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Watson A, Barnard H, Shanmugarajah A, Antoine-Pitterson P, Mukherjee R. RESPONSE TIMES FOR ACUTE NON-INVASIVE VENTILATION SET-UPS. Ulster Med J 2022; 91:169-170. [PMID: 36474850 PMCID: PMC9720591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- A. Watson
- Institute of Clinical Sciences, University of Birmingham - Birmingham (United Kingdom),Clinical and Experimental Sciences, University of Southampton, Southampton(United Kingdom)
| | - H. Barnard
- Institute of Clinical Sciences, University of Birmingham - Birmingham (United Kingdom)
| | - A. Shanmugarajah
- Institute of Clinical Sciences, University of Birmingham - Birmingham (United Kingdom)
| | - P. Antoine-Pitterson
- University Hospitals Birmingham NHS Foundation Trust-Birmingham (United Kingdom)
| | - R. Mukherjee
- Institute of Clinical Sciences, University of Birmingham - Birmingham (United Kingdom),University Hospitals Birmingham NHS Foundation Trust-Birmingham (United Kingdom),Corresponding author full contact details: Dr Rahul Mukherjee, Department of Respiratory Medicine, Heartlands Hospital (University Hospitals Birmingham NHS Foundation Trust), BirminghamB9 5SS, United Kingdom
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Kayyali R, Gebara SN, Hesso I, Funnell G, Naik M, Mason T, Uddin MA, Al-Yaseri N, Khayyam U, Al-Haddad T, Siva R, Chang J. Shared decision making and experiences of patients with long-term conditions: has anything changed? BMC Health Serv Res 2018; 18:763. [PMID: 30305085 PMCID: PMC6180612 DOI: 10.1186/s12913-018-3575-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2017] [Accepted: 09/27/2018] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND Medication problems among patients with long-term conditions (LTCs) are well documented. Measures to support LTC management include: medicine optimisation services by community pharmacists such as the Medicine Use Review (MUR) service in England, implementation of shared decision making (SDM), and the availability of rapid access clinics in primary care. This study aimed to investigate the experience of patients with LTCs about SDM including medication counselling and their awareness of community pharmacy medication review services. METHODS A mixed research method with a purposive sampling strategy to recruit patients was used. The quantitative phase involved two surveys, each requiring a sample size of 319. The first was related to SDM experience and the second to medication counselling at discharge. Patients were recruited from medical wards at St. George's and Croydon University Hospitals.The qualitative phase involved semi-structured interviews with 18 respiratory patients attending a community rapid access clinic. Interviews were audio-recorded and transcribed verbatim. Thematic analysis using inductive/deductive approaches was employed. Survey results were analysed using descriptive statistics. RESULTS The response rate for surveys 1 and 2 survey was 79% (n = 357/450) and 68.5% (240/350) respectively. Survey 1 showed that although 70% of patients had changes made to their medications, only 40% were consulted about them and two-thirds (62.2%) wanted to be involved in SDM. In survey 2, 37.5% of patients thought that medication counselling could be improved. Most patients (88.8%) were interested in receiving the MUR service; however 83% were not aware of it. The majority (57.9%) were interested in receiving their discharge medications from community pharmacies. The interviews generated three themes; lack of patient-centered care and SDM, minimal medication counselling provided and lack of awareness about the MUR service. CONCLUSION Although patients wanted to take part in SDM, yet SDM and medication counselling are not optimally provided. Patients were interested in the MUR service; however there was lack of awareness and referral for this service. The results propose community pharmacy as a new care pathway for medication supply and counselling post discharge. This promotes a change of health policy whereby community-based services are used to enhance the performance of acute hospitals.
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Affiliation(s)
- Reem Kayyali
- School of Life Sciences, Pharmacy and Chemistry, Kingston University London, Penrhyn Road, Kingston upon Thames, KT1 2EE UK
| | - Shereen Nabhani Gebara
- School of Life Sciences, Pharmacy and Chemistry, Kingston University London, Penrhyn Road, Kingston upon Thames, KT1 2EE UK
| | - Iman Hesso
- School of Life Sciences, Pharmacy and Chemistry, Kingston University London, Penrhyn Road, Kingston upon Thames, KT1 2EE UK
| | - Gill Funnell
- School of Life Sciences, Pharmacy and Chemistry, Kingston University London, Penrhyn Road, Kingston upon Thames, KT1 2EE UK
| | - Minal Naik
- St. George’s Hospital, Blackshaw Road, Greater London, SW17 0QT UK
| | - Thuy Mason
- School of Life Sciences, Pharmacy and Chemistry, Kingston University London, Penrhyn Road, Kingston upon Thames, KT1 2EE UK
| | - Mohammed Ahsan Uddin
- School of Life Sciences, Pharmacy and Chemistry, Kingston University London, Penrhyn Road, Kingston upon Thames, KT1 2EE UK
| | - Noor Al-Yaseri
- School of Life Sciences, Pharmacy and Chemistry, Kingston University London, Penrhyn Road, Kingston upon Thames, KT1 2EE UK
| | - Umar Khayyam
- School of Life Sciences, Pharmacy and Chemistry, Kingston University London, Penrhyn Road, Kingston upon Thames, KT1 2EE UK
| | - Teebah Al-Haddad
- School of Life Sciences, Pharmacy and Chemistry, Kingston University London, Penrhyn Road, Kingston upon Thames, KT1 2EE UK
| | - Roshan Siva
- Croydon Health Services NHS Trust, Croydon University Hospital , 530 London Road, Croydon, CR7 7YE UK
| | - John Chang
- Croydon Health Services NHS Trust, Croydon University Hospital , 530 London Road, Croydon, CR7 7YE UK
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