Management of allergic rhinitis in the community pharmacy: identifying the reasons behind medication self-selection
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| Format: | Artículo científico |
| Sprache: | en |
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Centro de investigaciones y Publicaciones Farmacéuticas
2018
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| _version_ | 1876487513117294592 |
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| author | Rachel Tan |
| author_facet | Rachel Tan |
| contents | Management of allergic rhinitis in the community pharmacy: identifying the reasons behind medication self-selection Rachel Tan Biljana Cvetkovski Vicky Kritikos Kwok Yan David Price Peter Smith Sinthia Bosnic-Anticevich Medicina Rhinitis Allergic Seasonal Australia Pharmacies Background: Community pharmacists have a key role to play in the management of allergic rhinitis (AR). Their role is especially important because the majority of medications used to treat AR are available for purchase over-the-counter (OTC), allowing patients to self-select their own medications and bypass the pharmacists. Patients’ self-selection often results in suboptimal treatment selection, undertreated AR and poor clinical outcomes. In order for pharmacists to optimise the care for AR patients in the pharmacy, pharmacists need to be able to identify patient cohorts who self-select and are at high risk of mismanagement.Objectives: This study aimed to compare the demographics, clinical characteristics and medication selected, between pharmacy customers who choose to self-select and those who speak with a pharmacist when purchasing medication for their AR in a community pharmacy and identify factors associated with AR patients’ medication(s) self-selection behaviour.Methods: A cross-sectional observational study was conducted in a convenience sample of community pharmacies from the Sydney metropolitan area. Demographics, pattern of AR symptoms, their impact on quality of life (QOL) and medication(s) selected, were collected. Logistic regressions were used to identify factors associated with participants’ medication self-selection behaviour.Results: Of the 296 recruited participants, 202 were identified with AR; 67.8% were female, 54.5% were >40 years of age, 64.9% had a doctor’s diagnosis of AR, and 69.3% self-selected medication(s). Participants with AR who self-select were 4 times more likely to experience moderate-severe wheeze (OR 4.047, 95% CI 1.155-14.188) and almost 0.4 times less likely to experience an impact of AR symptoms on their QOL (OR 0.369, 95% CI 0.188-0.727).Conclusions: The factors associated with AR patients’ self-selecting medication(s) are the presence of wheeze and the absence of impact on their QOL due to AR symptoms. By identifying this cohort of patients, our study highlights an opportunity for pharmacists to engage these patients and encourage discussion about their AR and asthma management. 2018 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69057316013 https://www.redalyc.org/journal/690/69057316013/ https://www.redalyc.org/journal/690/69057316013/html/ https://www.redalyc.org/journal/690/69057316013/69057316013.epub https://www.redalyc.org/journal/690/69057316013/movil 10.18549/PharmPract.2018.03.1332 en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.3 Vol.16 |
| format | Artículo científico |
| id | redalyc_69057316013 |
| institution | Redalyc |
| language | en |
| publishDate | 2018 |
| publisher | Centro de investigaciones y Publicaciones Farmacéuticas |
| spellingShingle | Management of allergic rhinitis in the community pharmacy: identifying the reasons behind medication self-selection Rachel Tan Medicina Rhinitis Allergic Seasonal Australia Pharmacies Management of allergic rhinitis in the community pharmacy: identifying the reasons behind medication self-selection Rachel Tan Biljana Cvetkovski Vicky Kritikos Kwok Yan David Price Peter Smith Sinthia Bosnic-Anticevich Medicina Rhinitis Allergic Seasonal Australia Pharmacies Background: Community pharmacists have a key role to play in the management of allergic rhinitis (AR). Their role is especially important because the majority of medications used to treat AR are available for purchase over-the-counter (OTC), allowing patients to self-select their own medications and bypass the pharmacists. Patients’ self-selection often results in suboptimal treatment selection, undertreated AR and poor clinical outcomes. In order for pharmacists to optimise the care for AR patients in the pharmacy, pharmacists need to be able to identify patient cohorts who self-select and are at high risk of mismanagement.Objectives: This study aimed to compare the demographics, clinical characteristics and medication selected, between pharmacy customers who choose to self-select and those who speak with a pharmacist when purchasing medication for their AR in a community pharmacy and identify factors associated with AR patients’ medication(s) self-selection behaviour.Methods: A cross-sectional observational study was conducted in a convenience sample of community pharmacies from the Sydney metropolitan area. Demographics, pattern of AR symptoms, their impact on quality of life (QOL) and medication(s) selected, were collected. Logistic regressions were used to identify factors associated with participants’ medication self-selection behaviour.Results: Of the 296 recruited participants, 202 were identified with AR; 67.8% were female, 54.5% were >40 years of age, 64.9% had a doctor’s diagnosis of AR, and 69.3% self-selected medication(s). Participants with AR who self-select were 4 times more likely to experience moderate-severe wheeze (OR 4.047, 95% CI 1.155-14.188) and almost 0.4 times less likely to experience an impact of AR symptoms on their QOL (OR 0.369, 95% CI 0.188-0.727).Conclusions: The factors associated with AR patients’ self-selecting medication(s) are the presence of wheeze and the absence of impact on their QOL due to AR symptoms. By identifying this cohort of patients, our study highlights an opportunity for pharmacists to engage these patients and encourage discussion about their AR and asthma management. 2018 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69057316013 https://www.redalyc.org/journal/690/69057316013/ https://www.redalyc.org/journal/690/69057316013/html/ https://www.redalyc.org/journal/690/69057316013/69057316013.epub https://www.redalyc.org/journal/690/69057316013/movil 10.18549/PharmPract.2018.03.1332 en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.3 Vol.16 |
| title | Management of allergic rhinitis in the community pharmacy: identifying the reasons behind medication self-selection |
| topic | Medicina Rhinitis Allergic Seasonal Australia Pharmacies |
| url | https://www.redalyc.org/articulo.oa?id=69057316013 https://www.redalyc.org/journal/690/69057316013/ https://www.redalyc.org/journal/690/69057316013/html/ https://www.redalyc.org/journal/690/69057316013/69057316013.epub https://www.redalyc.org/journal/690/69057316013/movil |