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Gathering information, communication with the patients and perception of the pharmaceutical file by the pharmacist : a pilot study

par De Vriese, Carine ;Claeys, Coraline ;Saevels, Jan;Vermandele, Catherine ;Amighi, Karim ;Neve, Jean
Référence International Journal of Clinical Pharmacy, International Journal of Clinical Pharmacy (33), 718
Publication Publié, 2011

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Résumé :

Objective: To evaluate : (1) community pharmacists’ habits concerning information gathering and communication with the patients; (2) their perception of the pharmaceutical file (PF).Methods: A cross-sectional study was performed from May to September 2010 in community pharmacies from the French-speaking part of Belgium. A self-completion questionnaire, in a web-based format, was send to 1100 pharmacists. Results: 231 pharmacists answered. (1) At first drug dispensing, while 99% and 76% of the pharmacists assessed patients’ knowledge on the medication schedule and drug indications, only 30% and 26% recorded these data in the PF, respectively. However, 94% checked the presence of drug interactions and 89% informed the patient or the physician when a drug-related problem was identified. During repeat dispensing, quite similar results were obtained. Moreover, 84% of the pharmacists compared the prescription with the previous recorded one in the PF. However, less than 50% of the pharmacists questioned patients about effectiveness, side effects, or practical difficulties with drugs and only 29% recorded patient’s complaints in the PF. Regarding patient counseling at first dispensing, more than 70% of the pharmacists spontaneously informed patients regarding medication schedule, therapeutic effects, warnings about drug interaction and lifestyle habits. These results were slightly decreased during repeat dispensing. All the pharmacists informed their patients by writing on drug packaging and oral explanation, but patient leaflets regarding pathology and treatment were rarely used. (2) About 90% of the pharmacists indicated that use of PF could improve patient safety and promote pharmacist’s profession, but lack of time was cited as a barrier to its use. Furthermore, 60% were unsatisfied about the information they received on PF.Conclusion: This study shows that even if pharmacists consider the pharmaceutical dossier as an asset for developing pharmaceutical care, few data are currently recorded and drug dispensing is poorly centered to the patient. Better education and training on PF should be given to pharmacists to improve its use. Impact of information technology support should also be assessed.