TY - JOUR
KW - Adult
KW - Attitude of Health Personnel
KW - Communication
KW - Community Pharmacy Services/organization & administration
KW - Counseling
KW - Female
KW - Humans
KW - Male
KW - Medical Records Systems, Computerized
KW - Middle Aged
KW - Patient Education as Topic
KW - Patient-Centered Care
KW - Pharmacies
KW - Pharmacists
KW - Professional Practice/organization & administration
KW - Professional Role
KW - Professional-Patient Relations
KW - Sweden
AU - A. T. Montgomery
AU - Kettis Lindblad
AU - P. Eddby
AU - E. Soderlund
AU - M. P. Tully
AU - Kalvemark Sporrong
A1 - 
AB - OBJECTIVE: To characterise the counselling behaviour of practitioners providing a pharmaceutical care (PC) service in community pharmacy, and to describe the content of the consultations. SETTING: Community pharmacies in Sweden. METHODS: Non-participant observations, including audio recording, of five practitioners in five different pharmacies counselling 16 patients, were analysed qualitatively using an iterative, stepwise, interpretivist approach. MAIN OUTCOME MEASURE: Descriptions of counselling behaviour and content of consultations. RESULTS: The counselling behaviour was characterised by attempts to understand the patients' narratives by listening and asking questions and a willingness to help. The computer often had an important role in consultations, being used for documentation and as a supportive tool for identification of drug-drug interactions. The practitioners often took command in the initial phase of the consultation, and omitted to determine the patients' most urgent drug-related needs. However, counselling behaviour that identified and focused on the patient's needs, giving the computer little attention during the consultation was also observed. Practitioners provided vague descriptions of the purpose and outline of the service. Consultations included a wide variety of issues, which potentially could help patients' achieve optimal outcomes of medical treatment. CONCLUSION: The practitioners provided important advice and different forms of support to patients. Focus on the computer screen limited their abilities to practise patient centred care.
BT - Pharmacy world & science : PWS
C5 - HIT & Telehealth
CP - 4
CY - Netherlands
DO - 10.1007/s11096-010-9391-z
IS - 4
JF - Pharmacy world & science : PWS
N2 - OBJECTIVE: To characterise the counselling behaviour of practitioners providing a pharmaceutical care (PC) service in community pharmacy, and to describe the content of the consultations. SETTING: Community pharmacies in Sweden. METHODS: Non-participant observations, including audio recording, of five practitioners in five different pharmacies counselling 16 patients, were analysed qualitatively using an iterative, stepwise, interpretivist approach. MAIN OUTCOME MEASURE: Descriptions of counselling behaviour and content of consultations. RESULTS: The counselling behaviour was characterised by attempts to understand the patients' narratives by listening and asking questions and a willingness to help. The computer often had an important role in consultations, being used for documentation and as a supportive tool for identification of drug-drug interactions. The practitioners often took command in the initial phase of the consultation, and omitted to determine the patients' most urgent drug-related needs. However, counselling behaviour that identified and focused on the patient's needs, giving the computer little attention during the consultation was also observed. Practitioners provided vague descriptions of the purpose and outline of the service. Consultations included a wide variety of issues, which potentially could help patients' achieve optimal outcomes of medical treatment. CONCLUSION: The practitioners provided important advice and different forms of support to patients. Focus on the computer screen limited their abilities to practise patient centred care.
PP - Netherlands
PY - 2010
SN - 1573-739X; 0928-1231
SP - 455
EP - 463
EP - 
T1 - Counselling behaviour and content in a pharmaceutical care service in Swedish community pharmacies
T2 - Pharmacy world & science : PWS
TI - Counselling behaviour and content in a pharmaceutical care service in Swedish community pharmacies
U1 - HIT & Telehealth
U2 - 20446110
U3 - 10.1007/s11096-010-9391-z
VL - 32
VO - 1573-739X; 0928-1231
Y1 - 2010
ER -