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Minor ailment schemes

Rumana S Newlands, Ailsa Power, Linda Young, Margaret Watson
OBJECTIVES: Effective strategies are needed to translate knowledge (evidence) into practice to improve the quality of community pharmacy services. We report the first step of a novel knowledge translation process which involved the systematic identification and prioritisation of community pharmacy services in Scotland which were perceived to require improvement and/or guideline development. METHODS: This process involved three stages and a stakeholder group comprising community pharmacists, policy makers, lay and pharmacy organisation representatives...
March 27, 2017: International Journal of Pharmacy Practice
Clémence Perraudin, Olivier Bugnon, Nathalie Pelletier-Fleury
OBJECTIVE: To synthesize cost-effectiveness analyses on professional pharmacy services (PPS) performed in Europe in order to contribute to current debates on their funding and reimbursement. METHODS: Systematic review in PubMed, Embase and the Centre for Reviews and Dissemination databases to identify full economic evaluation studies of PPS in community setting from 2004. FINDINGS: Twenty-one studies were included, conducted in the United-Kingdom (n=13), the Netherlands (n=3), Spain (n=2), Belgium (n=1), France (n=1) and Denmark (n=1)...
December 2016: Health Policy
Aung Z Win
There is a raising demand for unscheduled care in the United Kingdom. Minor Ailments Schemes (MAS) were introduced to reduce the burden of minor ailments on higher cost settings such as general practices and emergency departments. The number of visits for minor ailments at GPs often declined following the implementation of MAS. Retail clinics in America employ nurse practitioners (NPs) and physician assistants (PAs) who can diagnose and treat minor illness, and minor injuries. Similar to the retail clinics, MAS can merge with walk-in centres...
March 15, 2016: Primary Health Care Research & Development
Helen D Robertson, Christine Bond, Catriona Matheson
BACKGROUND: In the last 20 years, pharmaceutical care has evolved as a modus operandi for community pharmacy. This article tracks the development of pharmaceutical care for drug misusers since 1995 and considers the implications for pharmacy engagement with the wider care team. OBJECTIVE: To survey current community pharmacy service provision for drug misusers, past training and future training needs and compare with data from previous years (1995, 2000 and 2006)...
December 2015: Family Practice
Sherilyn K D Houle, Kelly A Grindrod, Trish Chatterley, Ross T Tsuyuki
BACKGROUND: Expansion of scope of practice and diminishing revenues from dispensing are requiring pharmacists to increasingly adopt clinical care services into their practices. Pharmacists must be able to receive payment in order for provision of clinical care to be sustainable. The objective of this study is to update a previous systematic review by identifying remunerated pharmacist clinical care programs worldwide and reporting on uptake and patient care outcomes observed as a result...
July 2014: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
Vibhu Paudyal, Margaret C Watson, Tracey Sach, Terry Porteous, Christine M Bond, David J Wright, Jennifer Cleland, Garry Barton, Richard Holland
BACKGROUND: Pharmacy-based minor ailment schemes (PMASs) have been introduced throughout the UK to reduce the burden of minor ailments on high-cost settings, including general practice and emergency departments. AIM: This study aimed to explore the effect of PMASs on patient health- and cost-related outcomes; and their impact on general practices. DESIGN AND SETTING: Community pharmacy-based systematic review. METHOD: Standard systematic review methods were used, including searches of electronic databases, and grey literature from 2001 to 2011, imposing no restrictions on language or study design...
July 2013: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Afonso M Cavaco, Pedro F Pereira
BACKGROUND: Self-medication is an important component of health care. To optimize pharmacists' over-the-counter counseling, there are several guidelines and protocols used in practice. In a self-care environment, protocols should comprise items related to patients' autonomy. The structure of self-medication protocols, among other elements, should present steps to facilitate patients' participation. OBJECTIVE: To analyze structural differences between existing community pharmacy minor ailment protocols, including those related to patient autonomy and empowerment in self-medication conditions...
January 2012: Research in Social & Administrative Pharmacy: RSAP
Vibhu Paudyal, Denise Hansford, Scott Cunningham, Derek Stewart
OBJECTIVES: The aim of this review is to provide a historical perspective of the evolution of UK health policies and key events relevant to pharmacy assisted self care of minor ailments. METHODS: Health policy documents identified from free public web archives of all UK health department(s) published from 1997 to 2010 were reviewed for relevance to pharmacy assisted self care of minor ailments. RESULTS: Substantial focus on pharmacy assisted self care of minor ailments was identified within health policy documents with key drivers being: the need to reduce associated financial burden owing to minor ailments presentation at the General Practices (GPs), increasing patient access to services and aiding pharmacists' professional development through extended role...
August 2011: Health Policy
Somying Pumtong, Helen F Boardman, Claire W Anderson
OBJECTIVES: To evaluate whether the Pharmacy First Minor Ailments scheme achieved its objectives in terms of improving access to medicines and reducing doctor workload for minor ailments by enhancing the role of community pharmacists in the management of minor ailments. SETTING: Nottingham, the United Kingdom. METHODS: A mixed-methods study was conducted, including semi-structured interviews with key stakeholders, a patient survey, and an analysis of the Nottingham City Primary Care Trust data...
June 2011: International Journal of Clinical Pharmacy
Jeff Harrison, Shane Scahill, Janie Sheridan
OBJECTIVE: To determine the alignment between New Zealand pharmacists' views and the New Zealand Ten-Year Vision (TYV) document and explore factors associated with individuals' alignment. METHODS: A postal survey of 1892 practicing pharmacists was conducted. The questionnaire included 37 attitude statements informed by analysis of 6 focus groups in which pharmacists discussed 24 statements representing 12 main vision areas. Responses are reported by proportion. Bivariate analysis compared differences in demographic characteristics and alignment with vision statements between 3 professional subgroups: community, hospital, and pharmacists working in District Health Boards or Primary Health Organizations...
January 2012: Research in Social & Administrative Pharmacy: RSAP
W Baqir, T Learoyd, A Sim, A Todd
BACKGROUND: A large proportion of primary care medical consultations relate to minor ailments, placing a substantial burden on the UK National Health Service (NHS). In response, minor ailment schemes (MAS) have been introduced in several community pharmacies. METHODS: Patients using MAS across three neighbouring primary care trusts were asked what action they would have taken if the MAS had not been in place. The net cost impact of the MAS was calculated using standard health-care reference costs...
December 2011: Journal of Public Health
Andrew Wagner, Peter R Noyce, Darren M Ashcroft
OBJECTIVES: To study the impact and potential predictors of uptake of patient registrations and supplied medicines under the Minor Ailments Scheme (MAS) in Scotland. The MAS was introduced in 2006, intending to improve health care access by re-directing patients from primary care to community pharmacies. METHODS: Numbers of dispensed MAS items and patient registrations were obtained for all community pharmacies in Scotland for the period 2006-2009. Local demographic and socioeconomic characteristics were attributed to community pharmacies as potential predictors of MAS service uptake...
January 2011: Health Policy
Vibhu Paudyal, Denise Hansford, I T Scott Cunningham, Derek Stewart
OBJECTIVES: The aim was to investigate community pharmacists' views on the implementation of the electronic Minor Ailment Service (e-MAS) in Scottish community pharmacies and to quantify the barriers and facilitators to service provision. METHODS: A postal cross-sectional survey of all community pharmacies in Scotland (n = 1138) was conducted. A combination of open, closed and Likert-type questions were used. KEY FINDINGS: A response rate of 49...
August 2010: International Journal of Pharmacy Practice
Narayanan Devadasan, Bart Criel, Wim Van Damme, S Manoharan, P Sankara Sarma, Patrick Van der Stuyft
BACKGROUND: To reduce the burden of out-of-pocket payments on households in India, the government has introduced community health insurance (CHI) as part of its National Rural Health Mission. Indian CHI schemes have been shown to provide financial protection and have the potential to improve quality of care, but do not seem to improve access. This study examines this dimension of CHI performance and explores conditions under which a CHI scheme can improve access to hospital care for the poor...
March 2010: Health Policy and Planning
H Parmentier, S Golding, M Ashworth, G Rowlands
OBJECTIVE: To evaluate a scheme offering pharmacy referrals for minor ailments in a refugee community. To determine if minor ailments could be managed by pharmacists offering over-the-counter (OTC) medication, free of charge, to refugees exempt from prescription charges. DESIGN: Refugees presenting with minor illnesses were offered a voucher. This voucher could be taken to the pharmacist, who, after a consultation, could exchange the voucher for appropriate OTC medication...
October 2004: Journal of Clinical Pharmacy and Therapeutics
Christine Bond, Philip Hannaford
Pharmaceutical advances over the past 50 years have benefited many people in terms of disease prevention and management. However, probably without exception, most pharmaceutical products can cause adverse consequences of varying severity and frequency. In the last 10 years, many medicines that were originally prescription only have now become available over the counter (OTC), either from pharmacies or other general retail outlets. The volume and value of OTC medicine sales have increased accordingly. These switches have been well regulated and based on clear criteria and evidence of safety...
2003: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
F Sanz, C Silveira, A Alonso, C Diaz, M I Loza, L Cordero, F Fernandez-Llimós, L Tiddens, F Giorgio, H Cranz, J Mircheva
One of the applications developed within the EU-funded projects TESEMED and TESEMED-II is a program for the information and continuous training of community pharmacists, with the aim to empower them as advisors of the citizens about self-medication topics. Several programs are being developed on the basis of ad-hoc developed protocols about minor ailments (currently, cold and flu, haemorrhoids, constipation and cough). Each program includes three modules: a hypertextual version of the protocol, an interactive scheme of it, and an educational tool called Encounter Simulator, that trains the pharmacist about the protocol by means of simulated pharmacist-customer interactions...
1999: Studies in Health Technology and Informatics
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