Rébecca Fénélon-Dimanche1,2,3,4,5, Line Guénette1,2,3,4,5, Alia Yousif1,2,3,4,5, Geneviève Lalonde1,2,3,4,5, Marie-France Beauchesne1,2,3,4,5, Johanne Collin1,2,3,4,5, Lucie Blais1,2,3,4,5. 1. Faculty of Pharmacy (Fénélon-Dimanche, Yousif, Lalonde, Beauchesne, Collin, Blais), Université de Montréal, Montréal. 2. Research Centre, CIUSSS du Nord-de-l'île de Montréal (Fénélon-Dimanche, Yousif, Lalonde, Beauchesne, Collin, Blais), Montréal. 3. Faculty of Pharmacy, Université Laval (Guénette), Québec. 4. CHU de Québec Research Centre (Guénette), Population Health and Optimal Health Practices Research Unit, Québec. 5. Research Centre, CIUSSS de l'Estrie-Centre Hospitalier Universitaire de Sherbrooke (Beauchesne), Sherbrooke, Québec.
Abstract
BACKGROUND: Community pharmacists have direct access to prescription refill information and regularly interact with their patients. Therefore, they are in a unique position to promote optimal medication use. OBJECTIVES: To describe how community pharmacists in Quebec, Canada, identify nonadherent patients, monitor medication use and promote optimal medication adherence. METHODS: An invitation to complete a web-based survey was published online through different platforms, including a Facebook pharmacists' group, an electronic newsletter, a pharmacy network forum and e-mail. The survey included questions on participant characteristics, methods used by pharmacists to identify nonadherent patients and monitor medication use and interventions they used to promote medication adherence. RESULTS: In total, 342 community pharmacists completed the survey. The participants were mainly women (71.6%), staff pharmacists (56.7%) and aged 30 to 39 years (34.2%). The most common method to identify nonadherent patients was to check gaps between prescription refills (98.8%). The most common intervention to promote adherence was patient counselling (82.5%). The most common barriers to identifying nonadherent patients were lack of time (73.1%) and lack of prescription information (65.8%), whereas the most common barriers to intervening were anticipation of a negative reaction from their patients (91.2%) and lack of time (64%). CONCLUSION: Lack of time and lack of prescription information are frequent challenges encountered by community pharmacists regarding effective monitoring and management of patients with poor medication adherence. Pharmacists could benefit from electronic tools based on prescription refills that would provide quick and easily interpretable information on their patients' medication adherence. Can Pharm J (Ott) 2020;153:xx-xx.
BACKGROUND: Community pharmacists have direct access to prescription refill information and regularly interact with their patients. Therefore, they are in a unique position to promote optimal medication use. OBJECTIVES: To describe how community pharmacists in Quebec, Canada, identify nonadherent patients, monitor medication use and promote optimal medication adherence. METHODS: An invitation to complete a web-based survey was published online through different platforms, including a Facebook pharmacists' group, an electronic newsletter, a pharmacy network forum and e-mail. The survey included questions on participant characteristics, methods used by pharmacists to identify nonadherent patients and monitor medication use and interventions they used to promote medication adherence. RESULTS: In total, 342 community pharmacists completed the survey. The participants were mainly women (71.6%), staff pharmacists (56.7%) and aged 30 to 39 years (34.2%). The most common method to identify nonadherent patients was to check gaps between prescription refills (98.8%). The most common intervention to promote adherence was patient counselling (82.5%). The most common barriers to identifying nonadherent patients were lack of time (73.1%) and lack of prescription information (65.8%), whereas the most common barriers to intervening were anticipation of a negative reaction from their patients (91.2%) and lack of time (64%). CONCLUSION: Lack of time and lack of prescription information are frequent challenges encountered by community pharmacists regarding effective monitoring and management of patients with poor medication adherence. Pharmacists could benefit from electronic tools based on prescription refills that would provide quick and easily interpretable information on their patients' medication adherence. Can Pharm J (Ott) 2020;153:xx-xx.
Authors: Joshua S Benner; Robert J Glynn; Helen Mogun; Peter J Neumann; Milton C Weinstein; Jerry Avorn Journal: JAMA Date: 2002 Jul 24-31 Impact factor: 56.272
Authors: Nathaniel M Rickles; Gary J Young; Judith A Hall; Carey Noland; Ayoung Kim; Conner Peterson; Mina Hong; John Hale Journal: Patient Educ Couns Date: 2015-10-22