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المؤلفKashour, Tarek Seifaw
المؤلفJoury, Abdulaziz
المؤلفAlotaibi, Abdullah M.
المؤلفAlthagafi, Mahmoud
المؤلفAlmufleh, Aws S.
المؤلفHersi, Ahmad
المؤلفThalib, Lukman
تاريخ الإتاحة2016-10-10T07:35:20Z
تاريخ النشر2016-03
اسم المنشورEuropean Journal of Clinical Pharmacology
المعرّفhttp://dx.doi.org/10.1007/s00228-015-1981-1
الاقتباسKashour, T.S., Joury, A., Alotaibi, A.M. et al. " Quality of assessment and counselling offered by community pharmacists and medication sale without prescription to patients presenting with acute cardiac symptoms: a simulated client study" Eur J Clin Pharmacol (2016) 72: 321.
الرقم المعياري الدولي للكتاب0031-6970
معرّف المصادر الموحدhttp://hdl.handle.net/10576/4853
الملخصPURPOSE: Self-medication is common worldwide. However, the prevalence of sale of prescription medications without prescription and the quality of assessment and counselling provided by community pharmacists to cardiac patients is unknown. We sought to determine the prevalence of prescription medication sales and explore how pharmacists assess and counsel patients with acute cardiac conditions. METHODS: Six hundred community pharmacies in the two largest cities in Saudi Arabia were selected. Two simulated clients presented either an acute coronary syndrome (ACS) scenario or an acute heart failure (AHF) scenario to the pharmacists. Descriptive statistics and regression models were used to analyse and present the collected data. RESULTS: Of 600 pharmacies, 379 (63.2%) sold various prescription medications to simulated patients without prescription. Assessment and counselling provided by pharmacists were inadequate. Almost a quarter of pharmacists did not ask simulated patients any questions; 52% asked one or two questions; and only 24% asked three or more questions. Only 28 pharmacists (4.7%) inquired about drug allergies; 48.5% instructed simulated patients on the dosage and frequency of the sold medications; 21.6% provided instruction on treatment duration; and 19.4% gave instructions on dose, frequency, and duration of treatment. Compared to AHF, ACS simulated patients were more likely to be asked about other symptoms and comorbidities (59.7% vs. 48.7%, p = 0.007 and 46.3% vs. 37.3%, p = 0.005, respectively) and were more likely to be advised to go to hospital (70.3% vs. 56.3%, p < 0.001). CONCLUSIONS: The sale of prescription medications by community pharmacists to simulated cardiac patients without prescription is very common; assessment and counselling qualities are suboptimal.
اللغةen
الناشرSpringer-Verlag
الموضوعAcute coronary syndrome
Acute heart failure
Community pharmacies
Counselling
Simulated-client
العنوانQuality of assessment and counselling offered by community pharmacists and medication sale without prescription to patients presenting with acute cardiac symptoms: a simulated client study
النوعArticle
الصفحات321-328
رقم العدد3
رقم المجلد72
ESSN1432-1041
dc.accessType Abstract Only


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