Utilize este identificador para referenciar este registo: http://hdl.handle.net/10451/17906
Título: Pharmacists’ counseling protocols for minor ailments: A structure-based analysis
Autor: Cavaco, Afonso M.
Pereira, Pedro F.
Palavras-chave: Self-medication
Minor ailments
Pharmacy protocols
Pharmacist counseling
Data: 2012
Citação: Cavaco, Afonso M.; Pereira, Pedro F.Pharmacists’ counseling protocols for minor ailments: A structure-based analysis. Research in Social and Administrative Pharmacy, 8(1):87-100, 2012.
Resumo: Background Self-medication is an important component of health care. To optimize pharmacists’ over-the-counter counseling, there are several guidelines and protocols used in practice. In a self-care environment, protocols should comprise items related to patients’ autonomy. The structure of self-medication protocols, among other elements, should present steps to facilitate patients’ participation. Objective To analyze structural differences between existing community pharmacy minor ailment protocols, including those related to patient autonomy and empowerment in self-medication conditions. Methods The study design followed a cross-sectional descriptive approach. Self-medication protocols were systematically collected from 3 different professional sources (Pharmaceutical Society [OF], National Pharmacies Association [ANF], and Grupo Holon [GH]). A structural-based analysis, by comparison with the general self-medication OF standard protocol, produced outcome measures such as frequencies of flowchart critical steps, active pharmaceutical substances, dosage forms, and posologies. Simple scores were computed to assess protocols’ structural quality, as well as differences between protocols, produced by each professional organization. Results Forty-four protocols presented on average 8 counseling steps toward 10 different active substances, 7 dosages forms, and 14 posologic schemes. From a maximum of 30 critical items, 1 protocol scored 24, 7 scored 23, and 5 scored less than 15 items. Significant differences were found between protocols’ structural components from different sources, particularly between GHs’ protocols compared with those produced by OF and ANF. Conclusions In general, all protocols matched the OF standard for ailment characterization but fell short on steps related to medicine information and selection. Steps for patient participation and agreement were absent, as was pharmacists’ expected role of outcomes monitoring. It might be appropriate to redesign self-medication protocols, preferably through a consensus process that includes not only professionals’ but also patients’ preferences, starting from the prevalent conditions in Portuguese pharmacy practice.
Peer review: yes
URI: http://hdl.handle.net/10451/17906
DOI: http://dx.doi.org/10.1016/j.sapharm.2011.07.004
ISSN: 1551-7411
Versão do Editor: http://www.sciencedirect.com/science/article/pii/S1551741111000817
Aparece nas colecções:FF - Artigos em Revistas Internacionais

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