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Limitations and potential facilitators and benefits of managing chronic conditions in community pharmacy settings

Alotaibi, Mansour 2021. Limitations and potential facilitators and benefits of managing chronic conditions in community pharmacy settings. PhD Thesis, Cardiff University.
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Pressure on GPs is increasing due to an ageing population with an increased burden of chronic diseases. Community pharmacists (CPs) can potentially help provide healthcare for people with chronic conditions, thereby reducing the burden on GPs. Asthma was chosen as an example of a chronic condition to assess how well it is managed in the current type of practice. A mixed-method approach was used to investigate how well asthma patients were managed and to identify the opportunity for involving community pharmacies more generally in Managing Chronic Conditions (MCCs). The research show that most asthma patients were not well managed (60.9%), did not adequately adhere to their medicines (76.8%), and were not using their inhalers properly (67%). To understand the potential involvement of CPs in MCCs, two qualitative studies and one postal questionnaire project were conducted. Semi-structured interviews were undertaken with CPs and stakeholders of community pharmacy services in Wales. Sixteen individual interviews were conducted: eleven face-to-face and five telephone interviews. Using inductive thematic analysis, strengths of community pharmacy settings, exploiting opportunities to provide a community-based chronic condition management service, barriers, and facilitators to MCCs in community pharmacies were identified. The themes were not only related to community pharmacists/pharmacies but also involve other stakeholders (e.g. patients and healthcare providers) and healthcare system (e.g. policy and regulation). To generalize the qualitative findings to a larger population, a postal questionnaire was designed based on the identified themes, and then disseminated to all community pharmacies in Wales (n=715, response rate=32.8%). The questionnaire survey showed a relatively high level of agreement among respondents to the identified themes. Of the 19 questions, 16 had a percentage agreement of almost 60% or more. Of those, 11 questions had a percentage agreement of 75% or more. In conclusion, although the potential benefit of managing chronic conditions in community pharmacies was recognised, there were several limitations that need to be addressed prior to moving forward.

Item Type: Thesis (PhD)
Date Type: Completion
Status: Unpublished
Schools: Pharmacy
Date of First Compliant Deposit: 30 March 2021
Last Modified: 10 Nov 2021 02:23

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