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The role of pharmacists in general practice in asthma management: a pilot study

Citation

Deeks, LS and Kosari, S and Boom, K and Peterson, GM and Maina, A and Sharma, R and Naunton, M, The role of pharmacists in general practice in asthma management: a pilot study, Pharmacy, 6, (4) Article 114. ISSN 2226-4787 (2018) [Refereed Article]


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Copyright Statement

Copyright 2018 The Authors Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/

DOI: doi:10.3390/pharmacy6040114

Abstract

Background: Asthma is principally managed in general practice. Appropriate prescribing and medication use are essential, so general practice pharmacists appear suitable to conduct asthma management consultations. This pilot study aimed to evaluate the asthma management role of a pharmacist in general practice.

Methods: Analysis of an activity diary and stakeholder interviews were conducted to identify interventions in asthma management; determine whether asthma control changed following pharmacist input; and determine acceptability of asthma management review by a pharmacist in one general practice in Canberra, Australia.

Results: Over 13 months, the pharmacist saw 136 individual patients. The most common activities were asthma control assessment; recommendations to adjust medication or device; counselling on correct device use; asthma action plan development and trigger avoidance. For patients with multiple consultations, the mean Asthma Control Test score improved from the initial to last visit (14.4 5.2 vs. 19.3 4.7, n = 23, p < 0.0001). Eight of the 19 (42%) patients moved from having poor to well-controlled asthma. Case studies and qualitative data indicated probable hospital admission avoidance and stakeholder acceptability of asthma management by a practice pharmacist. Conclusions: This pilot study demonstrated it is feasible, acceptable and potentially beneficial to have a general practice pharmacist involved in asthma management. Fuller evaluation is warranted.

Item Details

Item Type:Refereed Article
Keywords:primary health care, asthma, general practice, pharmacists, patient education
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Primary Health Care
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Respiratory System and Diseases (incl. Asthma)
UTAS Author:Peterson, GM (Professor Gregory Peterson)
ID Code:128812
Year Published:2018
Web of Science® Times Cited:1
Deposited By:Pharmacy
Deposited On:2018-10-16
Last Modified:2019-02-22
Downloads:22 View Download Statistics

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