Back to Search
Start Over
Patient-pharmacist communication during a post-discharge pharmacist home visit
- Source :
- International Journal of Clinical Pharmacy, 40(3), 712. Springer, International Journal of Clinical Pharmacy
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- Background With the shifting role of community pharmacists towards patient education and counselling, they are well-positioned to conduct a post-discharge home visit which could prevent or solve drug-related problems. Gaining insight into the communication during these home visits could be valuable for optimizing and consequently improving patient safety at readmission to primary care. Objective To assess patient-pharmacist communication during a post-discharge home visit. Setting The homes of patients recently discharged from a single general hospital in the Netherlands. Methods Pharmacists used a semi-structured protocol to guide the consultations and audiorecorded them. Sixty audio-recordings were included for a qualitative analysis in this study with the help of NVivo version 11 software. Main outcome measure (1) Initiator and topics under discussion. (2) Frequency of discussion of topics as per coded in themes and subthemes. Results Issues regarding the administration and use of medication, e.g. regimen and actual drug-taking issues, knowledge gaps regarding their medication and patients' health were discussed most frequently, followed by medication logistics and medication effectiveness. Patients' beliefs about their medication and adherence were less frequently discussed. The pharmacist initiated the majority of these topics. Additional non-protocolled topics were scarce and consisted mainly of patient-initiated dissatisfaction regarding the community pharmacy or health insurers. Conclusion Community pharmacists most frequently initiated practical issues, but explored patients' medication beliefs less adequately. Discussing these beliefs might be easier by increasing patient engagement in the consultation and providing training programs for pharmacists.
- Subjects :
- Male
medicine.medical_specialty
education
Pharmacist
Pharmaceutical Science
Pharmacy
Community Pharmacy Services
Toxicology
03 medical and health sciences
Patient safety
Patient-provider communication
Professional Role
0302 clinical medicine
Patient satisfaction
Patient Education as Topic
medicine
House call
Humans
Pharmacology (medical)
030212 general & internal medicine
Home visits
Hospital discharge
Aged
Pharmacology
Protocol (science)
business.industry
Communication
030503 health policy & services
The Netherlands
Professional-Patient Relations
Middle Aged
Patient Discharge
Community pharmacist
House Calls
Regimen
Transitions of care
Patient Satisfaction
Family medicine
Continuity of care
Female
Seamless care
0305 other medical science
business
Research Article
Patient education
Subjects
Details
- ISSN :
- 22107711 and 22107703
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- International Journal of Clinical Pharmacy
- Accession number :
- edsair.doi.dedup.....ec974aac4520e560df834922fb375321
- Full Text :
- https://doi.org/10.1007/s11096-018-0639-3