Literature DB >> 9476083

A pathway to the GP: the pharmaceutical 'consultation' as a first port of call in primary health care.

K Hassell1, P R Noyce, A Rogers, J Harris, J Wilkinson.   

Abstract

OBJECTIVE: This study explored advice-giving behaviour of staff in community pharmacies in order to generate fresh insights into the nature, sequence and process of pharmacy consultations for minor ailment advice.
METHOD: An ethnographic-style research strategy was used, combining staff and patient interviews, with non-participant observation of medicines and health-related interactions between pharmacy users and staff. One full week was spent in each of ten pharmacies.
RESULTS: The study highlighted that patients use pharmacies for treatment of minor ailments, sometimes before going to the GP, and sometimes in preference to the GP. By matching remedies to conditions, community pharmacy staff play a major role in keeping minor ailments out of general practice, but act as an agent of referral in cases which merit a GP consultation.
CONCLUSION: It is in the interests of GPs to 'exploit' the advisory role of the pharmacist. A two-way referral system would allow doctors to build on the professional skills of the pharmacist as an over-the-counter expert, while ensuring that pharmacists have a channel through which to filter patients with potentially serious illnesses.

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Year:  1997        PMID: 9476083     DOI: 10.1093/fampra/14.6.498

Source DB:  PubMed          Journal:  Fam Pract        ISSN: 0263-2136            Impact factor:   2.267


  14 in total

1.  Referrals of dyspeptic self-care patients from pharmacies to physicians, supported by clinical guidelines.

Authors:  Bertil Marklund; Tommy Westerlund; Jan-Olof Brånstad; Magnus Sjöblom
Journal:  Pharm World Sci       Date:  2003-08

2.  A patient led NHS: managing demand at the interface between lay and primary care.

Authors:  A Rogers; V Entwistle; D Pencheon
Journal:  BMJ       Date:  1998-06-13

3.  Evaluation of clinical reasoning in basic emergencies using a script concordance test.

Authors:  Caroline Boulouffe; Bernard Charlin; Dominique Vanpee
Journal:  Am J Pharm Educ       Date:  2010-12-15       Impact factor: 2.047

4.  Development of a decision support system for the practice of responsible self-medication.

Authors:  Chiara E da Rocha; Felipe A S Lessa; Daniel O Venceslau; Celso S Sakuraba; Izadora M C Barros; Divaldo P de Lyra
Journal:  Int J Clin Pharm       Date:  2015-12-29

5.  Indigenous and immigrant populations' use and experience of community pharmacies in New Zealand.

Authors:  James A Green; Kasey Brown; Jason Burgess; Doris Chong; Kevin Pewhairangi
Journal:  J Immigr Minor Health       Date:  2013-02

6.  Medication management surrounding transitions of care: A qualitative assessment of community pharmacists' preferences (MEMO TOC).

Authors:  Miranda Hambrook; Shaylee Peterson; Sean Gorman; Greg Becotte; Andrea Burrows
Journal:  Can Pharm J (Ott)       Date:  2020-08-27

7.  Is there a role for community pharmacists in promoting oral health?

Authors:  R S Mann; W Marcenes; D G Gillam
Journal:  Br Dent J       Date:  2015-03-13       Impact factor: 1.626

Review 8.  New roles for pharmacists in community mental health care: a narrative review.

Authors:  Maria Rubio-Valera; Timothy F Chen; Claire L O'Reilly
Journal:  Int J Environ Res Public Health       Date:  2014-10-21       Impact factor: 3.390

9.  Patients perception of community pharmacist in bosnia and herzegovina.

Authors:  Tarik Catic; Fatima Insanic Jusufovic; Vedad Tabakovic
Journal:  Mater Sociomed       Date:  2013

10.  Behavioural aspects surrounding medicine purchases from pharmacies in Australia.

Authors:  Lynne Emmerton
Journal:  Pharm Pract (Granada)       Date:  2008-09-15
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