Monitoring quality standards in the provision of non-prescription medicines from Australian Community Pharmacies: Results of a national programme
Keywords
Health Policy & ServicesHumans
Evidence-Based Medicine
Government Agencies
Education, Pharmacy, Continuing
Professional Competence
Patient Simulation
Pharmacies
Benchmarking
Program Development
Guideline Adherence
Process Assessment (Health Care)
Quality Indicators, Health Care
New South Wales
Nonprescription Drugs
Benchmarking
Education, Pharmacy, Continuing
Evidence-Based Medicine
Government Agencies
Guideline Adherence
Humans
New South Wales
Nonprescription Drugs
Patient Simulation
Pharmacies
Process Assessment (Health Care)
Professional Competence
Program Development
Quality Indicators, Health Care
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http://hdl.handle.net/10453/17143Abstract
Introduction: Standards of practice have been developed by the pharmacy profession to address the provision of non-prescription medicines, using a consumer-focused and risk management approach. The application of these standards in Australian community pharmacies has been monitored since 2002 by the Quality Care Pharmacy Support Centre (QCPSC). Methods: Between September 2002 and September 2005, 7785 standards maintenance assessment visits were conducted in 4282 pharmacies, using pseudo-patient methodology. 1909 were symptom-based requests (SBRs) and 5876 were direct product-based requests (DPRs), of which 2864 were for pharmacist-only medicines (POMs) and 3012 were for pharmacy medicines (PMs). 2756 pharmacies received two visits, and 747 received three visits. A pharmacy's performance was scored out of 10 at each visit (scores 0-3: "unsatisfactory"; 4-6: "satisfactory"; and 7-10: "excellent"). Results: There was wide variation in performance at baseline, with 1453 (34%) of pharmacies scoring ≤ 3, 1851 (43%) scoring 4-6, and 978 (23%) scoring 7-10. Significant improvement was seen over time (p<0.001), the mean score increasing by 5% from 4.4 (2.6) at visit 1 to 4.9 (2.6) at visit 2, and by 10% to 5.4 (2.6) at visit 3. Subanalyses to control for the effect of scenario type and medicine type showed that performance was higher for SBRs than DPRs, but the latter showed greater improvements over time. Conclusion: Repeated pseudo-patient visits lead to notable improvement in behaviour in the handling of non-prescription medicines in community pharmacies. A range of factors need to be considered when measuring these behaviours, such as scenario or medicine type, as they have considerable influence on performance. Future research should focus on issues of quality control, to better understand what makes some pharmacies perform satisfactorily and others unsatisfactorily, and what is required to shift performance from "satisfactory" to "excellent".Date
2007-10-01Type
Journal ArticleIdentifier
oai:opus.lib.uts.edu.au:10453/17143Quality and Safety in Health Care, 2007, 16 (5), pp. 354 - 358
1475-3898
http://hdl.handle.net/10453/17143
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