“They ask me: why consult with a pharmacist?” - Patients’ experiences with a comprehensive medication management service

Authors

DOI:

https://doi.org/10.33448/rsd-v10i6.16147

Keywords:

Pharmaceutical care; Specialty pharmacy; Qualitative research; Patient experience.

Abstract

This study aims to reveal the patients’ experiences with a comprehensive medication management (CMM) service delivered in a specialty pharmacy in Brazil. This is a qualitative study performed from September 2015 to February 2016. In-depth semi-structured interviews were conducted with 10 patients followed-up in a CMM service in a specialty pharmacy located in Minas Gerais state. The interviews were recorded, transcribed and analyzed with the assistance of the NVivo11® software. According to the participants, they did not know what to expect from CMM at first. They showed difficulties on establishing a solid concept for CMM, however, they pointed some key aspects of pharmaceutical care philosophy based on their experience with the service. The interviewees identified the CMM pharmacist, seen as a care professional, as a different professional compared to the traditional pharmacist, mainly identified by them as a salesman. The ability to listen and the time that the CMM professional dedicated in the consultations were highlighted as primordial in the process of building a therapeutic relationship with the patient. The difficulties the patients have for establishing a solid concept for CMM might be due to the lack of pharmacists exerting this function, considering CMM is still a new service in Brazil. The results of this work can guide efforts to build a better interaction between patients and pharmacists, in a constant search for offering the best care possible.

References

Amaral, P. A., Mendonça, S. A. M., Ramalho-de-Oliveira D., Peloso, L. J., Pedroso, R. S. & Ribeiro, M. A. (2018). Impact of a medication therapy management service offered to patients in treatment of breast cancer. Braz. J Pharm Sci, 54(2), Article e00221.

Amarante, L. C., Shoji, L. S., Beijo, L. A., Lourenço, E. B. & Marques, L. A. M. (2010). A influência do acompanhamento farmacoterapêutico na adesão à terapia anti-hipertensiva e no grau de satisfação do paciente. Revista de Ciências Farmacêuticas Básica e Aplicada, 31(3), 209–215.

Bissell, P., Blenkinsopp, A., Duncan Short, D. & Mason L. Patients’ experiences of a community pharmacy-led medicines management service. (2008). Health and Social Care in the Community, 16(4), 363–369.

Brasil. Ministério da Saúde. Portaria no 1.554, de 30 de julho de 2013. Dispõem sobre as regras de financiamento e execução do Componente Especializado da Assistência Farmacêutica no âmbito do Sistema Único de Saúde (SUS). http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt1554_30_07_2013. Accessed 15 June 2016.

Cipolle, R. J. (1986). Drugs don't have doses--people have doses! A clinical educator's philosophy. Drug Intell Clin Pharm, 20(11), 881-2.

Cipolle, R. J., Strand, L. M. & Morley, P. C. (2012). Pharmaceutical Care Practice - The Patient-Centered Approach to Medication Management (3rd ed.). McGraw-Hill Companies.

D’andréa, R. D., Silva G. P., Marques L. A. M. & Rascado, R. R. (2012). A importância da relação farmacêutico – Paciente: percepções dos idosos integrantes da UNATI (Universidade aberta à terceira idade) sobre a atuação do farmacêutico. Revista Eletrônica de Farmácia. IX(2), 49-60.

De Barros, J. A. C. (2004). Políticas Farmacêuticas: A Serviço dos Interesses da Saúde? UNESCO.

Detoni, K.B., Oliveira, I. V., Nascimento, M. M. G., De-Caux, T., Alves, M. R. & Ramalho-de-Oliveira, D. (2017). Impact of a medication therapy management service on the clinical status of patients with chronic obstructive pulmonary disease. Int J Clin Pharm, 39(1), 95-103.

Ernst, F. R. & Grizzle, A. J. (2001). Drug ¬ Related Morbidity and Mortality : Updating the Cost ¬ of ¬ Illness Model. Journal of the American Pharmacists Association. 41(2), 1–10.

Filardi, A. F., Araújo V. E., Nascimento, Y. A. & Ramalho-de-Oliveira, D. (2017). Use of psychotropics in everyday life from the perspective of health professionals and patients: a systematic review. Journal of Critical Review, 4(3),1-8.

Flexner, A. (2002). Medical education in the United States and Canada. From the Carnegie Foundation for the Advancement of Teaching, Bulletin Number Four, 1910. Bulletin of the World Health Organization, 80(7), 594-602.

Greenhalgh, T. Kostopoulou, O. & Harries, C. (2004). Making decisions about benefits and harms of medicines. British Medical Journal, 329(7456), 47–50.

Guerreiro, M., Cantrill, J. & Martins, P. (2010). Acceptability of community pharmaceutical care in Portugal: a qualitative study. Journal of Health Services Research & Policy, 15(4), 215–22.

Gurwitz, J. H., Field, T. S., Harrold, L. R., Rothschild, J.. Debellis, K., Seger, A. C., Cadoret, C., Fish, L. S., Garber, L., Kelleher, M. & David W Bates, D. W. (2003). Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Setting. Journal of American Medical Association, 289(9), 1107–1116.

Hepler, C. D., & Strand, L. M. (1990). Opportunities and responsibilities in Pharmaceutical Care. American Journal of Hospital Pharmacy, 47, 533–43.

Hui, R. L., Yamada, B. D., Spence, M. M., Jeong, E. W. & Chan, J. (2014). Impact of a Medicare MTM program: evaluating clinical and economic outcomes. Am J Manag Care, 20(2), e43-51.

Ismael, J. C. (2005). O médico e o paciente : breve história de uma relação delicada (2a ed.). Mg Editores.

Lillis, S. & Lord, H. (2011). Repeat prescribing—reducing errors. J Prim Health Care, 3(2),153-158.

Lyra Junior, D., Amaral, R. T., Abriata, J. P. & Pelá IR. (2005). Satisfaction as an outcome of a pharmaceutical care program for elderly in Ribeirão Preto-São Paulo (Brazil). Seguimento Farmacoterapêutico,3(1), 30-42.

Maracle, H. L., Ramalho-de-Oliveira, D. & Brummel, A. (2012). Primary Care Providers’ experiences with Pharmaceutical Care -based Medication Therapy Management Services. Innovations in Pharmacy, 3(1), 1–12.

Minayo, M.C.S. (2010). O Desafio do Conhecimento - Pesquisa Qualitativa em Saúde (12a ed.). Editora Haucitec.

Montgomery, A. T., Sporrong, S. K., Manap, N., Tully, M. P. & Lindblad, A. K. (2010). Receiving a pharmaceutical care service compared to receiving standard pharmacy service in Sweden-How do patients differ with regard to perceptions of medicine use and the pharmacy encounter? Research in Social and Administrative Pharmacy, 6(3), 185-195.

Neves, N. M. B. C., Neves, F. B. C. S. & Bitencourt, A. (2005). O Ensino Médico no Brasil: Origens e Transformações. Gaz méd. Bahia, 75(2),162-168.

Neves, C.M., Nascimento, M. M. G., Silva, D. A. M. & Ramalho-de-Oliveira, D. (2005). Clinical Results of Comprehensive Medication Management Services in Primary Care in Belo Horizonte. Pharmacy (Basel), 7(2), Article 58.

Olsson, E., Tuyet, L. T. N., H A Nguyen, H. A. & Lundborg, C. S. (2002). Health professionals’ and consumers' views on the role of the pharmacy personnel and the pharmacy service in Hanoi, Vietnam--a qualitative study. Journal of Clinical Pharmacy and Therapeutics, 27(4), 273–280.

Pereira, M. G. A. & Azevêdo, E. S. (2005). A relação médico - paciente em Rio Branco/AC sob a ótica dos pacientes. Revista da Associação Médica Brasileira, 51(3), 153–157.

Planas, L. G., Crosby, K. M., Mitchell, K. D. & Farmer, K. C. (2009). Evaluation of a hypertension medication therapy management program in patients with diabetes. Journal of the American Pharmacists Association. 49(2), 164.

Price, J., Man, S.L., Bartlett, S., Taylor, K., Dinwoodie, M. & Bowie, P. (2017). Repeat prescribing of medications: A system-centred risk management model for primary care organisations. J Eval Clin Pract, 23(4), 779–796.

Ramalho-de-Oliveira, D. (2011). Atenção Farmacêutica: da filosofia ao gerenciamento da terapia medicamentosa.RCN editora.

Ramalho-de-Oliveira, D., Brummel, A. R. & Miller, D. B. (2010). Medication therapy management: 10 years of experience in a large integrated health care system. Journal of Managed Care Pharmacy, 16(3), 185–195.

Ramalho-de-Oliveira, D., Shoemaker, S. J., Ekstrand, M. & Mateus R Alves. (2012). Preventing and resolving drug therapy problems by understanding patients’ medication experiences. Journal of the American Pharmacists Association, 52(1),71-80.

Renberg, T., Lindblad, A. K. & Tully, M. P. (2006). Exploring subjective outcomes perceived by patients receiving a pharmaceutical care service. Research in Social & Administrative Pharmacy, 2(2),212-31.

Ryan, K., Bissell, P. & Morecroft, C. (2006). Narratives about illness and medication: a neglected theme/new methodology within pharmacy practice research. Part I: medication narratives in practice. Pharmacy World & Science, 29(4), 353–60.

Saha L., Pandhi P., Malhotra S. & Sharma N. (2008). Adverse Drug Event (ADE) related medical emergency department visits and hospital admissions: a prospective study from a north Indian referral hospital. Journal of Clinical and Diagnostic Research, 2(1), 600–604.

Sandhu, S., Arcidiacono, E., Aguglia, E. & Priebe, S. (2015). Reciprocity in therapeutic relationships : A conceptual review. International Journal of Mental Healh Nursing, (8), 1–11.

Santos, B. D., Nascimento, M. M. G., Oliveira, G. C. B., Nascimento, Y. A., Mambrini, J. V. M., Cid, A. S., Piovesan, T. G. C., Fernandes L. B., Martins, U. C. M., Neves, C. M., Silva, D. F. & Ramalho-de-Oliveira, D. (2021). Clinical Impact of a Comprehensive Medication Management Service in Primary Health Care. Journal of Pharmacy Practice, 34(2):265-271.

Souza, T. T., Godoy, R. R., Rotta, I., Pontarolo, R., Fernandez-Llimos, F. & Correr, C. J. (2014). Morbidade e mortalidade relacionadas a medicamentos no Brasil: revisão sistemática de estudos observacionais. Revista Brasileira de Ciências Farmacêuticas Básica e Aplicada, 35(4), 519–532.

Sweeney, A., Sweeney A., Fahmy, S., Nolan, F., Morant, N., Fox, Z., Lloyd-Evans, B., Osborn, D., Burgess, E., Gilburt, H., McCabe. R., Mike Slade, M. & Johnson, S. (2014). The Relationship between Therapeutic Alliance and Service User Satisfaction in Mental Health Inpatient Wards and Crisis House Alternatives: A Cross-Sectional Study. PLoS ONE, 9(7), 1-13.

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Published

09/06/2021

How to Cite

CAUX, T. R. de; DETONI, K. B.; NASCIMENTO, M. M. G. do; OLIVEIRA, I. V.; RAMALHO-DE-OLIVEIRA, D. “They ask me: why consult with a pharmacist?” - Patients’ experiences with a comprehensive medication management service. Research, Society and Development, [S. l.], v. 10, n. 6, p. e55610616147, 2021. DOI: 10.33448/rsd-v10i6.16147. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/16147. Acesso em: 19 apr. 2024.

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Section

Health Sciences