Does advice from pharmacy staff vary according to the nonprescription medicine requested?

Show simple item record Kelly, Fiona en Williams, KA en Benrimoj, SI en 2012-04-11T00:56:09Z en 2009 en
dc.identifier.citation Annals of Pharmacotherapy 43(11):1877-1886 2009 en
dc.identifier.issn 1060-0280 en
dc.identifier.uri en
dc.description.abstract BACKGROUND: Community pharmacy has long been advocated as an appropriate gateway of supply for nonprescription medicines and health-related advice. Consumers sometimes self-treat the symptoms of minor illness, yet there is conflicting evidence over their ability to do so properly. Emerging trends also suggest a variable approach to nonprescription medicine supply by pharmacy staff. Understanding of this is limited and more structured exploration is needed. OBJECTIVE: To explore variation in pharmacy staff response to requests for nonprescription medicines from different legislative schedules through analysis of data collected using pseudo-patient methods. METHODS: Consumers posed as pharmacy patrons (ie, pseudo-patients, simulated patients) and requested 1 of 3 specific nonprescription medicines by name. Two of these, ibuprofen and a branded cold and flu medication, could be sold by any pharmacy staff member (these were considered Pharmacy Medicine). The third, a combination analgesic containing paracetamol (acetaminophen), codeine, and doxylamine, required pharmacist involvement in the sale (considered Pharmacist Only Medicine). Pseudo-patient visits measured the service provided in each pharmacy by observing whether staff performed particular behaviors such as providing advice regarding the drugs. RESULTS: Staff response was generally superior when pseudo-patients requested the combination analgesic that required pharmacist intervention. Medicine advice was provided verbally to 84.9% of pseudo-patients requesting this analgesic compared with 51.1% of those requesting the cold and flu medication. Similar trends were observed for other behaviors. CONCLUSIONS: Emerging patterns imply that pharmacy staff response may vary according to the medicine requested. It may be that pharmacists and their staff prioritize drugs or behaviors that they consider critically relevant as part of a risk management approach. This has possible implications for future scheduling policy. Further research using a range of scenarios would more fully explore the breadth of such behavior. This would aid identification of medicines that trigger professional intervention and inform development of targeted training programs. en
dc.description.uri en
dc.publisher Harvey Whitney Books Company en
dc.relation.ispartofseries Annals of Pharmacotherapy en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are en
dc.rights.uri en
dc.title Does advice from pharmacy staff vary according to the nonprescription medicine requested? en
dc.type Journal Article en
dc.identifier.doi 10.1345/aph.1L121 en
pubs.issue 11 en
pubs.begin-page 1877 en
pubs.volume 43 en
dc.rights.holder Copyright: Harvey Whitney Books Company en
dc.identifier.pmid 19843841 en
pubs.end-page 1886 en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 86393 en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 19843841 en

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