Exploring the potential extended role of community pharmacy in the management of osteoarthritis: A multi-methods study with pharmacy staff and other healthcare professionals.

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2024-03-01 DOI:10.1002/msc.1873
Joanna Simkins, Melanie A Holden, Opeyemi Babatunde, Simon White, Elaine Nicholls, Angela Long, Krysia Dziedzic, Adrian Chudyk, Adam Todd, Christine Walker, Colin Stanford, Elizabeth Cottrell, John Edwards, Emma L Healey, Tania Cork, Christian Mallen, Nicola O'Brien
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Abstract

Introduction: Osteoarthritis is the commonest form of chronic joint pain, which patients often self-manage before seeking healthcare advice. Patients frequently seek advice from community pharmacies, and a recent policy has recommended integrating community pharmacies into long-term condition pathways. This study explored community pharmacy teams' (CPs) and other healthcare professionals' (HCPs) views on community pharmacies providing an extended role for osteoarthritis management, identifying potential barriers and facilitators to this.

Methods: A multi-methods study comprising surveys of CPs and other HCPs, followed by qualitative interviews. Descriptive statistics were used in an exploratory analysis of the survey data. Qualitative data were analysed using reflexive thematic analysis and the identified barriers and facilitators were mapped to the Theoretical Domains Framework.

Result: CPs and other HCPs in the surveys and interviews reported that an extended role for osteoarthritis management could include: a subjective assessment, explaining the joint problem and its treatment, medication management and support for self-care. There was less consensus on diagnosing the problem as OA and completing an objective assessment. A key facilitator was training to deliver the role, whilst barriers were high workload and lack of access to General Practitioner medical records.

Discussion: Acceptable elements of an extended community pharmacy role for osteoarthritis centre around the provision of information, advice on medication and supported self-management.

Conclusion: CPs are well placed to contribute towards evidenced-based osteoarthritis management. Feasibility testing of delivering the extended role is needed and future implementation requires training for CPs and raising public awareness of the extended role.

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探索社区药房在骨关节炎管理中的潜在扩展作用:与药房工作人员和其他医疗保健专业人员共同开展的一项多方法研究。
简介骨关节炎是慢性关节疼痛中最常见的一种,患者在寻求医疗建议之前通常会进行自我管理。患者经常向社区药房寻求建议,最近的一项政策建议将社区药房纳入长期治疗路径。本研究探讨了社区药房团队(CPs)和其他医疗保健专业人员(HCPs)对社区药房为骨关节炎管理提供延伸服务的看法,并确定了潜在的障碍和促进因素:采用多种方法进行研究,包括对 CP 和其他 HCP 进行调查,然后进行定性访谈。在对调查数据进行探索性分析时使用了描述性统计。采用反思性主题分析法对定性数据进行分析,并将确定的障碍和促进因素映射到理论领域框架:结果:在调查和访谈中,CP 和其他 HCP 报告称,骨关节炎管理的扩展角色可包括:主观评估、解释关节问题及其治疗、药物管理和自我护理支持。对于将问题诊断为 OA 和完成客观评估的共识较少。关键的促进因素是提供相关培训,而障碍则是工作量大和无法获得全科医生的医疗记录:讨论:扩展社区药房在骨关节炎方面的作用的可接受要素主要是提供信息、用药建议和支持自我管理:结论:社区药房完全有能力为以证据为基础的骨关节炎管理做出贡献。需要对提供扩展角色进行可行性测试,未来的实施需要对 CPs 进行培训,并提高公众对扩展角色的认识。
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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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