Cluster randomised controlled trial evaluating the clinical and humanistic impact of a pharmacist-led minor ailment service.

BMJ Quality & Safety
Sarah Dineen-GriffinVictoria Garcia-Cardenas

Abstract

Community pharmacists are well positioned to support patients' minor ailments. The objective was to evaluate the clinical and humanistic impact of a minor ailment service (MAS) in community pharmacy compared with usual pharmacist care (UC). A cluster randomised controlled trial was conducted. Intervention patients received MAS, which included a consultation with the pharmacist. MAS pharmacists were trained in clinical pathways and communication systems mutually agreed with general practitioners and received monthly support. Control patients received UC. All patients were followed up by telephone at 14 days. Clinical and humanistic impact were defined by primary (appropriate referral rate and appropriate non-prescription medicine rate) and secondary outcomes (clinical product-based intervention rate, referral adherence, symptom resolution, reconsultation and EuroQol EQ-5D visual analogue scale (VAS)). Patients (n=894) were recruited from 30 pharmacies and 82% (n=732) responded to follow-up. Patients receiving MAS were 1.5 times more likely to receive an appropriate referral (relative rate (RR)=1.51; 95% CI 1.07 to 2.11; p=0.018) and were five times more likely to adhere to referral, compared with UC (RR=5.08; 95%CI 2.02 to 12.79...Continue Reading

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Citations

Aug 4, 2020·Cost Effectiveness and Resource Allocation : C/E·Sarah Dineen-GriffinVictoria Garcia-Cardenas
Sep 10, 2020·Pharmacy : Journal of Pharmacy, Education and Practice·Jonathon ErtlLuke Bereznicki
Jan 24, 2021·BMC Health Services Research·Sarah Dineen-GriffinVictoria Garcia-Cardenas
Dec 3, 2020·Journal of the American Pharmacists Association : JAPhA·Carmen Crespo-GonzalezVictoria Garcia-Cardenas

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