Pharmacist deprescribing and care improves cardiovascular risk, but what do patients think? A sub-study of the RxEACH study
Canadian Pharmacists Conference ePoster Library. Al Hamarneh Y. Jun 3, 2018; 217831
Yazid Al Hamarneh
Yazid Al Hamarneh
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Abstract
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The Alberta Vascular Risk Reduction Community Pharmacy Project: RxEACH, was a randomized trial which demonstrated that a community pharmacy-based case finding and intervention program (including prescribing, laboratory testing, and follow-up) reduced the risk for cardiovascular (CV) events by 21% when compared to usual care. Objective To evaluate patient perceptions regarding pharmacist prescribing and care in patients at high risk for CV events. Methods All participants who took part in RxEACH received an invitation letter. Those who took part in the interviews provided verbal consent. Participants were asked to provide their opinions about: • The care they received from pharmacists • Communication between patients, pharmacists and family physicians • Suggestions for sustainability Interviews were recorded and transcribed verbatim. Three reviewers (including one patient who did not participate in RxEACH) analyzed and coded the data independently. Results Data saturation was achieved after interviewing 14 participants. Half of whom were male and approximately two-thirds were older than 60. The following themes were identified: (i) Patient-pharmacist relationship: Participants highlighted the importance of having a strong relationship with the pharmacist, indicating that could enhance their level of comfort with the pharmacist. They also felt that pharmacists truly cared about them as people. (ii) Healthcare system characteristics: The majority of the participants supported expanded scope of practice and identified it as an opportunity to fill healthcare gaps highlighting easy accessibility, high quality and timeliness of pharmacist services. (iii) Patient reaction: Participants were extremely satisfied with the care they received and reported that they felt empowered when pharmacists encouraged them to take responsibility for their own health. Conclusion Patients are highly supportive of an advanced scope of pharmacy practice which includes prescribing, follow-up, and remunerated care. Our inclusion of a patient in the analyses provided a unique perspective.
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