Exploratory research in clinical and social pharmacy最新文献

{"title":"Knowledge, perceptions, facilitators, and barriers towards asthma self-management among patients: A systematic review of the literature","authors":"Saba Alyas ,&nbsp;Rabia Hussain ,&nbsp;Bayan Faisal Ababneh ,&nbsp;Siew Chin Ong ,&nbsp;Zaheer-Ud-Din Babar","doi":"10.1016/j.rcsop.2024.100558","DOIUrl":"10.1016/j.rcsop.2024.100558","url":null,"abstract":"<div><h3>Background</h3><div>Asthma self-management is an effective approach that empowers patients with asthma to control their condition and reduce its impact on their daily lives.</div></div><div><h3>Objective</h3><div>This systematic review aims to synthesize evidence regarding the knowledge, perceptions, facilitators, and barriers related to asthma self-management among patients.</div></div><div><h3>Methods</h3><div>A systematic literature search was conducted across five databases (PubMed, Science Direct, Scopus, Web of Science, and Google Scholar) using specific key terms. Studies that reported knowledge, perceptions, facilitators and barriers towards asthma self-management were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed to report this review. All the data from included studies were analyzed through narrative synthesis approach.</div></div><div><h3>Results</h3><div>A total of 17 studies were included in this review. The findings indicated that most patients had inadequate knowledge of asthma self-management, particularly regarding asthma fundamentals, and inhaler techniques. Patients' cultural beliefs, and perceived social stigma influenced their self-management practices. Facilitators of asthma self-management included strong partnerships with healthcare providers, social support, access to medication, and having a written asthma action plan. Conversely, poor communication with healthcare professionals, travel, smoking, and workplace challenges were identified as barriers.</div></div><div><h3>Conclusion</h3><div>There is a pressing need for education and training programs to enhance understanding of the disease, and inhaler technique in patients with asthma. Healthcare professionals should create tailored asthma action plans according to patients' beliefs and needs. Moreover, healthcare policies should be developed to promote facilitators and address barriers, to ensure effective asthma management.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"17 ","pages":"Article 100558"},"PeriodicalIF":1.8,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging the gap: Enhancing pharmacist-physiscian collaboration through the provision of comprehensive medication reviews in community pharmacy","authors":"Ana I. Sanchez-Molina ,&nbsp;Shalom I. Benrimoj ,&nbsp;Ramon Ferri-Garcia ,&nbsp;Fernando Martinez-Martinez ,&nbsp;Miguel Angel Gastelurrutia ,&nbsp;Noelia Amador-Fernandez ,&nbsp;Victoria Garcia-Cardenas","doi":"10.1016/j.rcsop.2024.100555","DOIUrl":"10.1016/j.rcsop.2024.100555","url":null,"abstract":"<div><h3>Background</h3><div>Collaborative practice between physicians and pharmacists is particularly important in the provision of pharmacy services, such as Comprehensive Medication Reviews (CMR), which often require a close coordination between these professionals. Understanding the level and nature of this collaboration can assist in the development of strategies to enhance integrated care.</div></div><div><h3>Objectives</h3><div>(1) To evaluate the changes in level of collaborative practice between community pharmacists and physicians in the context of a CMR service compared to usual practice, from the perspective of community pharmacists, and (2) to explore the determinants of such collaborative practice.</div></div><div><h3>Design</h3><div>This research was conducted alongside a 12-months prospective longitudinal observational study.</div></div><div><h3>Methods</h3><div>Community pharmacists providing CMR and pharmacists providing usual care (nCMR) from six provinces in Spain participated in the study. To measure the level of collaborative practice from the perspective of the community pharmacist, a previously validated tool was used. Collaborative practice was assessed at baseline, 6 months and 12 months. A multiple regression analysis was undertaken.</div></div><div><h3>Results</h3><div>323 pharmacists participated in the study. At the 12-month time point there were statistical differences between CMR and nCMR groups for all factors considered in the level of collaborative practice. Determinants which showed positive significant differences between groups included: rural location of the pharmacy, pharmacists being a pharmacy owner, and female gender of the physician. The age of the pharmacist was negatively associated with higher levels of collaborative practice.</div></div><div><h3>Conclusion</h3><div>The study provides novel evidence on the level and nature of the collaborative practice between community pharmacists and physicians.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"17 ","pages":"Article 100555"},"PeriodicalIF":1.8,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review of the knowledge, attitude and practice of healthcare professionals and healthcare professional students towards household pharmaceutical waste disposal","authors":"Sheng Yuan Hiew,&nbsp;Bee Yean Low","doi":"10.1016/j.rcsop.2024.100556","DOIUrl":"10.1016/j.rcsop.2024.100556","url":null,"abstract":"<div><h3>Background</h3><div>Active pharmaceutical residues introduced into the environment through irresponsible household disposal of unused and expired medication can damage nature and health. Through medication take-back programmes, these risks can be mitigated. However, healthcare professionals' neglect of their responsibility to ensure proper disposal practices has perpetuated subpar norms among the public.</div></div><div><h3>Objectives</h3><div>The objectives of this systematic review were to assess the knowledge, attitude, and practice of household pharmaceutical waste disposal among healthcare professionals and healthcare professional students as well as to compare their respective levels of knowledge, attitude and practice.</div></div><div><h3>Methods</h3><div>A systematic search of published articles from 2014 to 2023 in three online journal databases (Pubmed, Scopus, and Web of Science) yielded an initial pool of 10,381 records, which was narrowed down by title and abstract screening to 46 relevant publications for full-text examination and the final inclusion of 21 papers for data extraction and synthesis.</div></div><div><h3>Results</h3><div>The findings revealed deficiencies in academic curricula and medication disposal training, leading to inadequate knowledge and perceptions among healthcare professionals. Many healthcare professionals consider public education about safe medication disposal practices to be outside their job descriptions, leading to infrequent communication of medication disposal methods to their consumers and service users. Additionally, inadequate and inaccessible infrastructure further hinders proper medication disposal practices despite awareness of the consequences.</div></div><div><h3>Conclusions</h3><div>This study provides insights for policymakers and educators to address these and enhance healthcare professionals' participation in improving safe medication disposal practices. Efforts to strengthen training programmes, incorporate comprehensive education on medication disposal into curricula, and improve infrastructure for safe medication disposal are essential to effectively address the issue of household pharmaceutical waste disposal.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"17 ","pages":"Article 100556"},"PeriodicalIF":1.8,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-development of a community pharmacy training regarding fentanyl and xylazine test strips","authors":"Grace Marley ,&nbsp;Cheryl Viracola ,&nbsp;Ainsley Bryce ,&nbsp;Anthony Hudson ,&nbsp;Elizabeth Locklear ,&nbsp;Bayla Ostrach ,&nbsp;Delesha Carpenter","doi":"10.1016/j.rcsop.2024.100557","DOIUrl":"10.1016/j.rcsop.2024.100557","url":null,"abstract":"<div><h3>Introduction</h3><div>Fentanyl and xylazine test strips (FTS, XTS) are simple point-of-care tests that determine the presence of fentanyl or xylazine in a substance before use. Access to FTS and XTS is limited. For pharmacists who are willing to sell an FTS, there is little guidance about how to implement FTS sales and counseling as no training for community pharmacists regarding FTS and XTS exists. This article describes how a FTS and XTS training for community pharmacists was co-designed.</div></div><div><h3>Methods</h3><div>A co-design strategy was utilized that involved an advisory panel of eight members: three practicing community pharmacists, two harm reduction experts, a website developer, the director of practice advancement for the state pharmacy association, and a patient-provider communication expert. A total of six meetings occurred to develop the training over seven months from July 2023 to February 2024. The advisory panel met once a month to discuss training goals, develop training information, and revise and structure the training to ensure the acceptability and appropriateness of the training for North Carolina community pharmacists.</div></div><div><h3>Results</h3><div>The co-design strategy led to the development of a 6-module 30-min training. Module topics included information that stakeholders felt was most important to include: (1): What and Why of Test Strips, (2) Why pharmacies? (3) How to use/ “Best practices of testing” (4) Logistics (5) FAQs and (6) Resources. Panelists determined an online self-paced webinar would be most useful for pharmacists to reference when needed.</div></div><div><h3>Conclusion</h3><div>The inclusion of stakeholders, including product end-users, leads to the creation of content that is salient and feasible for pharmacists to implement, which may increase their ability to integrate a new pharmacy service (FTS and XTS sales and counseling) into their pharmacy workflow.</div></div><div><h3>Patient or public contribution</h3><div>This training was developed through a co-design strategy for community pharmacists with community pharmacist input. This training also utilized feedback from harm reduction experts who have trained people who use drugs on the best practices of testing their substances with FTS and XTS. The incorporation of their feedback was integral to the development of this training and will ensure that the training is feasible for the pharmacist to integrate into their workflow.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"17 ","pages":"Article 100557"},"PeriodicalIF":1.8,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging gaps in medication therapy management at community health centers: A mixed-methods study on patient perceptions and pharmacists' preparedness","authors":"Nanang Munif Yasin ,&nbsp;Fivy Kurniawati ,&nbsp;Firda Ridhayani","doi":"10.1016/j.rcsop.2024.100554","DOIUrl":"10.1016/j.rcsop.2024.100554","url":null,"abstract":"<div><h3>Background</h3><div>The primary goals of Medication Therapy Management (MTM) are to avoid pharmaceutical mistakes, facilitate accessible therapy, and encourage patients to actively participate in their health management.</div></div><div><h3>Objectives</h3><div>This study aimed to determine patients' perceptions of MTM services, evaluate the knowledge, attitudes, and practices (KAP) of Community Health Center (CHC) pharmacists regarding MTM services, and develop strategies to improve MTM services in CHCs.</div></div><div><h3>Methods</h3><div>A mixed-method approach was designed in three parts. First, a study was conducted with diabetic or hypertensive patients at CHCs around Yogyakarta to assess their perceptions of MTM elements and benefits. Second, a survey was conducted among CHC pharmacists to determine their KAP concerning MTM and the current service provided. In the third part, findings from the second stage were used to establish appropriate MTM services for CHCs through focus group discussions (FGDs) and to explore obstacles to implementation. Qualitative data were analyzed using inductive content analysis.</div></div><div><h3>Results</h3><div>Among 117 patient participants, over 60.0 % perceived positive benefits from five elements of MTM. Among 37 pharmacist participants, 19 (51.4 %) of them did not understand MTM concepts, with 14 (37.9 %) pharmacists demonstrating a low level of knowledge. Nearly all pharmacists held a positive attitude towards MTM. Time constraints were identified as barriers to MTM implementation. Based on the FGD with 24 pharmacists, three main themes and ten sub-themes were identified.</div></div><div><h3>Conclusions</h3><div>MTM services have not been fully implemented by pharmacists at CHCs. Future implementation of MTM is expected to be more adaptive to the CHCs condition, integrated with existing systems, standardized in terms of procedures and facilities.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"17 ","pages":"Article 100554"},"PeriodicalIF":1.8,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High alert medications off the radar: A systematic review","authors":"Michelle Santos Menezes,&nbsp;Fernanda Valença-Feitosa,&nbsp;Aline Santana Góes,&nbsp;Millena Rakel dos Santos,&nbsp;Laila Santana Silva,&nbsp;Sylmara Nayara Pereira dos Santos,&nbsp;Divaldo Pereira de Lyra Jr,&nbsp;Alfredo Dias de Oliveira Filho","doi":"10.1016/j.rcsop.2024.100551","DOIUrl":"10.1016/j.rcsop.2024.100551","url":null,"abstract":"<div><h3>Objective</h3><div>To identify new drugs that present an increased risk of causing significant damage to critically ill patients due to failure in the administration process.</div></div><div><h3>Method</h3><div>The systematic literature review was conducted in the PubMed, Lilacs, Scopus, Web of Science and gray literature. The year in which the study was conducted was not restricted.</div></div><div><h3>Results</h3><div>The initial search in the databases identified 1477 studies. Fifty manuscripts were selected for evaluation of the full text, at the end of which seven articles were included in this systematic review. As for the characteristic of medication errors, the highest frequency occurred in the administration and prescription phases. In all included studies, incidents with drugs that led to damage were observed. The drugs that are not included in the official lists as High Alert Medications (HAM) that presented an increased risk of causing damage due to medication errors found were: risperidone and piperacycline + tazobactan, in addition to the Infectious Agent class.</div></div><div><h3>Conclusion</h3><div>The results revealed that in fact there are drugs not listed as HAM that, when used in errors, promote greater risks of generating damage in critically ill patients. These described drugs should be considered for inclusion in future official lists of HAM.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"17 ","pages":"Article 100551"},"PeriodicalIF":1.8,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing community antibiotic usage and adherence as per standard treatment guidelines: A potential area to enhance awareness at community pharmacy settings","authors":"Abdullah Al Masud ,&nbsp;Ramesh Lahiru Walpola ,&nbsp;Malabika Sarker ,&nbsp;Alamgir Kabir ,&nbsp;Muhammad Asaduzzaman ,&nbsp;Md Saiful Islam ,&nbsp;Ayesha Tasnim Mostafa ,&nbsp;Zubair Akhtar ,&nbsp;Holly Seale","doi":"10.1016/j.rcsop.2024.100552","DOIUrl":"10.1016/j.rcsop.2024.100552","url":null,"abstract":"<div><h3>Background</h3><div>Antibiotic nonadherence significantly contributes to poor treatment outcomes and antimicrobial resistance. In Southeast Asia, including Bangladesh, community pharmacies are crucial in primary healthcare, and are key sources of over-the-counter antibiotics. However, understanding of adherence to the full course of community-dispensed antibiotics is limited. This study measured antibiotic adherence to Bangladesh government and WHO Standard Treatment Guidelines (STGs) among patients at community pharmacies and identifies associated factors.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted via phone among 358 respondents from four urban and rural areas of Bangladesh who participated in a previous antibiotic purchasing behavior survey. Descriptive analysis identified antibiotic use patterns, and adherence to the full course of antibiotics was assessed against STGs recommendations. Poisson regression model was used to explore correlations between patients' demographic characteristics, knowledge of antibiotic dosage, dosage regimen, and type of health-symptoms and adherence to the full course of antibiotics.</div></div><div><h3>Results</h3><div>Adherence to antibiotic dosage per STGs was 40.5 %. Patients consulting a registered medical practitioner were significantly more likely to adhere (Adj-PR: 3.81, 95 % CI: 2.82–5.14) compared to those who did not. Males were 32.0 % less likely to adhere than females (Adj-PR: 0.68, 95 % CI: 0.54–0.86). Rural residents demonstrated 37.0 % lower adherence compared to urban (Adj- PR: 0.63, 95 % CI: 0.45–0.87). Respondents who recalled the antibiotic dosage had a higher likelihood of adherence (Adj-PR: 2.04, 95 % CI: 1.06–3.93). Patients on 12-hourly regimens had higher adherence (Adj-PR: 1.55, 95 % CI: 1.03–2.33) than 6-hourly regimens. Patients with uncomplicated skin-infections had higher adherence (Adj-PR: 1.72, 95 % CI: 1.22–2.47), while other symptoms showed no significant association.</div></div><div><h3>Conclusion</h3><div>Targeted interventions in diverse healthcare settings are essential, including user-centric research and enhancing patient knowledge and involvement. Strengthening patient-physician relationships and involving community pharmacies in antimicrobial stewardship programs can improve antibiotic dispensing and counselling practices among drug-sellers.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"17 ","pages":"Article 100552"},"PeriodicalIF":1.8,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing E-pharmacy adoption in India: A study of user experiences through interpretative phenomenological analysis","authors":"Kushal Pal Singh,&nbsp;Pawan Kumar","doi":"10.1016/j.rcsop.2024.100550","DOIUrl":"10.1016/j.rcsop.2024.100550","url":null,"abstract":"<div><div>The rapid growth of e-commerce has led to the emergence of e-pharmacies, which enable consumers to purchase prescription medications online. This study aims to explore the factors influencing the adoption of e-pharmacies in India through an interpretative phenomenological analysis (IPA) approach. Twelve in-depth interviews were conducted with individuals who had experience ordering prescription medicines through e-pharmacies. The findings revealed that constructs from the UTAUT2 model, including performance expectancy, effort expectancy, social influence, facilitating conditions, price value, and habit, played a significant role in the adoption of e-pharmacies. Construct hedonic motivation, from UTAUT2, was found to be weakly significant in explaining the adoption of e-pharmacy. Additionally, health literacy was identified as a key factor, with e-pharmacy users demonstrating higher levels of health literacy. However, perceived risks, such as performance, financial, privacy, and psychological risks, were found to negatively influence the adoption of e-pharmacies. The study proposes, based on findings, a research model to understand consumer behavior in the adoption of e-pharmacies. The findings suggest that the presence of favorable conditions, such as convenience, accessibility, user-friendly interfaces, social influence, internet accessibility, integrated healthcare services, diverse payment methods, and price advantages, have contributed to the widespread acceptance and adoption of e-pharmacy services in India. The study highlights the need for future research to employ quantitative or mixed methods approaches to address the limitations of the current exploratory study and to investigate the multifaceted determinants of e-pharmacy adoption in different geographical contexts.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"17 ","pages":"Article 100550"},"PeriodicalIF":1.8,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing work in community pharmacy: What preferences do community pharmacists and pharmacy technicians have for a better allocation of daily activities?","authors":"Jean-Didier Bardet ,&nbsp;Jérôme Combe ,&nbsp;Arnaud Tanty ,&nbsp;Perrine Louvier ,&nbsp;Mathieu Granjon ,&nbsp;Benoît Allenet","doi":"10.1016/j.rcsop.2024.100549","DOIUrl":"10.1016/j.rcsop.2024.100549","url":null,"abstract":"<div><h3>Objective</h3><div>Pharmacy work encompasses two main streams. These are logistic flow (the supply and distribution of healthcare products) and pharmaceutical flow (the dispensing and provision of pharmacy services). The pharmaceutical flow has increased significantly with the introduction of reimbursed services such as Rapid Diagnostic Tests, chronic disease screening, minor ailment prescriptions, vaccine prescription and administration, and medication reviews. The implementation of new pharmacy services requires efficiency. The main objective of the survey presented here was to determine the preferences of community pharmacists and pharmacy technicians in relation to the assignment of tasks within the community pharmacy team.</div></div><div><h3>Method</h3><div>The survey, which used the Best-Worst Scaling (BWS) method, presented 13 daily pharmacy activities to community pharmacists (CPs) and pharmacy technicians (PTs). Descriptive statistics and Bayesian logistic regression were used to analyse the data.</div></div><div><h3>Key findings</h3><div>The results indicate that medication dispensing is a shared activity between CPs and PTs, for which the latter already have partial autonomy. Management of nursing home orders and supplies tends to be assigned to pharmacy technicians, whereas clinical pharmacy services such as prescription renewal, medication reviews, and counselling are considered to be more within the CPs' domain. CPs would readily delegate tasks like screening procedures to PTs. PTs express interest in minor ailment prescribing, a responsibility CPs are not yet ready to entrust to them.</div></div><div><h3>Conclusions</h3><div>Delegating logistical activities to pharmacy technicians could enable community pharmacists to focus on specialized pharmaceutical care, thereby improving the efficiency and quality of the services offered to patients. However, the reorganization of tasks should not only be implemented from a logistical standpoint since pharmacy technicians also share an interest in pharmaceutical care.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"17 ","pages":"Article 100549"},"PeriodicalIF":1.8,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Drug utilisation research and medicine access in Mozambique: An overview","authors":"Roger Wiseman ,&nbsp;Ilse Truter","doi":"10.1016/j.rcsop.2024.100548","DOIUrl":"10.1016/j.rcsop.2024.100548","url":null,"abstract":"<div><div>Access to medicine is fundamental to the provision of equitable health systems. However, availability of affordable quality-assured medicines continues to be poor, especially in Low- and Middle-Income Countries (LMICs). Targeted efforts associated with transparency and accountability around medicine utilisation are required in LMICs to address this problem. With the increased global focus on improved access to medicines, there is a heightened imperative to understand the current landscape of medicine prescribing in these territories. In Sub-Saharan Africa, drug utilisation research is generally under-developed due to the lack of access to databases that capture prescribed drug utilisation information. The advent of private health insurance in many African countries, including Mozambique, where the average life expectancy at birth is of the lowest in Sub-Saharan Africa, has created an opportunity to collect comprehensive medicine-related prescription data to facilitate monitoring and evaluation of medicine use thereby assisting in directing medicine-related policy. This overview focuses on Mozambique as one such country where future drug utilisation studies might assist in informing medicine-related health policy and improving medicine access. In addition, it explores drug utilisation as a research methodology and how it might be of assistance in meeting Mozambique's unmet needs.</div></div>","PeriodicalId":73003,"journal":{"name":"Exploratory research in clinical and social pharmacy","volume":"17 ","pages":"Article 100548"},"PeriodicalIF":1.8,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}