ. How to attract them and keep them: the pharmacy attributes that matter to Australian residents with chronic conditions. Int J Pharm Prac. 2013;22(4):238–45.CrossRef McMillan SS, Sav A, Kelly F, King MA, Whitty JA, Wheeler AJ. How to attract them and keep them: the pharmacy attributes that matter to Australian residents with chronic conditions. Int J Pharm Prac. 2013;22(4):238–45.CrossRef
52.
Zurück zum Zitat Kelley JM, Kraft-Todd G, Schapira L, Kossowsky J, Riess H. The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials. PloS one. 2014;9(4):e94207.PubMedCentralCrossRefPubMed Kelley JM, Kraft-Todd G, Schapira L, Kossowsky J, Riess H. The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials. PloS one. 2014;9(4):e94207.PubMedCentralCrossRefPubMed
53.
Zurück zum Zitat Swain L. Pharmacy assistant school-based traineeships for Aboriginal students. Aust Pharm. 2010;29(10):814. Swain L. Pharmacy assistant school-based traineeships for Aboriginal students. Aust Pharm. 2010;29(10):814.
54.
Zurück zum Zitat Kendall E, Barnett L. Principles for the development of Aboriginal health interventions: culturally appropriate methods through systemic empathy. Ethn Health. 2014:1–16 (2014/07/06 ed). Kendall E, Barnett L. Principles for the development of Aboriginal health interventions: culturally appropriate methods through systemic empathy. Ethn Health. 2014:1–16 (2014/07/06 ed).
55.
Zurück zum Zitat Australian Institute of Health and Welfare. Aboriginal and Torres Strait Islander Health Performance Framework 2012. Canberra: Australian Institute of Health and Welfare; 2013. Australian Institute of Health and Welfare. Aboriginal and Torres Strait Islander Health Performance Framework 2012. Canberra: Australian Institute of Health and Welfare; 2013.
57.
Zurück zum Zitat Australian Institute of Health and Welfare. Australia’s health 2012. Australia’s health no. 13. Cat. no. AUS 156. Canberra: Australian Institute of Health and Welfare; 2012. Australian Institute of Health and Welfare. Australia’s health 2012. Australia’s health no. 13. Cat. no. AUS 156. Canberra: Australian Institute of Health and Welfare; 2012.
58.
Zurück zum Zitat Whitty JA, Sav A, Kelly F, King MA, McMillan SS, Kendall E, et al. Chronic conditions, financial burden and pharmaceutical pricing: insights from Australian consumers. Aust Health Rev. 2014;38(5):589–95.CrossRefPubMed Whitty JA, Sav A, Kelly F, King MA, McMillan SS, Kendall E, et al. Chronic conditions, financial burden and pharmaceutical pricing: insights from Australian consumers. Aust Health Rev. 2014;38(5):589–95.CrossRefPubMed
60.
Zurück zum Zitat Briesacher BA, Gurwitz JH, Soumerai SB. Patients at-risk for cost-related medication nonadherence: a review of the literature. J Gen Intern Med. 2007;22(6):864–71.PubMedCentralCrossRefPubMed Briesacher BA, Gurwitz JH, Soumerai SB. Patients at-risk for cost-related medication nonadherence: a review of the literature. J Gen Intern Med. 2007;22(6):864–71.PubMedCentralCrossRefPubMed
61.
Zurück zum Zitat Hynd A, Roughead EE, Preen DB, Glover J, Bulsara M, Semmens J. Increased patient co-payments and changes in PBS-subsidised prescription medicines dispensed in Western Australia. Aust N Z J Public Health. 2009;33(3):246–52.CrossRefPubMed Hynd A, Roughead EE, Preen DB, Glover J, Bulsara M, Semmens J. Increased patient co-payments and changes in PBS-subsidised prescription medicines dispensed in Western Australia. Aust N Z J Public Health. 2009;33(3):246–52.CrossRefPubMed
62.
Zurück zum Zitat Norris PT, Horsburgh S, Cumming J, Tordoff J. Prescription charge increases in New Zealand penalise the poor and sick. J Prim Health Care. 2014;6(1):4–5.PubMed Norris PT, Horsburgh S, Cumming J, Tordoff J. Prescription charge increases in New Zealand penalise the poor and sick. J Prim Health Care. 2014;6(1):4–5.PubMed
63.
Zurück zum Zitat Choudhry NK, Bykov K, Shrank WH, Toscano M, Rawlins WS, Reisman L, et al. Eliminating medication copayments reduces disparities in cardiovascular care. Health Aff (Millwood). 2014;33(5):863–70.CrossRef Choudhry NK, Bykov K, Shrank WH, Toscano M, Rawlins WS, Reisman L, et al. Eliminating medication copayments reduces disparities in cardiovascular care. Health Aff (Millwood). 2014;33(5):863–70.CrossRef
64.
Zurück zum Zitat McMillan SS, Wheeler AJ, Sav A, King MA, Whitty JA, Kendall E, et al. Community pharmacy in Australia: the health hub destination of the future. Res Soc Admin Pharm. 2013;9(6):863–75.CrossRef McMillan SS, Wheeler AJ, Sav A, King MA, Whitty JA, Kendall E, et al. Community pharmacy in Australia: the health hub destination of the future. Res Soc Admin Pharm. 2013;9(6):863–75.CrossRef
Metadaten
Titel
Consumers and Carers Versus Pharmacy Staff: Do Their Priorities for Australian Pharmacy Services Align?
verfasst von
Sara S. McMillan
Fiona Kelly
Adem Sav
Elizabeth Kendall
Michelle A. King
Jennifer A. Whitty
Amanda J. Wheeler
Publikationsdatum
01.10.2015
Verlag
Springer International Publishing
Erschienen in
The Patient - Patient-Centered Outcomes Research / Ausgabe 5/2015
Print ISSN: 1178-1653
Elektronische ISSN: 1178-1661
DOI
https://doi.org/10.1007/s40271-014-0105-9

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